ESBD_521539_1780326449864_03. Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Attached to
- Cable System Parts
- Solicitation number
- 601310000101983
- Issued by
- Upton County, Texas
About this file
This is a Texas Family Code Schedule form associated with Solicitation No. 601310000101983, issued by the State of Texas to establish eligibility requirements for contract payment and state grants or loans. Respondents must complete the schedule by providing names and Social Security numbers of all individuals or business entities holding at least 25 percent ownership interest in the submitting entity. The form certifies that the respondent and named owners are eligible to receive specified payments under the contract and acknowledges that the contract may be terminated and payment withheld if the certification is inaccurate. Alternatively, if the respondent does not meet the ownership criteria under Texas Family Code Section 231.006, the respondent may check a box indicating the schedule is not applicable. The completed and signed schedule must be returned with the response submission.
Pursuant to the Federal Privacy Act and Texas Family Code Sections 231.006(c) and 231.302(c)(2), disclosure of Social Security numbers is required to identify persons who may owe child support obligations. The SSN information will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). Failure to sign and return this completed schedule may result in the response being deemed non-responsive and ineligible for consideration.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bid_notify_601310000101983.txt | TXT text file | |
| ESBD_521539_1780326418128_01. IFB 601310000101983.pdf | ||
| ESBD_521539_1780326472171_Bid Table 601310000101983.xlsx | XLSX spreadsheet | |
| ESBD_521539_1780326433997_02. Execution of Bid.docx | DOCX document |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601310000101983
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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File details come from the government source that posted it. Updated .