Derivative Claimant Notice

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Texas Government Code Chapter 2253 (McGregor Act) - Public Form #3 - DERIVATIVE CLAIMANT NOTICE
[Date]
TO:
(1)
CERTIFIED MAIL
(2)
RETURN RECEIPT REQUESTED
Re: Unpaid Bills of
(3)
due
to
(4)
Dear Sir:
W e have furnished labor and/or materials to your subcontractor on the
(5)
project, which you are
building as prime contractor for
(6)
. The labor and/or materials were furnished during the month of
pursuant to a written agreement with your subcontractor.
The nature of the labor and/or materials are described on the attached invoice [or are generally described as
follows: ______________.] The amount of our claim is $
, which is due and payable. If same is not promptly
paid, we shall be forced to make claim against you and your surety.
This notice is sent to you in compliance with the McGregor Act, Texas Government Code Chapter 2253.
(7)
By:_______________________
cc:
(8)
Certified Mail, Return Receipt Requested
* * * * *
(1)
Prime Contractor.
(2)
Prime Contractor's Address.
(3)
Your Customer.
(4)
Your Company.
(5)
Name of Project.
(6)
Name of Public Body.
(7)
Your Company.
(8)
Copy to Your Customer by Certified Mail, Return Receipt Requested.

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