ESBD_387852_1734974767935_04. Texas Family Code Schedule.pdf
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- Solicitation number
- 601330000042716
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule form for Texas Department of Transportation (TxDOT) Solicitation No. 601330000042716, requiring completion by respondents as part of their bid submission for the Gyratory Compactor procurement. The form must be filled out, signed, and returned with the response, with failure to do so potentially resulting in the response being considered non-responsive.
The document requires respondents with 25% or greater ownership interest to provide names and social security numbers to verify eligibility regarding child support obligations under Family Code §231.006. If the ownership criteria are not met, respondents must check a box indicating the schedule is not applicable. The form includes a Federal Privacy Act Notice explaining that SSN disclosure is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for child support verification purposes, with confidentiality maintained under Section 231.302(e).
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Text version
September 27, 2023
1 - 1
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601330000042716
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.
| Texas Family Code SchEDULE |
| Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts |
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