Private Form #5 – DEMAND FOR PAYMENT
[Date]
(1) Certified Mail
____________________ Return Receipt Requested
Dear Sir:
We have furnished (2) to (3) , (4) on the construction in progress on your property at
(5) . We have not been paid the amounts due us for the month of (6) in the amount of $ (7) .
Demand is hereby made for the payment of our claim from funds withheld by you as owner.
Should you have any question concerning our claim or this notice, please advise us. We will appreciate being
advised if there is a dispute as to our claim from the contractor.
Sincerely,
(8)
(9)
cc: (10)
(11)
* * * * *
(1) Letter addressed to the owner of the property being improved sent by Certified Mail
(2) Indicate generally what has been furnished.
(3) Name of the person to whom you furnished goods or labor.
(4) Indicate status of the person to whom you furnish, such as “contractor or “subcontractor”
(5) The address of the job, street, number and city.
(6) Indicate the month during which work was done for which payment has not been received.
(7) The amount due.
(8) Your company.
(9) Person signing letter and capacity.
(10) Send copy to general contractor.
(11) Send copy to your customer, if other than the general contractor.

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

INSPECTION CHECK LIST

Date________________________

Between the Owner:      Owner’s Name

Address

Phone Number

And the Contractor:       Contractor’s Name

License Number

Address

Phone Number

For the Project:             Project Name

Address

INSTRUCTIONS: Inspect the project and carefully check whether all items meet the project specifications. Initial in the space marked “Satisfactory” if the item meets with your approval. If an item is not satisfactory, describe the problem in the “Description” field. Add additional information where necessary. Modify the list to fit your finish schedule. After work on the noted items has been completed, you will need to make a second inspection and initial in the last box for final approval.

Initialed by: Buyer ___ Contractor ___

Inspection Check List

Project Name

Initialed by: Buyer___  Contractor ___

Inspection Check List

Project Name

Initialed by: Buyer____ Contractor ___

Inspection Check List

Project Name

Initialed by: Buyer___  Contractor ___

Inspection Check List

Project Name

Initialed by: Buyer____ Contractor ___

Inspection Check List

Project Name

Initialed by: Buyer___  Contractor ___

Inspection Check List

Project Name

Initialed by: Buyer___  Contractor ___

Inspection Check List

Project Name

FIRST INSPECTION

Having inspected the project listed herein, except for those specific items listed above, the Buyer accepts the project as is, in satisfactory condition and understands the buyer will not have a claim against the contractor for any overlooked items not listed above that could have been seen in the buyer’s inspection. The Buyer has discussed the specific items with the contractor and understands that the contractor makes no other guarantees or warranties other than those that are stated in the contract documents.

_________________________________________ _________________________________

Contractors Signature                                                                Date

_________________________________________ _________________________________

Owner’s Signature                                                                      Date

SECOND INSPECTION

Having re-inspected the project listed herein, the Buyer has initialed all items from the initial inspection that needed to be completed. By signing below, the Buyer agrees that the project is in satisfactory condition, and understands the coverage and duration of all Limited Warranties have been limited to one year from the date of occupancy or final payment, whichever comes first.

_________________________________________ _________________________________

Contractor’s Signature                                                              Date

_________________________________________ _________________________________

Owner’s Signature                                                                      Date

Initialed by: Buyer___  Contractor ___

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Private Form #4 – NOTICE TO OWNER AND ORIGINAL CONTRACTOR
[Date]
(1) CERTIFIED MAIL:
____________________ RETURN RECEIPT REQUESTED
____________________
Dear Sir:
We have furnished (2) to (3) . (4) on the construction in progress on your property at (5)
We have not been paid the amounts due us for the month of (6) in the amount of $ (7) as shown by the attached
statement which is made a part hereof. Under the mechanic’s lien laws of Texas, a subcontractor or supplier of goods
or labor is required to notify the owner of all claims which are not paid. Failure to give this notice may cause us to lose
our rights under the mechanic’s lien laws if the sums are not finally paid.
The law requires that we advise you that if our bill is not paid, you may be personally liable and your property
subjected to a lien unless you withhold payments to the contractor for the payment of our statement or unless the bill is
otherwise paid or settled.
Demand is hereby made for the payment of our claim from funds withheld by you as owner unless the contractor
disputes this claim as required By law.
Should you have any question concerning our claim, please advise us. We will appreciate being advised if there
is a dispute as to our claim from the contractor.
Sincerely,
(9)
(10)
cc: (11) Certified Mail Return Receipt Requested
(12) Certified Mail Return Receipt Requested
* * * * *
(1) Letter addressed to the owner of the property being improved and original contractor.
(2) Indicate generally what has been furnished.
(3) Name of the person to whom you furnished goods or labor.
(4) Indicate status of person to whom you furnish, such as “contractor” or “subcontractor.”
(5) Address of the job–street number, and city.
(6) Indicate the month or months during which work was done for which payment has not been received.
(7) The amount due.
(8) If you have already filed a lien affidavit or are doing so simultaneously insert: “We have elected to file an
affidavit claiming a lien on your property and enclose a copy of the affidavit as filed.”
(9) Your company.
(10) Person signing letter and capacity.
(11) The general contractor, if not your customer.
(12) Your customer.

