ESBD_522190_1780435219530_07. Texas Family Code Schedule.docx
DOCX document 38 KB Posted
- Attached to
- Pump Station and Drainage System Cleaning
- Solicitation number
- 601340000065998
- Issued by
- Hidalgo County, Texas
About this file
This is a Texas Family Code Schedule document for Solicitation No. 601340000065998, issued by the State of Texas, establishing eligibility requirements and compliance certifications for respondents seeking state contract payments or grants. The schedule requires all responding entities to complete child support obligation verification in accordance with Texas Family Code Section 231.006, certifying that the respondent and any named individuals or business entities are eligible to receive the specified payment. Respondents must acknowledge that the contract may be terminated and payment withheld if the certification provided is inaccurate. The document must be signed and returned with the response submission.
Respondents meeting the ownership criteria must provide the names and social security numbers of all persons or business entities holding at least twenty-five percent ownership interest in the submitting business entity. Alternatively, if the respondent does not meet the ownership criteria under Texas Family Code Section 231.006, the respondent must check the designated box to indicate the schedule is not applicable. The Federal Privacy Act Notice advises that disclosure of social security numbers is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) and will be used solely to identify persons who may owe child support obligations, with information kept confidential to the fullest extent allowed by law. Failure to sign and return this completed schedule with the response submission may result in the response being deemed non-responsive.
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000065998
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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