Fill and Sign the Texas Demand Payment Form

DEMAND FOR PAYMENT BY CLAIMANT BY OTHER THAN CONTRACTOR- MECHANICS’ LIEN --CORPORATION STATE OF TEXAS COUNTY OF _________________ TO: Contractor Name and Address ________________________________ ________________________________ ________________________________ Owner Name and Address ________________________________ ________________________________ ________________________________ The undersigned sub-contractor, mechanic and/or materialman has been employed by _________________________________ (contractor or sub-contractor) to furnish ______________________________________________________________ (describe materials and/or labor) for the construction of improvements known as _____________________________________________________________________ (title/address of the project or building) which is located in the City of __________________ , County of __________________ , State of Texas, and is owned by __________________________________ (name of owner). A copy of the statement or billing is attached hereto as Exhibit "A". The undersigned provided materials or labor as specified above and there remains outstanding as of this date the sum of $ _________________ for same. This amount has not been paid, has accrued pursuant to law, and the undersigned hereby demands payment. Corporation Name _____________________________________ By: Signature Print Name: ______ ___________________ Title: _____ __________________________ TX Code § 53.056 Demand for Payment by Claimant Page 1 of 1