Attachment 4 Warren County, Ohio 2026 AFFIDAVIT IN COMPLIANCE WITH SECTION 5719.042 OF THE OHIO REVISED CODE STATE OF ______________________ COUNTY OF ____________________ } SS: Personally appeared before me the undersigned, an offeror of a competitive sealed proposal by __________________________, for the Emergency Communications Center Voice, Radio, and Screen Recording System Replacement with Warren County, Ohio, (Name of Firm) who, being duly cautioned and sworn makes the following statement with respect to the personal property taxes on the general tax list of personal property of Warren County, Ohio: 1. That the undersigned at the time of making this bid on the aforementioned contract was not charged with any delinquent personal property taxes on the general tax list of personal property of Warren County. 2. That this statement is made in compliance with Section 5719.042 to be incorporated into the contract between the parties as provided in that section of the Ohio Revised Code. __________________________________________________ Signature ___________________________________________________ Title Subscribed and sworn before me this day of , 20____. __________________________________________________ Notary Public My commission expires _______________________________ Commented [MJ1]: Don't forget to update the signature date. I think in my newest templates I changed it to read "20_____" to force the submitter to fill in so I don't have to remember to update each time.
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