ESBD_514295_1778510645560_Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Solicitation number
- 601310000101447
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule form required for Solicitation No. 601310000101447 issued by the State of Texas. The schedule serves as a certification of eligibility to receive state grants, loans, or payments on state contracts under Texas Family Code Section 231.006, which addresses child support obligation compliance. Respondents must complete the form by providing the names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting organization. The form must be signed and returned with the response submission, and failure to do so may result in the response being deemed non-responsive. Respondents not meeting the ownership criteria may certify that the schedule is not applicable to their entity by checking the designated box and providing a signature.
The schedule 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) to identify persons owing child support obligations. The state maintains confidentiality of Social Security numbers to the fullest extent permitted under Section 231.302(e) of the Texas Family Code. Submission of an inaccurate certification may result in contract termination and payment withholding. Respondents must acknowledge their understanding of these terms and the potential consequences of false certification.
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| File | Type | Posted |
|---|---|---|
| ESBD_514295_1778510623113_IFB Solicitation 601310000101447.pdf |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601310000101447
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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