ESBD_401255_1741377030039_05. Texas Family Code Schedule.pdf

PDF 246 KB Posted

Attached to
Purchase of Dynatest Skid Resistance Trailer Parts for TxDOT Austin (Highway District 14)
Solicitation number
601440000047629
Issued by
Travis County, Austin City, Texas

About this file

This document is a Texas Family Code Schedule related to Solicitation No. 601440000047629, specifically addressing ineligibility criteria for state grants, loans, and contract payments. The document requires respondents to disclose ownership information, particularly focusing on individuals or business entities holding at least 25% ownership interest in the submitting entity, with mandatory disclosure of names and social security numbers.

The schedule is primarily a compliance document associated with child support obligations under Texas Family Code Section 231.006, which allows contract termination and payment withholding if certification is inaccurate. Respondents must complete ownership information or check a box indicating they do not meet the ownership criteria. The document includes a Federal Privacy Act notice explaining that social security number disclosure is legally required for child support identification purposes, with assurances of confidentiality. Failure to sign and return this schedule may result 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. 601440000047629

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

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