3-Tax Residence Certification.pdf

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Attached to
RFP - Educational Advocacy, Technical Support and Legal Assistance Program for the Harris County Juvenile Probation Department
Solicitation number
26/0028
Issued by
Harris County, Texas

About this file

This is a Tax Form/Debt/Residence Certification document required for advertised projects by Harris County, Texas. The form applies to bidders and proposers submitting bids for the Educational Advocacy, Technical Support and Legal Assistance Program for the Harris County Juvenile Probation Department. Bidders must provide their Taxpayer Identification Number, company name, and mailing address, and indicate whether they are registered to do business in Texas. The form requires disclosure of all taxable property owned in Harris County, including real property addresses and business personal property locations, along with associated Harris County tax account numbers. Additionally, bidders must disclose any outstanding debts owed to Harris County, including delinquent property taxes, tickets, fines, tolls, and court judgments.

The certification also requires bidders to declare their residency status pursuant to Texas Government Code Section 2252.001 et seq. Bidders must certify whether they qualify as a resident bidder, defined as a person whose principal place of business is in Texas (including contractors whose ultimate parent company or majority owner is based in Texas), or as a nonresident bidder with their principal place of business located outside the state. This residency classification may affect contract award eligibility under Texas law, as the statute contains restrictions on awarding governmental contracts based on bidder residency status.

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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 .