ESBD_572960_1793641620800_06. Child Support Obligation Schedule.pdf
PDF 141 KB Posted
- Attached to
- Frac Tank Rental Services
- Solicitation number
- 601320000072322
- Issued by
- Texas
About this file
This is a Child Support Obligation Schedule form required for a Texas state contract solicitation (Solicitation No. 601320000072322) related to Frac Tank Rental Services. The form certifies that respondents and any individuals or business entities with at least twenty-five percent ownership interest are eligible to receive state payment and acknowledges that the contract may be terminated and payment withheld if the certification is inaccurate. Respondents meeting the ownership criteria must provide the names and last four digits of Social Security numbers for all owners holding the specified ownership threshold, while those not meeting the ownership criteria may mark the form as "not applicable." The completed and signed schedule must be returned with the response; failure to sign and return this page may result in the response being considered non-responsive.
The form is governed by Texas Family Code Sections 231.006 and 231.302, which require disclosure of Social Security numbers to identify persons who may owe child support obligations. Per the Federal Privacy Act notice, the Social Security numbers provided will be kept confidential to the fullest extent allowed under state law. The schedule serves as a compliance document to ensure that respondents are not ineligible to receive state grants, loans, or contract payments due to delinquent child support obligations. No pricing, set-asides, or other financial terms are specified in this particular form.
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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: 601320000072322 |
| 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 .