ESBD_511231_1777498036439_04. Texas Family Code Schedule.docx

DOCX document 37 KB Posted

Attached to
AC and DC School Zone Clocks
Solicitation number
601440000051678
Issued by
Travis County, Austin City, Texas

About this file

This is a Texas Family Code Schedule form related to Solicitation No. 601440000051678, required for respondents to certify their eligibility to receive state grants, loans, or payments on state contracts. The form serves as a compliance document under Texas Family Code Section 231.006, which addresses child support obligations. Respondents must provide the names and Social Security numbers of any individual or business entity holding at least a twenty-five percent ownership interest in the submitting business entity. The form requires signature and certification that the information provided is accurate, with explicit notice that the contract may be terminated and payment withheld if the certification is inaccurate. Failure to sign and return this page may result in the response being considered non-responsive and ineligible for award.

The document includes a Federal Privacy Act Notice informing respondents that disclosure of Social Security numbers is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for the purpose of identifying individuals who may owe child support obligations. Social Security numbers will be kept confidential to the fullest extent allowed under Section 231.302(e) of the Texas Family Code. Respondents who do not meet the ownership criteria specified in Texas Family Code Section 231.006 have the option to check a box indicating that the schedule is not applicable. This form must accompany all responses to the solicitation and is a mandatory submission requirement.

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

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601440000051678

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.
NameSocial Security Number
Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial Security Number
Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial 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.

2 – 3 Revised

1 – 3

File details come from the government source that posted it. Updated .