Michigan Sworn Form PDF Details

In the state of Michigan, the sworn statement form serves as a crucial document in the construction industry, ensuring transparency and accountability between contractors, subcontractors, suppliers, and laborers engaged in property improvements. This document, legally mandated, provides a detailed account of all parties involved in a construction project, delineating their roles, the nature of the work done or materials supplied, and the financial transactions including payments made and amounts still owed. It's designed to safeguard the interests of property owners and lessees by offering a layer of protection against undisclosed construction liens, highlighting any potential financial liabilities that may impact their property. The form requires the contractor or subcontractor to attest under oath to the accuracy of the information provided, including confirmation that no other parties have been engaged beyond those listed, ensuring that the property is free from undisclosed claims. The sworn statement carries significant legal weight, warning both the property owner and the declarant of the consequences of reliance on false statements or omissions, highlighting the potential for criminal penalties in cases of fraudulent declarations. This document, embedded within Michigan's construction lien law framework, underscores the importance of transparency, accountability, and legal compliance in construction and renovation projects, safeguarding the interests of all stakeholders involved.

QuestionAnswer
Form NameMichigan Sworn Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesaia form contractors sworn statement, michigan sworn pdf, michigan sworn statement excel, michigan sworn

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SWORN STATEMENT

 

State of

 

County of

 

being duly sworn, deposes and says that

is the contractor/subcontractor for an

improvement to the following described real property situated in

County, Michigan described as follows

Project Name:

 

Address

 

That the following is a statement of each subcontractor and supplier and laborer, for which the payment of wages or fringe benefits and withholdings is due but unpaid, with whom the contractor/subcontractor has contracted/subcontracted for performance under the contract with the owner or lessees thereof, and that the amounts due to the persons as of the date hereof are correctly and fully set forth opposite their names as follows:

 

Subcontractor,

Type of Improvement

Total

Adjusted

Amount

Amount

Balance to

No.

Contract

Contract

Currently

Supplier, or Laborer

Furnished

Already Paid

Complete

 

Price

Price

Owing

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Totals

 

 

 

 

 

 

 

 

 

 

 

 

 

That the contractor has not procured material from, or subcontracted with, any person other than set forth and owes no money for the improvement other than the sums set forth above.

Deponent further says that he or she makes the foregoing statement as the (contractor) (subcontractor)

or as of the (contractor) (subcontractor) for the purpose of representing to the owner or lessee of the above described premises and his or her agents that the above described property is free from claims of construction liens, or the possibility of construction liens, except as specifically set forth above and except for claims of construction liens by laborers which may be provided pursuant to section 109 of the construction lien act, Act NO. 497 of the Public Acts of 1980, as amended, being section 570.1109 of the Michigan Compiled Laws.

WARNING TO OWNER: AN OWNER OR LESSEE OF THE ABOVE DESCRIBED PROPERTY MAY NOT RELY ON THIS SWORN STATEMENT TO AVOID THE CLAIM OF A SUB-CONTRACTOR SUPPLIER, OR LABORER WHO HAS PROVIDED A NOTICE OR FURNISHING OR A LABORER WHO MAY PROVIDE A NOTICE OF FURNISHING PURSUANT TO SECTION 109 OF THE CONSTRUCTION LIEN ACT TO THE DESIGNEE OR TO THE OWNER OR LESSEE IF THE DESIGNEE IS NOT NAMED OR HAS DIED

WARNING TO DEPONENT: A PERSON, WHO WITH INTENT TO DEFRAUD, GIVES A FALSE SWORN STATEMENT IS SUBJECT TO CRIMINAL PENAL TIES AS PROVIDED IN SECTION 110 OF THE CONSTRUCTIN LIEN ACT. ACT NO. 497 OF THE PUBLIC ACTS OF 1980, AS AMENDED, BEING SECTION 570.1110 OF THE MICHIGAN COMPILED LAWS.

 

 

 

Deponent

Subscribed and sworn to before me this

 

day of

 

20 _____

 

 

Notary Public,

 

County, Michigan

My commission expires:

 

 

 

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