Attachment J.6 - Tax Certification Affidavit.pdf

This is a Tax Certification Affidavit template required for all bids and offers exceeding $100,000.00 to the District of Columbia.

The affidavit requires the bidder to certify compliance with applicable District of Columbia tax law filings and licensing requirements. The signatory must confirm the current status of state tax liability and unemployment insurance payments, indicating whether each is current or not current. If tax liability or unemployment insurance is not current, the bidder must attest to being in compliance with a payment agreement with either the Department of Finance and Revenue or the Department of Employment Services, or both. The affidavit requires disclosure of the bidder's D.C. Employer Tax ID Number, Unemployment Insurance Account Number, and D-U-N-S Number. The document authorizes the D.C. Courts to verify the information with appropriate government authorities. False statements carry penalties including fines up to $1,000.00 and imprisonment for up to one year, or both, under D.C. Code Section 22-2514, and false swearing carries fines up to $2,500.00 and imprisonment for up to three years, or both, under D.C. Code Section 22-2513. The affidavit must be signed by an authorized representative, notarized, and include the organization name, signatory title, and notarization details including date, month, year, and location.