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Private Form #3 – PRELIMINARY NOTICE TO ORIGINAL CONTRACTOR
[Date]
(1) Certified Mail
____________________ Return Receipt Requested
____________________
Re: Job: (2)
Owner: (3)
Location: (4)
Dear Sir:
We have furnished (5) on the above job to your subcontractor, (6) . Our books show an
unpaid balance due us on this job of $ (7) through the end of (8) .
We are giving you this notice in order to protect our rights under the mechanic’s lien laws of Texas.
We wish to cooperate with both you and our customer in any way that would be helpful. Should you desire any
additional information, please advise us.
Sincerely,
(9)
(10)
cc: (11)
* * * * *
(1) Letter addressed to the original contractor under whom you are working sent certified mail.
(2) Name of project.
(3) Owner’s name.
(4) Address of job–street, city and state.
(5) Indicate generally what has been furnished.
(6) Your customer.
(7) Amount due.
(8) Date of last billing.
(9) Your firm name.
(10) Name and capacity of person signing letter.
(11) Your customer.

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Private Form #2 – NOTICE OF SPECIALLY FABRICATED ITEM
[Date]
(1) CERTIFIED MAIL:
____________________ RETURN RECEIPT REQUESTED
____________________
Dear Sir:
Our firm is pleased to be involved in the construction of your (2) at (3) under an agreement with
(4) your (5) . Our part of this project will be to fabricate and furnish (6) for use as a component part
of the construction as called for in the plans. This component will be reasonably unsuitable for use elsewhere. The
order for this item has been received and accepted and the price to be billed to our customer is $ (7) .
We are advising you of the foregoing so that you will have the information and notice specified by law.
If you have any questions, please call us.
Yours very truly,
(8)
(9)
cc: (10)
* * * * *
(1) Letter addressed to the owner of the property being improved.
(2) Indicate type of improvement.
(3) The address of the job, with street and city.
(4) Name of company for whom you work.
(5) Status of the person under whom you are working, such as “general contractor” or “roofing subcontractor”,
etc.
(6) General description of the item being fabricated.
(7) Contract price for the item being fabricated.
(8) Name of your company.
(9) Person signing letter and capacity.
(10) Copy to original contractor by certified mail unless the order was direct from the original contractor.

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Private Form #l – NOTICE OF RETAINAGE AGREEMENT
[Date]
(1) CERTIFIED MAIL:
____________ RETURN RECEIPT REQUESTED
Dear Sir:
Our company is pleased to be involved in the construction of your (2) at (3) under an agreement with
(4) your (5) . Our part of this project will be to furnish the (6) called for by the plans.
Our agreement provides that a portion of the contract price is to be retained until (7) .
The amount to be retained is (8) .
We are advising you that we have commenced supplying labor or material to your project and of the above
terms of our agreement so that you will have the information and notice required by law. If you have any questions,
do not hesitate to call us.
Sincerely,
(9)
(10)
cc: (11)
* * * * *
(1) Letter addressed to the owner of the property being improved.
(2) Indicate type of improvement.
(3) Address of job.
(4) Name of firm under whom you are working.
(5) Status of that firm, such as “general contractor,” “roofing subcontractor”, etc.
(6) Describe the labor and/or material that you will perform.
(7) Insert time for paying retainage.
(8) Amount or percentage of retainage.
(9) Your firm name.
(10) Name and capacity of person signing letter.
(11) Copy the original contractor by certified mail unless you have a contract directly with the original
contractor.

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.