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State of Kansas - Tax Clearance StatusDepartment of Administration, OFPM-DCCTo those trades listed on the Form of Bid:Upon advertisement of a project for bidding and at least one week prior to the bid date, the above trades should obtain their Kansas Department of Revenue Certificate of Tax Clearance. Fill out, sign and attach this form (DCC 322) to the KDOR Certificate; forward both in ample time prior to the bid opening to all bidding Prime Contractors. (Note: Certificates of Tax Clearance are valid for 90 days.)LEGAL NAME OF PERSON, FIRM OR CORPORATIONFEDERAL EMPLOYER IDENTIFICATION NUMBERMAILING ADDRESS for the above CITY, STATE and ZIP CODETELEPHONE NUMBER FAX NUMBERCELL PHONE NUMBER E-MAIL ADDRESSCONTACT PERSON for TAX ISSUESSIGNATURETITLE DATE (DD/MM/YYYY)Attachment: State of Kansas Department of Revenue Tax Clearance CertificateThis form is available at ................
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