ESBD_468073_1762796243133_04. Texas Family Code Schedule.pdf

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Attached to
Purchase of Replacement Centrifugal Pumps for TxDOT San Antonio District
Solicitation number
601320000068633
Issued by
Bexar County, Texas

About this file

This document is a Texas Family Code Schedule form (Solicitation No. 601320000068633) issued by the State of Texas addressing eligibility requirements for state contract recipients. The schedule requires respondents to certify compliance with Texas Family Code §231.006 regarding child support obligations and to disclose ownership information for entities seeking state contract payments. Respondents must provide names and social security numbers for all individuals or business entities holding at least twenty-five percent ownership interest in the business submitting the response. The form must be completed, signed, and returned with the response submission, with failure to do so potentially resulting in the response being deemed non-responsive.

The schedule serves as a certification mechanism to identify persons who may owe child support obligations and to ensure contract recipients are eligible for state payments. Social security number disclosure is mandatory under Texas Family Code Sections 231.006(c) and 231.302(c)(2), with the information to be kept confidential to the fullest extent allowed under Section 231.302(e). Respondents who do not meet the ownership criteria threshold may indicate that the schedule is not applicable by checking the designated box. The form requires signature and title identification from an authorized representative and was last revised on September 27, 2023.

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Text version

Revised: September 27, 2023

1 - 1

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601320000068633

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 .