Sworn Statement of Contractor and Subcontractor - Greater Illinois ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the affiant's name and position at the top of the form. This identifies who is making the sworn statement.
  3. Next, enter the owner's name and the details of the contract, including a description of the work being performed and the premises involved.
  4. In the table provided, list all contracted persons along with their respective addresses, kind of work, amounts due, and any retention amounts. Ensure accuracy for each entry.
  5. Calculate and fill in totals for original contracts, extras, credits, adjusted totals, work completed to date, and net amounts earned. This section is crucial for financial clarity.
  6. Finally, sign and date the document where indicated. A notary public must also sign to validate your statement.

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Final Lien Waiver This is the most commonly used waiver. The full form should be completed, signed in the top and bottom sections by the contractor and docHubd. If materials were delivered to the jobsite, as is common with concrete, drywall, brick, etc., a material waiver must also be furnished.
Sworn Construction Statements may be used where a contractor is required to provide a sworn statement describing all persons or entities having performed work or provided materials in furtherance of the contractors work for a period covered in a progress or final payment.
Common Legal Grounds in a Subcontractor Dispute It can also be a bdocHub of contract if the general contractor does not pay the subcontractor in time or the full amount they owe them. If the dispute concerns the subcontractors quality of work, the general contractor can also sue for negligence.
Sworn statements list all contractors and suppliers that are providing labor or materials for a project. Owners and GCs use them for transparency into whos working on the project and how much theyre owed so they can better track payments and watch out for potential payment issues.
Under the OSHA Multi-Employer Citation Policy (CPL 2-0.124), OSHA may cite multiple employers (i.e., a general contractor and subcontractor) on a single worksite even if the violation was created solely by a subcontractor.

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I currently reside at [ ]. [ A detailed account of the incident ]. I declare that, to the best of my knowledge and belief, the information herein is true and complete. I understand this statement is made for use as evidence in court and is subject to penalty for perjury.
To be admissible in court, an affidavit must be: In writing and signed by the affiant. Sworn or affirmed to be true by the affiant. Executed in the presence of a person authorized to administer oaths, such as a notary public.

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