ESBD_567414_1791922424858_04. Child Support Obligation Schedule.pdf
PDF 124 KB Posted
- Attached to
- Utility Mapping Services Subscription
- Solicitation number
- 601440000054469
- Issued by
- Texas
About this file
This document is a Child Support Obligation Schedule form required as part of a solicitation for Utility Mapping Services Subscription by the State of Texas. Respondents must complete this certification form to demonstrate eligibility to receive state contract payments in compliance with Texas Family Code Section 231.006. The schedule requires submission of names and Social Security numbers for any individual or business entity holding at least twenty-five percent ownership interest in the responding organization. Alternatively, respondents not meeting the ownership criteria threshold may indicate that the schedule is not applicable by marking the designated line. The completed and signed schedule must be returned with the bid response, as failure to do so may result in the submission being deemed non-responsive.
The form serves as a compliance certification confirming that the respondent and all named owners do not owe delinquent child support obligations and are therefore eligible to receive state contract payments. Disclosure of Social Security numbers is required by Texas Family Code and will be used to identify individuals with outstanding child support obligations. The information provided will be kept confidential to the extent allowed by law. The respondent's authorized representative must sign and print their name and title on the form. This certification is mandatory and constitutes a material requirement for contract award consideration.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ESBD_567414_1791922442679_05. Assumptions Schedule.xlsx | XLSX spreadsheet | |
| Bid_notify_601440000054469.txt | TXT text file | |
| ESBD_567414_1791922478787_Bid Table 601440000054469.xlsx | XLSX spreadsheet | |
| ESBD_567414_1791922390866_02. Execution of Response.pdf | ||
| ESBD_567414_1791922407940_03. Preferences Schedule.pdf | ||
| ESBD_567414_1791922460461_06. Exceptions Schedule.xlsx | XLSX spreadsheet | |
| ESBD_567414_1791922373581_01. RFO 601440000054469.pdf |
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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: |
| 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 .