ESBD_548237_1786476009122_04. Texas Family Code Schedule.docx

DOCX document 38 KB Posted

Attached to
Radar Vehicle Detection System
Solicitation number
601330000046762
Issued by
Texas

About this file

This is a Texas Family Code Schedule certification document required by the State of Texas for Solicitation No. 601330000046762 related to a Radar Vehicle Detection System contract opportunity. The schedule serves as an eligibility verification form addressing child support obligations under Texas Family Code Section 231.006. Respondents must complete the document by providing names and Social Security numbers for all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business entity, or certify that the schedule is not applicable if ownership criteria are not met.

The document requires respondent signature, name, title, and date to validate the submission. Respondents must acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. The State of Texas will use provided Social Security numbers to identify individuals who may owe child support obligations, with information kept confidential to the fullest extent allowed under Texas Family Code Section 231.302(e). Failure to sign and return this completed schedule with the response may result in the submission being deemed non-responsive.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601330000046762

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.
NameSocial Security Number
Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial Security Number
Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial 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.

2 – 3 Revised

1 – 3

File details come from the government source that posted it. Updated .