ComplianceStateTaxLaws~67.pdf

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Attached to
ITB ENV250813 C-13 Fuel Reduction Thinning (Camp Edwards, MA)
Solicitation number
BD-26-1069-MILDV-30000-120169
Issued by
Barnstable County, Massachusetts

About this file

This document is a Certificate of Compliance with State Tax Laws and Unemployment Compensation Contribution Requirements, issued under Massachusetts General Laws (M.G.L.), specifically Chapters 62C and 151A. The form is designed for a business organization to certify that it has filed all required state tax returns, paid all required taxes, and complied with state laws regarding unemployment compensation contributions. The form is a standard state document (revision date 04/02) that requires an authorized signatory to complete and sign under penalties of perjury.

The certificate requires the business to provide its name, principal place of business, and either its Social Security Number or Federal Identification Number. The form allows for documenting the specific date of signing and includes spaces for the signatory's signature and printed name and title. While no specific contract, project, or financial details are included in this document, it serves as a mandatory compliance verification for businesses engaging with state agencies or participating in state-related business activities.

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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 .