Tax Compliance Form.doc
DOC document 1 MB Posted
- Attached to
- CP Jones County High School Renovations
- Solicitation number
- PE-55267-NONST-2026-000000036
- Issued by
- Jefferson County, Georgia
About this file
This Tax Compliance Form is a document prepared by the State of Georgia for suppliers bidding on state and local contracts, specifically in connection with the Jones County School District's solicitation for Construction Professional services for Jones County High School Renovations in Gray, Georgia. The form requires suppliers to provide comprehensive tax and identification information, including the supplier's name, physical address, Federal Identification Number, and relevant Georgia state tax registration details such as State Taxpayer Identification Number, Sales and Use Tax Number, and Withholding Tax Number. Suppliers must also disclose whether they will sell tangible personal property or goods, identify any affiliated entities with their corresponding tax information, and designate a person responsible for handling the supplier's tax issues, including contact details for that individual.
The Georgia Department of Revenue will use the information submitted on this form to verify that suppliers are not "prohibited sources" as defined by O.C.G.A. 50-5-82 and to identify any outstanding tax liabilities or compliance issues before contract award. The state entity must submit completed forms to the Georgia Department of Revenue at tsd-state-contractors@dor.ga.gov for processing in accordance with the Georgia Procurement Manual. Suppliers are cautioned that missing, incomplete, or erroneous data may delay or prohibit verification of eligibility for contract award, and no prohibited source may receive a contract award. Suppliers are strongly encouraged to verify their current tax status and resolve any outstanding tax liabilities or missing tax returns prior to submission.
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Other files
| File | Type | Posted |
|---|---|---|
| Contractor Affidavit.pdf | ||
| 36_36 GENERAL INFORMATION WORKSHEET.doc | DOC document | |
| JCSS STANDARD TERMS AND CONDITIONS.pdf | ||
| 26_36 MANDATORY RESPONSE CHECKLIST.xls | XLS spreadsheet | |
| Certificate of NonCollusion.pdf | ||
| DEPARTMENT OF AUDITS IMMIGRATION AND SECURITY.pdf | ||
| W_9.pdf | ||
| 26_36 RFP_CP at Risk Jones County High School.pdf | ||
| District Certifications Form.pdf |
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Text version
TAX COMPLIANCE
INSTRUCTIONS TO SUPPLIERS
Please complete the following information:
· Supplier’s Name:
· Physical Location Address:
· Federal Identification Number (FEI):
· Have you ever been registered in the State of Georgia?
· If so, please provide the following information, if applicable:
· State Taxpayer Identification Number (STI):
· Sales and Use Tax Number:
· Withholding Tax Number:
· What type of service will you perform?
· Will you sell any tangible personal property or goods?
· Supplier’s Affiliate’s Name:
· FEI:
· STI:
· Sales and Use Tax Number:
· Withholding Tax Number:
If there is more than one affiliate, please attach a separate sheet listing the information above.
· Person responsible for handling supplier’s tax issues (such as the CFO, the company tax officer, etc.):
· Name:
· Telephone Number:
· E-mail Address:
NOTICE TO SUPPLIER:
In the event the supplier is considered for contract award, the information provided in the form will be submitted by the State Entity to the Georgia Department of Revenue (“DOR”) for a determination as to whether the supplier is a “prohibited source” (as defined by O.C.G.A. §50-5-82) or whether there are any other outstanding tax issues. MISSING, INCOMPLETE, OR ERRONEOUS DATA MAY DELAY OR PROHIBIT VERIFICATION OF YOUR ELIGIBILITY FOR CONTRACT AWARD. NO PROHIBITED SOURCE MAY RECEIVE CONTRACT AWARD; THEREFORE, YOU ARE STRONGLY ENCOURAGED TO CHECK YOUR TAX STATUS NOW AND RESOLVE ANY OUTSTANDING TAX LIABILITIES AND/OR MISSING TAX RETURNS.
STATE ENTITY: Please submit this form via email to DOR at tsd-state-contractors@dor.ga.gov for processing in accordance with the Georgia Procurement Manual.
Revised: 12/22/2010
SPD-SP045
An Equal Opportunity Employer
File details come from the government source that posted it. Updated .