ESBD_512932_1778010554629_05. Texas Family Code Schedule.docx

DOCX document 37 KB Posted

Attached to
Tree Removal, Stump Grinding, and Disposal Services
Solicitation number
601440000053223
Issued by
Travis County, Austin City, Texas

About this file

This is a Texas Family Code Schedule document required for Solicitation No. 601440000053223, issued by the State of Texas to ensure compliance with child support obligation regulations under Texas Family Code Section 231.006. The document serves as a certification form that respondents must complete, sign, and return with their bid submission to confirm eligibility to receive state payments and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents are required to provide names and Social Security numbers for any individual or business entity holding at least twenty-five percent ownership interest in the submitting business entity. Failure to sign and return this completed schedule may result in the response being deemed non-responsive and disqualified from consideration.

The schedule imposes a mandatory disclosure requirement for Social Security numbers, which will be used to identify persons owing child support obligations and will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). Respondents whose business entities do not meet the ownership criteria specified under Texas Family Code Section 231.006 may check a box indicating that the schedule is not applicable. This certification requirement applies to all respondents regardless of business structure and is a prerequisite for contract award and payment authorization from the State of Texas.

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601440000053223

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.

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