ComplianceStateTaxLaws~67.pdf

This document is a Certificate of Compliance with State Tax Laws form issued by the Massachusetts Department of Unemployment Assistance (DCAM), specifically for a business to certify its compliance with state tax laws and unemployment compensation contribution requirements. The form is based on Massachusetts General Laws (M.G.L.) Chapters 62C, Section 49A and 151A, Section 19A, and provides a template for an authorized signatory to declare that their organization has filed all required state tax returns, paid all required taxes, and met all state laws regarding unemployment compensation contributions.

The form requires the business to provide key identifying information, including the authorized signatory's name, the company's principal place of business, and the business's Social Security Number or Federal Identification Number. The document is to be signed under penalties of perjury, indicating the serious legal implications of providing false information. The form is dated April 2002 (DCAM Rev. 04/02) and appears to be a standard administrative document used in state contract compliance processes, likely required as part of a bidding or contracting procedure for state and local government opportunities.