| Payment Claim | ||||||||
|
This is a payment claim made under the Building and Construction Industry Security of Payment Act 1999 NSW. |
||||||||
|
To (Respondent): ....................................................................... |
||||||||
|
ABN (where applicable) ............................................................... |
||||||||
|
Address (ordinary place of business) ................................................................. |
||||||||
|
Phone Number ................................. Fax Number ................................... |
||||||||
|
From (Claimant): ...................................................................... |
||||||||
|
ABN (where applicable) ............................................................... |
||||||||
|
Address (ordinary place of business) ................................................................. |
||||||||
|
Phone Number ................................. Fax Number ................................... |
||||||||
|
Details of Contract or Agreement |
||||||||
| The details of the contract or arrangment to which this Payment Claim relates are set out in Attatchment 2 of this Payment Claim | ||||||||
|
Project location and description: |
||||||||
|
Total amount of this Payment Claim $............................. |
||||||||
|
Details of construction work and/or related goods and services in respect of which this Payment Claim is made and the method of calculation of the total amount of the claim are set out in Attatchment 1 of this Payment claim. |
||||||||
|
Any other submissions made, details provided or ducuments provided in support of this Payment Claim are included as Attatchment 3 of this Payment Claim. |
||||||||
|
Signed (Claimant): |
||||||||
|
Date: office@contraxgroup.com |
||||||||
|
NOTES FOR PREPARATION OF A PAYMENT CLAIM |
||||||||
|