ESBD_497437_1773858047828_04. Texas Family Code Schedule.pdf
PDF 126 KB Posted
- Solicitation number
- 601320000069253
- Issued by
- Orange County, Texas
About this file
This is a Texas Family Code Schedule certification form related to Solicitation No. 6013200000 for a state contract opportunity in Texas. The document serves as an eligibility verification requirement for respondents to affirm compliance with child support obligations under Texas Family Code Section 231.006. Respondents must complete the schedule by providing names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business entity. Alternatively, if the respondent does not meet the ownership criteria under Texas Family Code Section 231.006, the respondent may check a box indicating the schedule is not applicable. The form emphasizes that this completed schedule must be signed and returned with the response, and failure to do so may result in the response being deemed non-responsive.
The document includes a Federal Privacy Act Notice explaining that disclosure of Social Security numbers is required under Sections 231.006(c) and 231.302(c)(2) of the Texas Family Code. The Social Security numbers provided will be used to identify individuals who may owe child support obligations, and this information will be kept confidential to the fullest extent permitted under Section 231.302(e) of the Texas Family Code. The respondent's signature and title must be included on the form. The state reserves the right to terminate the contract and withhold payment if the certification provided is found to be inaccurate.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Revised: 12/22/25
1 - 1
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 6013200000 69253
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.
| Texas Family Code SchEDULE |
| Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts |
File details come from the government source that posted it. Updated .