ESBD_572201_1793212608363_05. Child Support Obligation Schedule.pdf
PDF 131 KB Posted
- Solicitation number
- 601440000053560
- Issued by
- Texas
About this file
This is a Child Support Obligation Schedule form required for the RISA-3D Software Subscription, Maintenance, and Support solicitation (Solicitation No. 601440000053560) in Texas. The form serves as a certification document establishing respondent eligibility to receive state grants, loans, or payment on state contracts under Texas Family Code Section 231.006. Respondents must complete the schedule by providing names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting business entity, or mark the form as not applicable if ownership criteria are not met. The completed and signed schedule must be returned with the response submission, and failure to do so may result in the response being deemed non-responsive.
The form requires respondents to acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents must provide ownership information for up to three owners, including their names and the last four digits of their Social Security numbers. The form includes a Federal Privacy Act notice explaining that disclosure of Social Security numbers is mandatory under Texas Family Code Sections 231.006(c) and 231.302(c)(2) for identifying individuals with potential child support obligations, with the understanding that such information will be kept confidential to the extent allowed by law. Signature, printed name, and title of an authorized representative are required on the schedule.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ESBD_572201_1793212558693_02. Preferences Schedule.pdf | ||
| ESBD_572201_1793212624635_06. Assumptions Schedule.xlsx | XLSX spreadsheet | |
| ESBD_572201_1793212536322_01. RFO 601440000053560.pdf | ||
| ESBD_572201_1793212591490_04. Execution of Response.pdf | ||
| ESBD_572201_1793212644143_07. Exceptions Schedule.xlsx | XLSX spreadsheet | |
| ESBD_572201_1793212574644_03. Price Schedule.xlsx | XLSX spreadsheet |
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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: 601440000053560 |
| 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 .