Use this form only if the original contract between the owner and the general contractor was entered into on or after January 1, 2022. This form is based on the notice required by Tex. Prop. Code § 53.057. For original contracts entered into before January 1, 2022, use form 7-15.
Notice of Claim for Unpaid Retainage
WARNING: This notice is provided to preserve lien rights. Owner’s property may be subject to a lien if sufficient funds are not withheld from future payments to the original contractor to cover this debt.
Date:
Project description and/or address:
Claimant’s name:
Type of labor or materials provided:
Original contractor’s name:
Party with whom claimant contracted if different from original contractor:
Total retainage unpaid:
Claim amount:
Claimant’s contact person:
Claimant’s address: