Specifications

Microcomputer Peripherals, Annual Contract #08-02-9975 Page 56 of 58
Resident Bidder Form
If you or your company own real or personal property within Cypress-Fairbanks I.S.D. boundaries, please provide the
address(es) and HCAD tax account number(s). If none, please indicated under item B.
A. Address HCAD Tax Account Number
(13 digits)
1. ______________________________________________ _________________________________
2. ______________________________________________ _________________________________
3. ______________________________________________ _________________________________
4. ______________________________________________ _________________________________
5. ______________________________________________ _________________________________
6. ______________________________________________ _________________________________
7. ______________________________________________ _________________________________
8. ______________________________________________ _________________________________
9. ______________________________________________ _________________________________
10. ______________________________________________ _________________________________
List additional account numbers on a separate page.
Additional accounts are listed
Yes No
B. There is no real or personal property located in Cypress-Fairbanks I.S.D. boundaries to report.
Signature of Authorized Agent ____________________________________________ Date_____________
I, the undersigned for the firm named below, certify that the information concerning notification of real or personal
property located within Cypress-Fairbanks I.S.D. boundaries is true to the best of my knowledge and have completed
either item A or B above.
Vendor (Company) Name__________________________________________________________________________
Signature of Authorized Agent__________________________________________________ Date_____________
Note: This form must be executed and submitted with Bid Form.