ESBD_394310_1738859975305_05. Texas Family Code Schedule.pdf
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- Solicitation number
- 601440000047173
- Issued by
- Travis County, Austin City, Texas
About this file
This document is a Texas Family Code Schedule form (Solicitation No. 601440000047173) that must be completed by respondents to verify eligibility for receiving state grants, loans, or payments on state contracts. The form requires respondents who have at least 25% ownership interest in the business entity to disclose their names and Social Security Numbers, in accordance with Texas Family Code §231.006 relating to child support obligations.
The form includes a Federal Privacy Act Notice explaining that SSN disclosure is required under Sections 231.006(c) and 231.302(c)(2) of the Texas Family Code to identify persons who may owe child support. The document must be signed and returned with the response, or the response may be considered non-responsive. If the respondent does not meet the ownership criteria under Texas Family Code Section 231.006, they must check a box indicating the schedule is not applicable, sign, and return the form.
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Text version
Revised: September 27, 2023
1 - 1
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601440000047173
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
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