ESBD_425588_1749153993089_06. Texas Family Code Schedule.pdf

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Attached to
Bosch PTZ Cameras
Solicitation number
601440000048036
Issued by
Texas

About this file

This document is a Texas Family Code Schedule for Solicitation No. 601440000048036, issued by the State of Texas. The document is a compliance form related to child support obligations for potential state contract respondents, requiring individuals or business entities with at least 25% ownership interest to disclose social security numbers and certify their eligibility to receive state grants, loans, or contract payments.

The form serves as a legal mechanism to verify that respondents are not delinquent in child support obligations, with potential contract termination and payment withholding if the certification is found to be inaccurate. Respondents must complete the form by either listing the names and social security numbers of owners meeting the 25% ownership threshold or checking a box indicating the schedule is not applicable. The document includes a Federal Privacy Act notice explaining that social security number disclosure is mandatory under Texas Family Code sections 231.006(c) and 231.302(c)(2), with assurances that the information will be kept confidential and used solely for identifying potential child support obligations.

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Text version

Revised: September 27, 2023

1 - 1

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601440000048036

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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