ESBD_476617_1765832602439_04. Texas Family Code Schedule.pdf

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Attached to
Wavetronix 656 6 Sensor SDLC Server Rack Cabinet Interface Devices
Solicitation number
601440000050972
Issued by
Texas

About this file

This is a Texas Family Code Schedule form required for the solicitation numbered 601440000050972 related to a Wavetronix 656 6 Sensor SDLC Server Rack Cabinet Interface Devices contract opportunity in Texas. The document establishes eligibility requirements for respondents under Texas Family Code Section 231.006, which addresses child support obligations. Respondents and any individuals or business entities named in the solicitation must certify their eligibility to receive payment and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents must complete the schedule by providing names and Social Security numbers of any person or entity holding at least a twenty-five percent ownership interest in the business entity submitting the response. Alternatively, if the respondent does not meet the ownership criteria, they must indicate this by checking the applicable box.

The schedule requires that the form be signed and returned with the response submission, with failure to do so potentially resulting in the response being deemed non-responsive. Social Security numbers are required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) to identify individuals who may owe child support obligations. The information provided will be kept confidential to the fullest extent permitted under Section 231.302(e) of the Texas Family Code. This compliance document is a mandatory component of the bid submission process for this state contract opportunity.

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Text version

Revised: September 27, 2023

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601440000050972

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.

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