Laserfiche WebLink
TALC COMPLIANCE CERTIFICATION <br /> Pursuant to. M. .L. ch. 62C§49A, I certify under the penalties of perjury that, to the best of my <br /> knowledge and belief, I ern in compliance with all laws of the Commonwealth relating to takes, reporting <br /> of employees and contractors, and withholding and remitting child support. <br /> i <br /> i <br /> Authorized signature Date <br /> Name of person signing above (typed) Acknowl.edgernent of Addendum(s) <br /> ) <br /> reused, if any <br /> Name of business <br /> Business address <br /> City/State/Zip Code <br /> Telephone Number <br /> i <br /> i <br />