ESBD_395929_1739395071761_04. Texas Family Code Schedule.pdf

PDF 102 KB Posted

Attached to
Salt Brine Production System for the TxDOT Belton Maintenance Section
Solicitation number
601310000094391
Issued by
Bastrop County, Texas

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This document is a Texas Family Code Schedule form (Solicitation No. 601310000094391) dated September 27, 2023, which relates to eligibility requirements for receiving state grants, loans, or payments on state contracts in Texas. The form requires respondents who have at least 25% ownership interest in a business entity submitting a response to provide names and social security numbers to verify compliance with child support obligations under Family Code §231.006.

The form includes a disclosure requirement under the Federal Privacy Act, explaining that Social Security Numbers (SSN) are required under Section 231.006(c) and Section 231.302(c)(2) of the Texas Family Code to identify persons who may owe child support. The form provides space for up to three owners to list their information, with an option to check a box if the schedule is not applicable to the respondent. The form requires a signature and title from the respondent to certify the information provided.

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ESBD_395929_1739395055948_03. Execution of Bid.pdf PDF
ESBD_395929_1739395023237_01. IFB 601310000094391.pdf PDF
ESBD_395929_1739395040890_02. Specification TxDOT 545-65-94391.pdf PDF
ESBD_395929_1739395092543_05. Appendix B - Early Payment Program.pdf PDF
ESBD_395929_1739395001249_601310000094391_Instructions to Respondents.pdf PDF
ESBD_395929_1739395110746_601310000094391_Bid Table.xlsx XLSX spreadsheet

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Revised: September 27, 2023

1 - 1

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601310000094391

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.

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Title

Texas Family Code SchEDULE
Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts

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