Are you a resident of Michigan and in need of an affidavit or sworn statement? If so, you've come to the right place! In this blog post, we'll explain what exactly a Michigan Sworn Form is, when it should be used, and provide detailed instructions on how to complete one. Not only that; we'll also discuss who can offer notarization services within the state of Michigan. With this comprehensive guide in hand, you can make sure your affidavit is created and submitted correctly so that it's accepted by your district court or other legal entity. So read on if this sounds like something that could help you out!
| Question | Answer |
|---|---|
| Form Name | Michigan Sworn Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | aia form contractors sworn statement, michigan sworn pdf, michigan sworn statement excel, michigan sworn |
SWORN STATEMENT |
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State of |
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County of |
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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: |
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Address |
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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:
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Subcontractor, |
Type of Improvement |
Total |
Adjusted |
Amount |
Amount |
Balance to |
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No. |
Contract |
Contract |
Currently |
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Supplier, or Laborer |
Furnished |
Already Paid |
Complete |
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Price |
Price |
Owing |
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1 |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10 |
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11 |
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12 |
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13 |
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14 |
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15 |
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16 |
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17 |
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18 |
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20 |
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Totals |
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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
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.
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Deponent |
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Subscribed and sworn to before me this |
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day of |
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20 _____ |
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Notary Public, |
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County, Michigan |
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My commission expires: |
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