ESBD_510237_1777050242317_06. Texas Family Code Schedule.docx
DOCX document 37 KB Posted
- Solicitation number
- 601340000065445
- Issued by
- Upton County, Amarillo City, Texas
About this file
This is a Texas Family Code Schedule document for Solicitation No. 601340000065445 issued by the State of Texas. The schedule serves as a certification form regarding eligibility to receive state grants, loans, or payments on state contracts, specifically addressing compliance with child support obligations under Texas Family Code Section 231.006. Respondents are required to complete and return this schedule as part of their bid submission, providing names and Social Security numbers for all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business entity. Failure to sign and return this completed page may result in the response being deemed non-responsive.
The document requires disclosure of Social Security numbers to identify persons who may owe child support obligations, with information kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). Respondents certify that they and any named individuals or entities are eligible to receive the specified payment and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents not meeting the ownership criteria may indicate that the schedule is not applicable by checking the designated box. This certification document is mandatory and must accompany all responses to the solicitation.
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000065445
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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