ESBD_494976_1773152420492_04. Texas Family Code Schedule.pdf

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Attached to
Vehicle Mounted Programmable Message Signs for the TxDOT District Office in Pharr, TX
Solicitation number
601320000070101
Issued by
Hidalgo County, Pasadena City, Texas

About this file

This is a Texas Family Code Schedule certification form required by the State of Texas for Solicitation No. 601320000070101. The document serves as an eligibility verification instrument for respondents seeking to receive state grants, loans, or payments on state contracts. Respondents must complete the schedule by providing required information, including the names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business entity, as mandated by Texas Family Code Section 231.006. The form must be signed and returned with the response to the solicitation, and failure to sign and return this page may result in the response being considered non-responsive.

The schedule is designed to verify that respondents are not ineligible due to outstanding child support obligations, as the State of Texas may terminate contracts and withhold payment if certification information is found to be inaccurate. Respondents who do not meet the ownership criteria outlined in Texas Family Code Section 231.006 may check a box indicating the schedule is not applicable. The Social Security numbers collected are kept confidential to the fullest extent allowed under Texas Family Code Section 231.302(e) and are used solely to identify persons who may owe child support obligations. This certification is a mandatory requirement for contract eligibility and must accompany all responses submitted under this solicitation.

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Text version

Revised: 12/22/25

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601320000070101

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.

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