Attachment_J.6__Tax_Certification_Affidavit.pdf
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- Attached to
- Multiple Award AEP IDIQ Services Contracts Federal contract opportunity
- Solicitation number
- DCSC-25-RFP-044
- Issued by
- District of Columbia Government
About this file
This is a Tax Certification Affidavit (Attachment J.6) required for all bids/offers over $100,000 for the District of Columbia Courts. The form must be completed by bidders to certify their compliance with DC tax laws and licensing requirements.
The affidavit requires contractors to provide their DC Employer Tax ID Number, Unemployment Insurance Account Number, and D-U-N-S Number. Contractors must indicate whether they are current on state taxes and unemployment insurance payments, and if not current, whether they have established payment agreements with the Department of Finance and Revenue and/or Department of Employment Services. The document includes penalties for false statements ($1,000 fine and/or 1 year imprisonment) and false swearing ($2,500 fine and/or 3 years imprisonment). The form must be notarized upon completion.
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Text version
ATTACHMENT J.6
TAX CERTIFICATION AFFIDAVIT
For all bids/offers over 100,000.00, the following affidavit is required:
__________________________________, 20 ______.
I hereby certify that:
1. I have complied with the applicable tax law fillings and licensing requirements of the District of
Columbia.
2. The following information is true and correct concerning the payment of my tax liability:
State:_____________________________ Current Not Current
Unemployment Insurance_______________________ Current Not Current
3. If not current, as checked in Item 2, I am in compliance with a payment agreement with the
Department of Finance and Revenue Yes No, and/or the Department of
Employment Services Yes No.
4. My tax numbers are as follows:
D.C. Employer Tax ID No.: _______________________________________________
Unemployment Insurance Account No.:_______________________________________
D-U-N-S No.:____________________________________________________________
The D.C. Courts is hereby authorized to verify the above information with appropriate Government authorities. Penalty of making false statements is a fine of not more than $1,000.00, imprisonment for not more than one (1) year or both, as prescribed in D.C. Code Sec. 22-2514. Penalty for false swearing is a fine of not more than $2,500.00, imprisonment for not more than three (3) years, or both, as prescribed in D.C. Code Sec. 22-2513.
Signature of Person Authorized to Sign Title
This Document
Typed or Printed Name
Name of Organization __________________________________________________________
Notary: Subscribed and sworn before me this __day of ________________, 20 at
___________________________ at ___________________________________
Month and Year City and State
File details come from the government source that posted it. Updated .