ESBD_486977_1770222039741_07. Texas Family Code Schedule.pdf
PDF 336 KB Posted
- Attached to
- Rental of Dry Mops and Safety Floor Mats
- Solicitation number
- 601340000064722
- Issued by
- Upton County, Texas
About this file
This is a Texas Family Code Schedule form required for Solicitation No. 601340000064722, administered by the State of Texas. The schedule serves as an eligibility certification document related to child support obligations under Texas Family Code Section 231.006. Respondents must complete the form by providing 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 completed and signed schedule must be returned with the response submission, and failure to do so may result in the response being deemed non-responsive.
The form requires respondents to certify that the named individual or business entity is eligible to receive the specified contract payment and acknowledges that the contract may be terminated and payment withheld if the certification is inaccurate. Social Security numbers are collected pursuant to the Federal Privacy Act and will be used to identify persons owing child support obligations. The information will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). Respondents who do not meet the twenty-five percent ownership criteria may indicate this by checking an applicable box. Signature and title of an authorized representative are required on the form.
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Text version
Revised: 12/22/25
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TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000064722
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 certifies that the 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 .