1-Tax Residence Certification.pdf
PDF 24 KB Posted
- Solicitation number
- 26/0012
- Issued by
- Harris County, Texas
About this file
This is a Tax Residence Certification form required by Harris County, Texas for bidders on advertised projects, specifically for the Request for Qualifications (RFQ) regarding Planning, Sustained Development, Resource Management, Maintenance, Safety, and Beautification of Parks and Multiuse Trails (Walking & Biking) for Harris County Precinct 1. The form requires bidders to provide their Taxpayer Identification Number (T.I.N.), company name, mailing address, and confirmation of business registration status in Texas. Bidders must list all taxable property owned in Harris County, including property account numbers and addresses or legal descriptions, and disclose any debts owed to Harris County such as taxes, tickets, fines, tolls, or court judgments. Additionally, bidders must certify their residency status under Texas Government Code 2252.001 et seq., identifying themselves as either a Resident Bidder (whose principal place of business is in Texas, including contractors whose ultimate parent company or majority owner is based in Texas) or a Nonresident Bidder, with the latter required to specify their principal place of business location.
The form does not specify pricing terms, contract amounts, funding sources, or renewal options. This certification document functions as a compliance and eligibility verification tool rather than a procurement specification. The form was revised as of November 2009 and serves to ensure bidder transparency regarding property holdings, outstanding liabilities to Harris County, and business residency status in accordance with Texas procurement law. Submission of this completed form is a prerequisite for bid consideration on this Harris County project.
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Text version
TAX FORM/DEBT/ RESIDENCE CERTIFICATION
(for Advertised Projects)
Taxpayer Identification Number (T.I.N.):
Company Name submitting Bid/Proposal:
Mailing Address:
Are you registered to do business in the State of Texas? Yes No
If you are an individual, list the names and addresses of any partnership of which you are a general partner or any assumed name(s) under which you operate your business
I. Property: List all taxable property in Harris County owned by you or above partnerships as well as any d/b/a names. (Use a second sheet of paper if necessary.)
Harris County Tax Acct. No.* Property address or location**
* This is the property account identification number assigned by the Harris County Appraisal District.
** For real property, specify the property address or legal description. For business personal property, specify the address where the property is located. For example, office equipment will normally be at your office, but inventory may be stored at a warehouse or other location.
II. Harris County Debt - Do you owe any debts to Harris County (taxes on properties listed in I above, tickets, fines, tolls, court judgments, etc.)?
Yes No If yes, attach a separate page explaining the debt.
III. Residence Certification - Pursuant to Texas Government Code §2252.001 et seq., as amended, Harris County requests Residence Certification. §2252.001 et seq. of the Government Code provides some restrictions on the awarding of governmental contracts; pertinent provisions of §2252.001 are stated below:
(3) "Nonresident bidder" refers to a person who is not a resident.
(4) "Resident bidder" refers to a person whose principal place of business is in this state, including a contractor whose ultimate parent company or majority owner has its principal place of business in this state.
I certify that is a Resident Bidder of Texas as defined in Government Code
[Company Name]
§2252.001.
I certify that is a Nonresident Bidder as defined in Government Code
[Company Name]
§2252.001 and our principal place of business is .
[City and State] Revised 11/09
| for Advertised Projects: |
| undefined: |
| Company Name submitting BidProposal: |
| Are you registered to do business in the State of Texas: Off |
| assumed names under which you operate your business 1: |
| assumed names under which you operate your business 2: |
| Harris County Tax Acct No 1: |
| Harris County Tax Acct No 2: |
| Harris County Tax Acct No 3: |
| Harris County Tax Acct No 4: |
| Property address or location 1: |
| Property address or location 2: |
| Property address or location 3: |
| Property address or location 4: |
| fines tolls court judgments etc: Off |
| I certify that: |
| is a Resident Bidder of Texas as defined in Government Code: |
| I certify that_2: |
| Company Name: |
| is a Nonresident Bidder as defined in Government Code: |
File details come from the government source that posted it. Updated .