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AGENTS REQUEST FOR PAYMENT FROM BUF Date: Agent #: Agency Name: This notice is authorizing Roche Surety, Inc. to withdraw funds in the amount of $ from my Buildup Fund (BUF) for payment of a bond
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How to fill out agent's request for payment:

01
Start by filling in the date: Write the current date in the designated space on the agent's request for payment form.
02
Provide your contact information: Fill in your complete name, address, phone number, and email address in the appropriate fields. This information is essential for the agent to reach you if they have any questions regarding the payment request.
03
Specify the purpose of the payment: Indicate the purpose for which you are requesting payment from the agent. This could be for services rendered, goods provided, or any other agreed-upon arrangement.
04
Include relevant details: Provide a detailed description of the services or goods provided. Be specific about the quantity, quality, and any other relevant details that the agent needs to know.
05
State the amount due: Clearly mention the total amount that the agent owes you. Break it down if necessary, detailing each item's cost, quantity, or hourly rate.
06
Attach supporting documentation: If you have any supporting documents, such as invoices, receipts, or contracts, make sure to attach them to the request for payment. These documents help provide evidence of the agreed-upon terms and the work or goods provided.
07
Sign and date the request: Once you have filled out all the necessary information, sign the agent's request for payment and provide the date. Your signature acknowledges that the information provided is true and accurate.

Who needs agent's request for payment:

Agent's request for payment is typically required when you have provided services, work, or goods to an agent who acts on behalf of another individual or organization. It is necessary to request payment from the agent to ensure that you receive the appropriate compensation for your efforts. This request is particularly important if there are agreements or contracts in place that outline the terms and conditions of the work or agreement. By submitting the agent's request for payment, you are formally asking the agent to fulfill their financial obligations as per the agreed-upon terms.
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Agent's request for payment is a formal request made by an authorized party to receive payment for services rendered or products delivered.
The authorized agent or representative who provided the services or delivered the products is required to file the request for payment.
The agent's request for payment should include details of the services or products provided, the agreed-upon payment amount, and any supporting documentation.
The purpose of the agent's request for payment is to formally request and receive payment for services rendered or products delivered.
The request for payment should include the details of the services provided, the agreed-upon payment amount, any supporting documentation, and the payment schedule.
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