ESBD_570400_1792607196954_03. Child Support Obligation Schedule.pdf
PDF 131 KB Posted
- Solicitation number
- 601440000054633
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Child Support Obligation Schedule form required by the State of Texas for respondents to a solicitation (Solicitation No. 601440000054633) related to a Force Plate SKID Truck Calibration project for the MNT team. The schedule certifies that respondents and any individuals or business entities named in the solicitation are eligible to receive state payment under Texas Family Code Section 231.006, which addresses child support obligations. Respondents must acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. The form requires completion of ownership information for any person or entity holding at least twenty-five percent ownership interest in the business entity submitting the response, including names and the last four digits of Social Security Numbers for up to three owners.
The schedule must be signed and returned with the response, and failure to complete and return this page may result in the response being deemed non-responsive. Respondents who do not meet the ownership criteria under Texas Family Code Section 231.006 may mark the "not applicable" option and sign accordingly. The form includes a Federal Privacy Act Notice stating that disclosure of Social Security Numbers is required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) to identify persons who may owe child support, with SSNs to be kept confidential to the fullest extent allowed under Section 231.302(e).
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bid_notify_601440000054633.txt | TXT text file | |
| ESBD_570400_1792607117074_01. IFB Solicitation 601440000054633.pdf | ||
| ESBD_570400_1792607178857_02. Execution of Response.pdf |
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
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: 601440000054633 |
| 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 .