HomeMy Public PortalAboutTax Compliance CertificateTown of Brewster
2198 Main Street
Brewster, MA 02631-1898
Phone: (508) 896-3701
Fax: (508) 896-8089
CERTIFICATION AS TO PAYMENT OF STATE TAXES
Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A(b), I,
______________________, authorized signatory for the Contractor do hereby certify under the
pains and penalties of perjury that said Contractor has complied with all laws of the
Commonwealth of Massachusetts relating to taxes, reporting of employees and contractors, and
withholding and remitting child support.
____________________________
Social Security Number or Signature of Individual or
Federal Identification Number Corporate Name
By:
Corporate Officer
(if applicable)
Office of:
Board of Selectmen
Town Administrator
www.brewster-ma.gov