Fill and Sign the Request for Information from Original Contractor Individual Texas

REQUEST FOR INFORMATION FROM ORIGINAL CONTRACTOR (Individual Claimant) CERTIFIED MAIL - RETURN RECEIPT REQUESTED [date] [owner] [street address] [city,state,zip] Re: Contract or Agreement with __________________ dated __________________ Dear Sir: We have furnished labor and/or materials for the above-referenced project. Pursuant to Texas Property Code Section 53.159(b), we respectfully request that you provide us with the following information within 10 days of receipt of this request: (1) The name and last known address of the person to whom you furnished labor or materials for the project. (2) Whether a payment bond has been provided by or to you on this project, and if so, the name and last known address of the surety(s) and a copy of the bond(s). In the event you fail to furnish the above-requested information, you may be liable for the undersigned's reasonable and necessary costs incurred in procuring the requested information. Dated this the _____ day of _________________ , 20 ____ . Signature: Print Name:       Doing Business as:       Certificate of Delivery I,       , hereby certify that I have delivered this day a true and correct copy of the foregoing to       by: 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       . Request for Information from Original Contractor Page 1 of 2 So certified this the _____ day of _______________ , 20 _____ . Signature Texas Property Code § 153.159(b) Request for Information from Original Contractor Page 2 of 2