ESBD_564408_1790965752483_06. Child Support Obligation Schedule.pdf
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- Solicitation number
- 601320000071510
- Issued by
- Texas
About this file
This is a Child Support Obligation Schedule certification form required by the State of Texas for the Roll-Off Trash Container Rental and Disposal Services solicitation (Solicitation No. 601320000071510). The document serves as a compliance certification under Texas Family Code Section 231.006, requiring all respondents to attest to their eligibility to receive state payments and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents must disclose the names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business entity. The form provides spaces for up to three owners' names and Social Security numbers, or respondents may indicate that the ownership criteria does not apply to their entity. This schedule must be completed, signed, and returned with the proposal response, as failure to do so may result in the response being deemed non-responsive.
The form includes a Federal Privacy Act Notice informing respondents that disclosure of Social Security numbers is required by Texas Family Code Sections 231.006(c) and 231.302(c)(2) for identifying persons owing child support obligations. The information provided will be kept confidential to the extent allowed under state law. The respondent must print their name and title and provide a signature certifying the accuracy of the information submitted. This certification requirement applies uniformly to all respondents regardless of business structure and is a mandatory submission requirement for participation in this state contracting opportunity.
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Text version
1 - 2 Revised 09/18/2026
Child Support Obligation Schedule
Solicitation No.
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:
XXX-XX
Name Social Security Number
XXX-XX
Name Social Security Number
XXX-XX
Name Social Security Number
2 - 2
If the respondent does not meet the ownership criteria under Texas Family code - Section 231.006, mark on the line 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
Title
THIS PAGE MUST BE RETURNED WITH THE RESPONSE. FAILURE TO SIGN
AND RETURN THIS PAGE MAY RESULT IN THE RESPONSE BEING CONSIDERED
NON-RESPONSIVE.
| Child Support Obligation Schedule |
| Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts |
| solicitation_number: 601320000071510 |
| owner_1_name: |
| owner_1_ssn_last4: |
| owner_2_name: |
| owner_2_ssn_last4: |
| owner_3_name: |
| owner_3_ssn_last4: |
| not_applicable: Off |
| signature: |
| printed_name: |
| title: |
File details come from the government source that posted it. Updated .