ESBD_506853_1776200702062_05. Texas Family Code Schedule.docx
DOCX document 37 KB Posted
- Solicitation number
- 601310000098017
- Issued by
- Tarrant County, Frankston Town, Texas
About this file
This is a Texas Family Code Schedule certification document required for Solicitation No. 601310000098017 in the State of Texas. The schedule serves as a compliance form addressing child support obligation eligibility under Texas Family Code Section 231.006. Respondents must certify their eligibility to receive state grant payments, loans, or contract payments, with acknowledgment that the contract may be terminated and payment withheld if the certification is inaccurate. The document requires submission of names and Social Security numbers for all individuals or business entities holding at least twenty-five percent ownership interest in the responding organization. Completion and return of this schedule with the response is mandatory, as failure to sign and return the page may result in the response being deemed non-responsive.
The schedule contains fields for respondents to provide ownership information including names and Social Security numbers for up to three owners meeting the specified ownership threshold. Alternatively, respondents not meeting the ownership criteria may check a box indicating the schedule is not applicable. The document includes a Federal Privacy Act Notice explaining that Social Security number disclosure is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) and will be used to identify individuals owing child support obligations. The SSN information will be kept confidential to the fullest extent permitted under Section 231.302(e) of the Texas Family Code. All respondents must sign and return the completed schedule as part of their proposal submission.
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601310000098017
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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