ESBD_394313_1738862511756_04. Texas Family Code Schedule.pdf

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Attached to
Ferry Propulsion System Parts
Solicitation number
601330000042877
Issued by
Galveston County, Garland City, Texas

About this file

This is a Texas Family Code Schedule form (Solicitation No. 601330000042877) 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 25% or greater ownership interest in the responding business entity to disclose names and social security numbers to verify compliance with child support obligations under Family Code §231.006.

The form includes fields for up to three owners to provide their names and social security numbers, with an alternate checkbox option for respondents who do not meet the ownership criteria. The document includes a Federal Privacy Act notice explaining that SSNs will be used to identify persons who may owe child support and will be kept confidential under Texas Family Code Section 231.302(e). The form must be signed, titled, and returned with the response, with failure to do so potentially resulting in the response being considered non-responsive.

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Text version

Revised: September 27, 2023

1 - 1

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601330000042877

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 .