ESBD_497955_1773934721713_04. Texas Family Code Schedule.pdf

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Attached to
Wavetronix SmartSensor Matrix, Advance Detection Systems and accessories
Solicitation number
601330000045147
Issued by
Brazoria County, Amarillo City, Texas

About this file

This is a Texas Family Code Schedule form required for Solicitation No. 601330000045147, 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 pertains to child support obligations. Respondents must complete the form by providing 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. The completed and signed schedule must be returned with the response submission, and failure to sign and return this page may result in the response being deemed non-responsive.

The document establishes that by submitting a response under this solicitation, respondents certify that the named individual or business entity is eligible to receive the specified payment and acknowledge that the contract may be terminated and payment withheld if the certification proves inaccurate. The State of Texas requires disclosure of Social Security numbers pursuant to the Federal Privacy Act and Texas Family Code Sections 231.006(c) and 231.302(c)(2), which authorize the state to use this information to identify individuals who may owe child support obligations. The SSN information will be maintained confidentially to the fullest extent permitted under Texas Family Code Section 231.302(e). Respondents who do not meet the ownership criteria referenced in Texas Family Code Section 231.006 may check a box indicating that the schedule is not applicable rather than providing ownership information.

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Text version

Revised: 12/22/25

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601330000045147

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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