STMT John D. Mcclain house Stmt 1 Stmt 2 Stmt 3 Stmt 4 Stmt 5 Stmt 6 Help PDF Stmt 1

Sworn statement #1

Job # John D. Mcclain house · enter the job details and every line here. Everything entered here carries to statements 2 to 6. Type the amount paid this statement under AMOUNT THIS STMT. Paid to date and Unpaid balance update as you type. When this statement goes to the bank, press Save and close; statement #2 is then used for the next payout.

GENERAL CONTRACTOR'S SWORN STATEMENT (#1) PAGE 1
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JOB #, NAME OR FILE NAME:John D. Mcclain houseDATE:
STATE OF :
COUNTY OF :

DESCRIPTION OF WORK

THE AFFIANT, BEING FIRST DUTY SWORN, ON OATH DEPOSES AND SAYS THAT (HE/SHE) IS OF , GENERAL CONTRACTOR WITH OWNER, FOR THE FURNISHING OF ALL MATERIALS, LABOR AND SERVICES FOR THE ERECTION OF ON THE PREMISES COMMONLY KNOWN AS AND LEGALLY DESCRIBED AS IN COUNTY AND SPECIFICATIONS HERETOFORE APPROVED BY OWNER, THAT AFFIANT IS DULY AUTHORIZED TO MAKE THIS STATEMENT ON BEHALF OF THE GENERAL CONTRACTOR; THAT THE TABULATION ON THE FOLLOWING PAGES HEREOF CONTAINS AN ACCURATE AND COMPLETE STATEMENT OF (A) NAME AND ADDRESS OF ALL PARTIES FURNISHING MATERIALS, LABOR, OR SERVICES IN COMPLETION OF THE ABOVE (DESCRIPTION OF WORK) AND CONTRACT SIGN BY OWNER GENERAL CONTRACTOR, <B> WORK AND MATERIALS TO BE FURNISHED BY SAID PARTIES, <C> THE FULL PRICE FOR WORK AND MATERIALS FURNISHED BY SAID PARTIES; TO INCLUDE ALL EXTRAS (CONTRACT PRICE) COLUMN AND ANY (UNPAID BALANCE) COLUMN FOR THE AMOUNT DUE SAID PARTIES AND <D> (FULL PRICE) COLUMN FOR GOOD FAITH ESTIMATES OF WORK TO BE DONE (DESCRIPTION OF WORK) COLUMNS AND SIGNED CONTRACT AND NOT YET CONTRACTED. THE TOTAL OF THE (UNPAID BALANCE) COLUMN AND THE GENERAL CONTRACTORS OVERHEAD AND PROFIT IS SUFFICIENT TO COMPLETE THE THE ABOVE (DESCRIPTION OF WORK) COLUMNS AND SIGNED CONTRACT AND THAT THIS SWORN STATEMENT IS MADE PURSUANT TO THE STATE STATUTE RELATING TO MECHANICS' LIENS TO INDUCE THE OWNER OR HIS AGENT TO MAKE PAYMENT REQUESTED IN SAID TABULATIONS, IN THE AMOUNT Sum OF $1,900.

TOTAL BID PRICE .............................. 3,200

NOTES:
TRADES
OR MATERIALS		NAME AND ADDRESS
OF SUBCONTRACTOR		CONTRACT
PRICE		PAID
TO DATE		AMOUNT
THIS STMT.		UNPAID
BALANCE		Lien
Wav
1,9001,300Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
TOTALS THIS PAGE ............................................3,2001,9001,9001,300
GENERAL CONTRACTOR'S SWORN STATEMENT (#1) PAGE 2
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TRADES
OR MATERIALS		NAME AND ADDRESS
OF SUBCONTRACTOR		CONTRACT
PRICE		PAID
TO DATE		AMOUNT
THIS STMT.		UNPAID
BALANCE		Lien
Wav
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
TOTALS THIS PAGE ............................................
GENERAL CONTRACTOR'S SWORN STATEMENT (#1) PAGE 3
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TRADES
OR MATERIALS		NAME AND ADDRESS
OF SUBCONTRACTOR		CONTRACT
PRICE		PAID
TO DATE		AMOUNT
THIS STMT.		UNPAID
BALANCE		Lien
Wav
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
OWNER PAYMENTS TO SUBSNo
CONTRACTOR'S P/LNo
TOTALS THIS PAGE ............................................
TOTALS PAGES 1 AND 2 ............................................3,2001,9001,9001,300
GENERAL CONTRACTOR'S SWORN STATEMENT (#1) PAGE 4
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CONTRACTOR CASH TO SUBS (receipt by sub required)........................
PAYMENT REQUESTED........................1,900
BALANCE TO COMPLETE THE WORK........................1,300
TOTAL MUST EQUAL "BID PRICE" BELOW........................3,200
"BID PRICE"........................3,200

Contractors signature ______________________________________________________

NOTARY PUBLIC

Subscribed and sworn to before me this ___________ day of ________________________, __________

Notary signature ______________________________________________________

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