ESBD_429823_1750687395320_04. Texas Family Code Schedule.pdf

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Attached to
Dynamic Friction Tester (DFT) for the TxDOT Materials and Tests Division (MTD)
Solicitation number
601440000048821
Issued by
Travis County, Austin City, Texas

About this file

This document is a Texas Family Code Schedule related to a state contract solicitation (Solicitation No. 601440000048821) concerning child support obligations and eligibility for state grants, loans, or contract payments. The schedule requires respondents to disclose ownership information, specifically mandating that any business entity or individual with at least a 25% ownership interest provide their names and social security numbers. Respondents must certify their eligibility to receive state payments and acknowledge that the contract may be terminated if the certification is inaccurate.

The document is a compliance form that implements sections 231.006 and 231.302 of the Texas Family Code, with the primary purpose of identifying potential child support obligations. The form includes a Federal Privacy Act notice explaining that social security numbers will be used to identify persons who may owe child support and will be kept confidential. Respondents must either complete the ownership section with required personal information or check a box indicating the schedule is not applicable. Failure to sign and return this page may result in the response being deemed non-responsive, potentially disqualifying the bidder from the contract opportunity.

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Text version

Revised: September 27, 2023

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601440000048821

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

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