Tax_Affidavit_Form.pdf

The document is a Tax Certification Affidavit form issued by the Government of the District of Columbia's Office of the Chief Financial Officer and Office of Tax and Revenue. This form is specifically designed for businesses registered to conduct business in the District of Columbia and is a mandatory document for entities seeking to enter into a contractual relationship with a District of Columbia agency. The form requires detailed information about the organization, including authorized agent details, business address, principal officer information, federal identification number, contract number, and unemployment insurance account number.

The affidavit serves as an authorization for the District of Columbia to release tax information and verifies the applicant's compliance with local tax laws and regulations. By completing this form, the business authorizes the Office of Tax and Revenue to verify their information with appropriate government authorities and certifies their adherence to tax filing and payment requirements. The document includes a warning about potential penalties for making false statements, which can result in fines up to $5,000.00, imprisonment for up to 180 days, or both, as prescribed by D.C. Official Code §47-4106.