Attachment 5 Affidavit of Compliance with tax laws~1.pdf
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- Solicitation number
- S-47100-00015235
- Issued by
- Baker County, Barlow City, Oregon
About this file
This document is an Affidavit of Compliance with Tax Laws for ITB S-47100-00015235, a Baker City roof maintenance and repair project. The affidavit is a required submission document for bidders participating in this invitation to bid. The form establishes that an authorized representative of the bidding entity attests under penalty of perjury to compliance with Oregon tax laws and provides documentation of the bidder's taxpayer identification number, either a Federal Tax Number or Social Security Number. The affidavit confirms that the bidder is not subject to backup withholding by the IRS and certifies compliance with applicable Oregon tax statutes.
The affidavit must be completed, signed by an authorized representative of the bidder, and notarized before a notary public. The document requires attestation that the bidder is not in violation of any Oregon tax laws, specifically referencing compliance with ORS Chapters 118, 314, 316, 317, 318, 320, 321, and 323, as well as related sections covering tax payment, returns, estimated tax payments, audit provisions, penalties, and timely filing requirements. This affidavit serves as a mandatory compliance document to verify the bidder's tax standing and eligibility to contract with Baker City.
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Text version
ITB S-47100-00015235 – Baker City Roof Maintenance and Repair
Page 54/61
ATTACHMENT 5
AFFIDAVIT OF COMPLIANCE WITH TAX LAWS
State of ________________ ss County of ______________
____________________________________ (Affiant), on behalf of _____________________________ (hereafter “Bidder”), hereby attests under penalty of perjury that:
1. I am an authorized representative of the Bidder, and I have full authority from the Bidder to submit this affidavit and accept the responsibilities stated herein.
2. I am aware that the Bidder has submitted a bid, and I am familiar with the contents of the Invitation to Bid and the bid.
3. The number shown below is Bidder's correct taxpayer identification. (Provide one of the following identification numbers):
a. Federal Tax Number: __________________
b. Social Security Number: ________________
4. Bidder is not subject to backup withholding because (a) Bidder is exempt from backup withholding,
(b) Bidder has not been notified by the IRS that Bidder is subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified Bidder that Bidder is no longer subject to backup withholding.
5. I have knowledge regarding Bidder's payment of taxes, and to the best of my knowledge, Bidder is not in violation of any Oregon tax laws, including, without limitation, those tax laws listed in ORS 305.380(4), namely ORS Chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, the elderly rental assistance program under ORS 310.630 to 310.706, and any local taxes administered by the Oregon Department of Revenue under ORS 305.620; and Application of penalties, misdemeanors and jeopardy assessment; employer as taxpayer under ORS 316.212, Tax on centrally assessed, mercantile, manufacturing and business corporations and financial institutions under ORS 317.070, Payment of tax; returns; estimated tax; payment under ORS 321.045, Audit of returns; interest and penalties upon failure to file return or pay tax under ORS 321.560, penalty for nonpayment of credit purchase; interest under ORS 323.195, extension of time for reports and payment of tax; interest under ORS 323.365, and Failure to pay tax or timely file report under ORS 323.381.
Affiant’s Signature: ___________________________________
Signed and affirmed to before me on _________________ by ______________________________.
(Date) (Affiant’s Name)
Notary Signature: ____________________________________
Notary Public for the State of ____________________________
My Commission Expires: _______________________________
File details come from the government source that posted it. Updated .