[CONTRACTOR’S LETTERHEAD]
[Date]
[Name & Address of Borrower/Owner]
Re: Project/description/address: (the “Project”)
Dear [Owner/Borrower Name]:
I made a payment request on ______________________, 20___ to _______________________________________ (the “Bank”) in the amount of $____________ for work on the Project.
The following is the information required to be provided under the Texas Property Code in connection with the payment request.
The following is a list of bills or expenses for work performed on the Project that I have paid and for which I am requesting reimbursement:
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Name of Subcontractor or Supplier |
Description of Bill or Expense Paid |
Amount Paid |
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The following is a list of bills or expenses relating to the Project that I will pay from the funds requested:
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Name of Payee, Subcontractor or Supplier |
Description of Bill or Expense Paid |
Amount to be Paid |
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I represent that the balance of the funds requested in the above described payment request which are not itemized above will be (i) paid to subcontractors and suppliers who have provided me with a written lien release or waiver covering the work for which payment is made or (ii) used to reimburse me for expenses incurred, profit, or overhead with regard to the Project.
Please acknowledge your receipt of these disclosures by signing in the space provided below and returning the enclosed duplicate copy of this letter to me.
Very truly yours,
[TYPED NAME OF CONTRACTOR]
By:
Name:
Title:
OWNER(S)
Received this _____ day of ______________________, _____.