Fillable GOVERNMENT OF THE DISTRICT OF COLUMBIA Office of (University of the District of Columbia)

Fill Online, Printable, Fillable, Blank GOVERNMENT OF THE DISTRICT OF COLUMBIA Office of (University of the District of Columbia) Form

Use Fill to complete blank online UNIVERSITY OF THE DISTRICT OF COLUMBIA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

GOVERNMENT OF THE DISTRICT OF COLUMBIA Office of (University of the District of Columbia)

On average this form takes 2 minutes to complete

The GOVERNMENT OF THE DISTRICT OF COLUMBIA Office of (University of the District of Columbia) form is 1 page long and contains:

  • 1 signature
  • 0 check-boxes
  • 4 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of the District of Columbia

BROWSE UNIVERSITY OF THE DISTRICT OF COLUMBIA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of the Chief Financial Officer
Office of Tax and Revenue
Name of Organization/Entity
Business Address (include zip code)
Business Phone Number(s)
"I hereby authorize the District of Columbia, Office of the Chief Financial Officer, Office of Tax and Revenue;
consent to release my tax information to an authorized representative of the District of Columbia agency from
which I am seeking to enter into a contractual relationship. I understand that the information released under this
consent will be limited to whether or not I am in compliance with the District of Columbia tax laws and regulations
as of the date found on the government request. I understand that this information is to be used solely for the
purpose of determining my eligibility to enter into a contractual relationship with a District of Columbia agency. I
further authorize that this consent be valid for one year from the date of this authorization."
I hereby certify that I am in compliance with the applicable tax filing and payment requirements of the District of
Columbia.
The Office of Tax and Revenue is hereby authorized to verify the above information with the appropriate
government authorities. The penalty for making false statements is a fine not to exceed $5,000.00, imprisonment
for not more than 180 days, or both, as prescribed by D.C. Official Code § 47-4106.
TAX CERTIFICATION AFFIDAVIT
Date
________________________________________________________________________________
Office of Tax and Revenue, PO Box 37559, Washington, DC 20013
THIS AFFIDAVIT IS TO BE COMPLETED ONLY BY THOSE WHO ARE REGISTERED TO CONDUCT BUSINESS IN
THE DISTRICT OF COLUMBIA.
Principal Officer Name and Title
Square and Lot Information
Federal Identification Number
Contract Number
Unemployment Insurance Account No.
Signature of Authorizing Agent Title
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

GOVERNMENT OF THE DISTRICT OF COLUMBIA Office of (University of the District of Columbia)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 31 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document