Fill and Sign the Affidavit Completion Form

REQUEST FOR AFFIDAVIT OF COMPLETION-CORPORATION The undersigned corporation, ________________________________ , which has furnished labor or materials for improvements to property located at and described as _____________________________________________________________________________ , hereby requests that ________________________________ , as owner of the above described property provide the undersigned with a copy of the affidavit of completion not later than the date the affidavit is filed or the 10 th day after the date that the owner receives this request, whichever is later. Signed on the _____ day of _______________ , 20 _____ . Signature       Printed Name _____ ________________________________ Title _____ _______________________________ Name of Corporation Certificate of Delivery I,       , hereby certify that I have delivered this day a true and correct copy of the foregoing to       by: Hand Delivery. Mailing a true and correct copy of same by Certified or Registered U.S. Mail, postage prepaid, to       , at his/her last known business or residence address located at       . So certified this the _____ day of _______________ , 20 _____ . Signature TX Code § 53.106(c) Request for Affidavit of Completion Page 1 of 1