ComplianceStateTaxLaws~67.pdf
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- Solicitation number
- BD-26-1069-MILDV-40000-119512
- Issued by
- Barnstable County, Massachusetts
About this file
This document is a Certificate of Compliance with State Tax Laws form issued by the Massachusetts Department of Revenue (DCAM), specifically related to tax and unemployment compensation requirements under Massachusetts General Laws Chapters 62C and 151A. The form is a standard template designed for businesses to certify their compliance with state tax filing and payment obligations, as well as unemployment compensation contributions.
The certificate requires an authorized signatory to declare under penalties of perjury that their business organization has filed all required state tax returns, paid all taxes as mandated by law, and met all state requirements related to unemployment compensation fund contributions. The form includes placeholders for the business organization's name, principal place of business, Social Security Number or Federal Identification Number, signature, date, and the signatory's name and title. The document is dated April 2002 (DCAM Rev. 04/02) and serves as an official declaration of tax and contribution compliance for state contract or procurement purposes.
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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 .