ESBD_541711_1784815241116_05. Texas Family Code Schedule.docx
DOCX document 37 KB Posted
- Attached to
- Laboratory Ovens and Furnaces for TxDOT Abilene
- Solicitation number
- 601340000066830
- Issued by
- Taylor County, Texas
About this file
This is a Texas Family Code Schedule form required for Solicitation No. 601340000066830 related to Laboratory Ovens and Furnaces for TxDOT Abilene. The document serves as a certification of eligibility to receive state grants, loans, or payments on state contracts administered by the State of Texas. Respondents must complete the schedule by providing names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the entity submitting the response. The form requires signature, printed name, title, and date of authorization, and must be returned with the response submission. Failure to sign and return the completed schedule may result in the response being deemed non-responsive.
Under Texas Family Code Section 231.006, respondents certify that they and any other named individuals or business entities are eligible to receive the specified payment and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Social Security numbers are collected solely to identify persons who may owe child support obligations and will be maintained confidentially to the fullest extent permitted under Texas Family Code Section 231.302(e). Respondents who do not meet the ownership criteria may indicate that the schedule is not applicable by checking the designated box. This schedule is a mandatory compliance document that must accompany all bid responses.
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000066830
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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