Fill and Sign the Texas Demand Payment 497327303 Form

DEMAND FOR PAYMENT-INDIVIDUAL The undersigned individual, ________________________________ , as a claimant hereby makes written demand for payment of a claim to ________________________________ , as an owner authorized to withhold funds under Texas Code § 53.083(a), and provides notice to the owner that all or part of the claim has accrued under Texas Code § 53.053 or is past due according to the agreement between the parties. Note: The claimant is sending a copy of this demand to the original contractor, who may give the owner written notice not later than the 30th day after the day he or she receives the copy of the demand that the contractor intends to dispute the claim. If the original contractor does not give the owner timely notice, he or she is considered to have assented to the demand and the owner shall pay the claim. Signed on the _____ day of _______________ , 20 _____ . Signature       Printed Name 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       . So certified this the _____ day of _______________ , 20 _____ . Signature TX Code § 53.083(b) Demand for Payment Page 1 of 1