ComplianceStateTaxLaws~66.pdf
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- Solicitation number
- BD-25-1069-MILDV-30000-112884
- Issued by
- Barnstable County, Massachusetts
About this file
This is a Certificate of Compliance with State Tax Laws and Unemployment Compensation Contribution Requirements form from the Massachusetts Division of Capital Asset Management (DCAM), revised in April 2002. The document serves as a legal certification that must be completed by an authorized signatory of a business organization to certify compliance with state tax laws and unemployment compensation requirements under Massachusetts General Laws Chapter 62C, Section 49A and Chapter 151A, Section 19A.
The form requires the authorized signatory to certify under penalty of perjury that their organization has filed all required state tax returns, paid all taxes, and complied with state laws regarding unemployment compensation fund contributions and payments. The document must include the business organization's Social Security Number or Federal Identification Number, be signed and dated by an authorized representative, and include their name and title.
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Text version
Certificate of Compliance with State Tax Laws DCAM Rev. 04/02
CERTIFICATE OF COMPLIANCE WITH STATE TAX LAWS AND
WITH UNEMPLOYMENT COMPENSATION CONTRIBUTION
REQUIREMENTS
Pursuant to M.G.L., Ch. 62C, s. 49A and M.G.L., Ch. 151A, s. 19A, I, ________________________________________________ authorized signatory for
________________________________ whose principal place of business is at
_______________________________________________________ do hereby certify under penalties of perjury that ___________________________________ has filed all state tax returns and paid all taxes as required by law and has complied with all state laws pertaining to contributions to the unemployment compensation fund and to payments in lieu of contributions.
The Business Organization Social Security Number or Federal Identification Number is
Signed under the penalties of perjury the __________ day of ________________
20 ____.
Signature: _______________________________________
Name and Title: ________________________________________
File details come from the government source that posted it. Updated .