ESBD_522188_1780428635762_Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Solicitation number
- 601340000066082
- Issued by
- Ector County, Texas
About this file
This is a Texas Family Code Schedule form for Solicitation No. 601340000066082, issued by the State of Texas to establish eligibility requirements for respondents seeking state grants, loans, or contract payments. The schedule requires respondents to certify compliance with child support obligations under Texas Family Code Section 231.006 and to disclose ownership information for business entities submitting responses. Respondents with at least twenty-five percent ownership interest in the submitting entity must provide the names and Social Security numbers of all owners meeting this threshold. The form must be completed, signed, and returned with the response; failure to do so may result in the response being deemed non-responsive and subject to contract termination and payment withhold if certification is inaccurate.
Social Security numbers are required by law under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for identification of individuals who may owe child support obligations. The collected information will be kept confidential to the fullest extent permitted under Section 231.302(e) of the Texas Family Code. Respondents who do not meet the ownership criteria may check the applicable box to indicate that the schedule is not applicable and submit accordingly. A signature, printed name, title, and date must be provided on the form.
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| File | Type | Posted |
|---|---|---|
| ESBD_522188_1780428575716_Solicitation Package_601340000066082.pdf |
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000066082
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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