ESBD_504231_1775507862564_04. Texas Family Code Schedule.docx
DOCX document 37 KB Posted
- Attached to
- Signal Cabinets
- Solicitation number
- 601340000064920
- Issued by
- Travis County, Texas
About this file
This is a Texas Family Code Schedule form required for solicitation number 601340000064920, establishing eligibility requirements for state grant, loan, and contract payment recipients in Texas. The schedule serves as a certification document that respondents must complete, sign, and return with their bid or proposal submission to demonstrate compliance with child support obligation requirements under Texas Family Code Section 231.006. Failure to sign and return this completed page may result in the response being deemed non-responsive and ineligible for award consideration.
Respondents must provide 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. Alternatively, if the respondent does not meet the ownership criteria specified under Texas Family Code Section 231.006, the respondent must check the applicable box and sign the schedule. Per Federal Privacy Act requirements, disclosure of Social Security numbers is mandatory and will be used to identify individuals who may owe child support obligations. The state will maintain SSN information confidentially to the fullest extent permitted under Texas Family Code Section 231.302(e), and respondents acknowledge that the contract may be terminated and payment withheld if the certification provided is found to be inaccurate.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bid_notify_601340000064920.txt | TXT text file | |
| ESBD_504231_1775507883425_Bid Table 601340000064920.xlsx | XLSX spreadsheet | |
| ESBD_504231_1775507825809_02. Specification DMS-11170.pdf | ||
| ESBD_504231_1775507805329_01. IFB 601340000064920.pdf | ||
| ESBD_504231_1775507844530_03. Execution of Bid.docx | DOCX document |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000064920
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 and any other 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:
| Click or tap here to enter text. | XXX-XX-Click or tap here to enter text. |
| Name | Social Security Number |
| Click or tap here to enter text. | XXX-XX-Click or tap here to enter text. |
| Name | Social Security Number |
| Click or tap here to enter text. | XXX-XX-Click or tap here to enter text. |
| Name | Social Security Number |
If the 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 Click or tap here to enter text.
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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