1-Tax Residence Certification.pdf

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Attached to
RFP - Election Management System for Harris County Clerk's Office
Solicitation number
26/0136
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 Election Management System procurement for the Harris County Clerk's Office with a contract term of one year beginning approximately September 1, 2026. The form is designed to gather essential information from bidding entities regarding their business registration status in Texas, property ownership in Harris County, and resident or nonresident bidder classification under Texas Government Code Section 2252.001 et seq.

Bidders must complete all sections of the certification, including providing their Taxpayer Identification Number, company name, mailing address, and confirmation of Texas business registration status. The form requires disclosure of all taxable property owned in Harris County, including real property and business personal property, along with corresponding Harris County Tax Account numbers and property locations or legal descriptions. Additionally, bidders must declare any outstanding debts owed to Harris County, such as property taxes, fines, tolls, or court judgments. The certification requires bidders to affirm their classification as either a resident bidder with principal place of business in Texas, including those whose ultimate parent company or majority owner is located in Texas, or as a nonresident bidder, in which case the principal place of business location must be specified. This certification document was revised November 9, 2009 and is a mandatory submission requirement for participation in this Harris County procurement.

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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 .