2-Tax Residence Certification.pdf

24 KB Posted

Attached to
RFSQ - Program Management Consultant (PMC) for the Hempstead Highway Program for HCTRA
Solicitation number
25/0298
Issued by
Harris County, Texas

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This document is a Tax Form/Debt/Residence Certification form for advertised projects issued by Harris County, Texas. The form requires bidders to provide specific information about their business, including their Taxpayer Identification Number, business registration status in Texas, taxable property ownership in Harris County, and any outstanding county debts. The form is designed to certify a company's residency status as either a resident or nonresident bidder according to Texas Government Code §2252.001.

The form requests detailed information in three sections: (I) a listing of all taxable properties owned in Harris County, including tax account numbers and property addresses; (II) disclosure of any debts owed to Harris County; and (III) a residence certification where the bidder must specify whether they are a resident or nonresident bidder. For nonresident bidders, the principal place of business must be identified. The document provides definitions of resident and nonresident bidders, noting that a resident bidder is a person or company whose principal place of business is in Texas, including those with parent companies or majority owners based in the state.

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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 .