2-Tax Residence Certification.pdf

24 KB Posted

Attached to
RFP - Election Poll Worker Management Software for the Harris County Clerk’s Office
Solicitation number
25/0135
Issued by
Harris County, Texas

About this file

Written by GovTribe AI ·

This document is a Tax Form/Debt/Residence Certification form for advertised projects issued by Harris County, Texas. The form requires bidders to provide detailed information about their business, including their Taxpayer Identification Number, business registration status in Texas, property ownership in Harris County, and any outstanding debts to the county. The form is specifically designed to certify a bidder's residency status according to Texas Government Code §2252.001, distinguishing between resident and nonresident bidders based on their principal place of business.

The form requires bidders to list all taxable properties owned in Harris County, declare any existing county debts, and certify their residency status. Bidders must specify their Harris County Tax Account Number and property addresses, and disclose any outstanding debts such as taxes, tickets, fines, tolls, or court judgments. The residency certification section allows companies to declare whether they are a resident bidder (with a principal place of business in Texas) or a nonresident bidder, which may impact their eligibility for governmental contracts. The form was revised in November 2009 and is part of Harris County's procurement documentation process.

View the file

Other files

File Type Posted
3-Harris County Minimum Insurance Requirements.pdf PDF
12-Specifications.pdf PDF
5-Workers Compensation Insurance Requirements.pdf PDF
1-Subcontractor Listing Form.pdf PDF
9-Harris County Universal Service Reference Architecture.pdf PDF
4-Proposal Acknowledgement.pdf PDF
11-Special Requirements.pdf PDF
6-Harris County Travel Policy (1).pdf PDF
8-IT Vendor Controls Cybersecurity Acknowledgment Form.pdf PDF
10-HC Minimum IT Security Vendor Controls List.pdf PDF
7-General Requirements for Proposals.pdf PDF
Show all 11

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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 .