ESBD_514293_1778508247729_Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Solicitation number
- 601330000045553
- Issued by
- Fort Bend County, Texas
About this file
This is a Texas Family Code Schedule form associated with Solicitation No. 601330000045553 issued by the State of Texas. The document serves as a compliance certification requirement for respondents to acknowledge eligibility to receive state grants, loans, or payments on state contracts under Family Code Section 231.006, which relates to child support obligations. Respondents must certify their eligibility and understand that the contract may be terminated and payment withheld if the certification is inaccurate. The schedule requires completion and signature, with failure to return the signed document potentially resulting in the response being deemed non-responsive.
All respondents or business entities submitting a response to this solicitation must provide names and Social Security numbers for any individual or entity holding at least twenty-five percent ownership interest in the business entity. The Social Security numbers are collected pursuant to the Federal Privacy Act under Texas Family Code Sections 231.006(c) and 231.302(c)(2) and will be used to identify persons who may owe child support obligations. The information will be maintained confidentially to the fullest extent permitted under Section 231.302(e) of the Texas Family Code. Respondents not meeting the ownership criteria may indicate that the schedule is not applicable by checking the designated box. This certification page must be returned with the proposal submission.
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| File | Type | Posted |
|---|---|---|
| ESBD_514293_1778508222727_IFB 601330000045553.pdf |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601330000045553
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 Name Click or tap here to enter text.
Title Click or tap to enter a date.
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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