ESBD_542353_1784917530237_07. Texas Family Code Schedule.docx
DOCX document 37 KB Posted
- Solicitation number
- 601340000066801
- Issued by
- Texas
About this file
This is a Texas Family Code Schedule certification document for Solicitation No. 601340000066801, issued by the Texas Department of Transportation (TxDOT) San Angelo District for Pest Control Services in Highway District 07. The document serves as a compliance requirement under Texas Family Code Section 231.006 regarding child support obligations and establishes eligibility criteria for state contract payment. Respondents must provide the names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting entity. The schedule must be completed, signed, and returned with the response submission; failure to return this signed document may result in the response being deemed non-responsive.
The document requires disclosure of Social Security numbers to identify individuals with outstanding child support obligations, with the information kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). Respondents who do not meet the ownership criteria specified under Texas Family Code Section 231.006 may check a box indicating the schedule is not applicable. The certification acknowledges that the contract may be terminated and payment withheld if the information provided is inaccurate. This schedule is mandatory for all responses and must be signed by an authorized representative with their title and date of signature to ensure compliance with state contracting requirements.
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Text version
TEXAS FAMILY CODE SCHEDULE
SOLICITATION NO. 601340000066801
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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