Verified statement form 2026

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  1. Click ‘Get Form’ to open the verified statement form in the editor.
  2. Begin by filling in your personal information at the top, including your name, company, address, city, state, zip code, phone number, and fax number.
  3. In the section labeled 'COMES NOW', enter your name as the party who has furnished labor or materials for the property improvement.
  4. Provide details about the property you improved by filling in the legal description and parcel identification number.
  5. Indicate the dates when you started and completed furnishing labor or materials in the designated fields.
  6. List all materials furnished or labor performed along with their corresponding dates and amounts due in the accounting section.
  7. Calculate and enter the total amount due after considering all credits in the specified field.
  8. If applicable, certify that you provided notice to the principal contractor within thirty days of furnishing labor/materials by checking the appropriate box and attaching any necessary documentation.
  9. Sign and date the form at the bottom. Ensure that a notary public witnesses your signature if required.

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Declaration of Use allows trademark owners to keep their trademark registration alive. It is a signed statement stating that a particular trademark is used in commerce in the US market. A trademark owner will be asked to file the Declaration between the 5th and 6th year from the registration date.
A Statement of Use (SOU) is a filing that demonstrates that a trademark is being used in commerce.
I hereby certify that all statements and information provided on the worksheet are true, complete, and correct to the best of my knowledge. If asked by authorized official, I agree to give proof of the information that I have given on this worksheet.
Example statement for wording You can disclaim SHIRTS as follows: No claim is made to the exclusive right to use SHIRTS apart from the mark as shown.
If an intent-to-use trademark application is filed, then a Statement of Use must be filed within about six months of the USPTO issuing a Notice of Allowance for the proposed trademark. By contrast, a Declaration of Use is completed and filed years after a trademark has been registered with the USPTO.

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