ESBD_489868_1771013358465_4. Texas Family Code Schedule.pdf

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Attached to
Ice Blitzer Auto Skids
Solicitation number
601340000064188
Issued by
Taylor County, Texas

About this file

This document is a Texas Family Code Schedule form required for Solicitation No. 601340000064188 issued by the State of Texas. The schedule serves as a certification document regarding eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006, which addresses child support obligations. 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 submitting business entity. The form requires the respondent's signature and title, and the document explicitly states that failure to sign and return the schedule may result in the response being deemed non-responsive.

The schedule includes a Federal Privacy Act Notice informing respondents that disclosure of Social Security numbers is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2). The SSN information will be used to identify persons who may owe child support obligations and will be maintained confidentially to the fullest extent permitted by Section 231.302(e) of the Texas Family Code. Respondents who do not meet the ownership criteria specified under Texas Family Code Section 231.006 may indicate this by checking a designated box on the form. This certification page must be returned with the response submission as it is a mandatory requirement for proposal consideration.

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Text version

Revised: 12/22/25

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601340000064188

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 .