ESBD_572524_1793310080236_04. Child Support Obligation Schedule.pdf
PDF 131 KB Posted
- Attached to
- Wrong Way Detection System
- Solicitation number
- 601310000103464
- Issued by
- Tarrant County, Texas
About this file
This document is a Child Support Obligation Schedule form required by the State of Texas for respondents to solicitation number 601310000103464. Under Texas Family Code Section 231.006, all respondents and individuals or business entities named in the solicitation must complete this certification to acknowledge their eligibility to receive state contract payments. Respondents with business ownership interests of at least twenty-five percent must provide the names and last four digits of Social Security numbers for all owners meeting this threshold. The form must be signed and returned with the response submission.
Failure to sign and return the completed schedule may result in the response being deemed non-responsive. The form serves as a verification mechanism to identify persons who may owe child support obligations, with Social Security numbers kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). Respondents not meeting the ownership criteria may indicate that the schedule is not applicable. The contract may be terminated and payment withheld if the certification provided is inaccurate.
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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: 601310000103464 |
| 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 .