ESBD_514294_1778509994532_Texas Family Code Schedule.docx

DOCX document 38 KB Posted

Attached to
Spray Tank Trailer, Max 4, 200 Gal System-El Paso District
Solicitation number
601340000065922
Issued by
El Paso County, Texas

About this file

This is a Texas Family Code Schedule form required for Solicitation No. 601340000065922, issued by the State of Texas. The document serves as a certification of eligibility regarding child support obligations under Texas Family Code Section 231.006. Respondents to this solicitation must complete and return this schedule with their proposal submission. The form requires disclosure of names and Social Security numbers for any individual or business entity holding at least twenty-five percent ownership interest in the responding business entity. Failure to sign and return this completed page may result in the response being deemed non-responsive and ineligible for consideration.

The schedule contains a Federal Privacy Act Notice explaining that disclosure of Social Security numbers is mandatory under Texas Family Code Sections 231.006(c) and 231.302(c)(2). The information will be used to identify persons who may owe child support obligations, and the SSN will be maintained confidentially to the fullest extent permitted by law. Respondents who do not meet the ownership criteria specified in the Texas Family Code may check a box indicating the schedule is not applicable. Any inaccuracy in the certification provided may result in contract termination and withholding of payment. The schedule must be signed by an authorized representative with title and date, and its return is mandatory as a condition of response acceptability.

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ESBD_514294_1778509976200_IFB 601340000065922.pdf PDF

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601340000065922

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 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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