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Job Information

Customer Name:
Phone:
-
Date Prepared: *
Tax ID:
Tax ID Number:
Please Attach Your Completed Texas Sales Tax Form
Address:
Description of Materials Required:
Value of Material:
Date of First Shipment:
Date of Last Shipment:
Type of Job:
Residential Tract Number:
IF JOINT CHECK REQUIRED, STATE AMOUNT TO BE REQUESTED $ CALL 817-922-0601 FOR THE JOINT CHECK AGREEMENT
Job Name:
Job Address:
Property Owners Name:
Property Owners Address:
General Contractors Name:
GC Address:
IF PUBLIC JOB IS $25,000.00 OR MORE, A COPY OF PAYMENT BOND MUST BE ATTACHED BEFORE ORDER WILL BE RELEASED
BONDING COMPANY FURNISHING CUSTOMER’S PAYMENT BOND:
Bond Address:
Bond Number:
Bond Amount:
PERFORMANCE PERCENT:
LABOR & MATERIAL PERCENT:
BONDING COMPANY FURNISHING GENERAL CONTRACTOR’S PAYMENT BOND:
Bond Address:(1)
Bond Number:(1)
Bond Amount:(1)
PERFORMANCE PERCENT:(1)
LABOR & MATERIAL PERCENT:(1)
CONSTRUCTION LOAN SOURCE NAME:
CONTRACT NAME:
CONTRACT Address:
CONTRACT Phone:
-
Word Verification:

Instructions: Job Sheet Terms and Conditions

Job Sheets are required for commercial jobs that have material costing $5,000.00 or more. This minimum amount can be increased or reduced depending on the customer and determined by the Credit Department. The information will be validated in order to guarantee proper and lawful Intent to Lien Notices, per State of Texas Property Code . • Please complete in full and fax back to our credit department-817 .922.0656 • The Credit Department can determine that a job can only be approved on terms if there is a Joint Check Agreement. In this case, we will then create the Joint Check Agreement • A/C Supply is only authorized to sign Lien Releases for the amount of material purchased from A/C Supply.