ESBD_384458_1733870098292_04. Texas Family Code Schedule.pdf

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Attached to
Ferry Propulsion System Parts
Solicitation number
601330000042596
Issued by
Galveston County, Texas

About this file

This is a Texas Family Code Schedule form issued as part of Texas Department of Transportation (TxDOT) Solicitation No. 601330000042596. The form requires respondents to disclose information related to child support obligations under Family Code §231.006, which determines eligibility to receive state payments and contracts. Respondents must provide names and social security numbers of any person or entity holding at least twenty-five percent ownership interest in the business entity submitting the response.

The form includes a Federal Privacy Act Notice explaining that social security number disclosure is required under Texas Family Code sections 231.006(c) and 231.302(c)(2) to identify persons who may owe child support. Respondents must either complete the ownership information section or check a box indicating the schedule is not applicable. The form must be signed and returned with the response, with failure to do so potentially resulting in the response being considered non-responsive. The document was revised on September 27, 2023.

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Text version

Revised: September 27, 2023

1 - 1

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601330000042596

Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts Respondent shall fill out the appropriate information, sign and return the schedule.

Under Family Code §231.006, relating to child support obligations, Respondent and any other individual or business entity named in this solicitation are eligible to receive the specified payment and acknowledge that this contract may be terminated and payment withheld if this certification is inaccurate. Any response submitted under this solicitation shall contain the names and social security numbers of person or entity holding at least a twenty-five percent ownership interest in the business entity submitting the response.

Respondents meeting the ownership must complete the following:

XXX-XX-

Name Social Security Number

XXX-XX-

Name Social Security Number

XXX-XX

Name Social Security Number

If respondent does not meet the ownership criteria under Texas Family code - Section 231.006, check the box below, sign and return the schedule.

This Schedule is not applicable

FEDERAL PRIVACY ACT NOTICE: This notice is given pursuant to the Federal Privacy Act. Disclosure of your Social Security (SSN) is required under Section 231.006(c) and Section 231.302(c)(2) of the Texas Family Code. The SSN will be used to identify persons that may owe child support. The SSN will be kept confidential to the fullest extent allowed under Section 231.302(e), Texas Family Code.

Signature

Title

THIS PAGE MUST BE RETURNED WITH THE RESPONSE. FAILURE TO SIGN AND RETURN THIS

PAGE MAY RESULT IN THE RESPONSE BEING CONSIDERED NON-RESPONSIVE.

File details come from the government source that posted it. Updated .