Tax Compliance Form.pdf
PDF 121 KB Posted
- Attached to
- Window Cleaning Services State and local contract opportunity
- Solicitation number
- PE-92200-RFP-2026-000000059
- Issued by
- Fulton County, Georgia
About this file
This document is a Tax Compliance Instruction form from the State of Georgia, specifically designed for suppliers seeking to participate in state contracts. The form requires potential suppliers to provide comprehensive tax and business information, including their company name, physical location, federal identification number, state registration status, tax identification numbers, and details about services to be performed. The primary purpose of this form is to allow the Georgia Department of Revenue (DOR) to verify a supplier's tax compliance and determine whether they are a "prohibited source" before being considered for a contract award.
The form emphasizes strict compliance and warns suppliers that missing, incomplete, or erroneous data may delay or prohibit contract award verification. Suppliers are strongly encouraged to resolve any outstanding tax liabilities or missing tax returns proactively. After completion, the form must be submitted via email to tsd-state-contractors@dor.ga.gov for processing in accordance with the Georgia Procurement Manual. The document includes provisions for reporting affiliate information and designating a person responsible for handling the supplier's tax issues, with the ultimate goal of ensuring tax compliance for state contracting opportunities.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| FY26 Window Cleaning Scope.docx | DOCX document | |
| Window Cleaning Accecptance Report.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Revised: 12/22/2010 SPD-SP045
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:
o State Taxpayer Identification Number (STI):
o Sales and Use Tax Number:
o Withholding Tax Number:
What type of service will you perform?
Will you sell any tangible personal property or goods?
Supplier’s Affiliate’s Name:
o FEI:
o STI:
o Sales and Use Tax Number:
o 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.):
o Name:
o Telephone Number:
o 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.
mailto:tsd-state-contractors@dor.ga.gov
File details come from the government source that posted it. Updated .