Standard Form 28 PDF Details

In the world of government contracting and surety bonds, the Standard Form 28, known as the Affidavit of Individual Surety, stands as a pivotal document that ensures the integrity and reliability of the financial backing offered by individuals to government contracts. This form, mandated for completion by individual sureties engaging with government contracts, requires meticulous detail about the surety's assets pledged in support of the attached bond, including real estate and other non-real state assets, accompanied by certifying documents. Additionally, the form unveils any encumbrances such as mortgages, liens, or judgments against these assets. By declaring United States citizenship, full age, and legal competence, the surety not only affirms their eligibility but also acknowledges the severe legal implications of providing false declarations, highlighting the form's role in preserving the fidelity of contractual engagements with the federal government. The necessity for original signatures and the prohibition against corporate or partnership sureties underline the form's stringent requirements, aimed at fortifying the government's financial interests. With the burden of reporting estimated at an average of three hours, the Standard Form 28 encapsulates the rigorous diligence required from individuals pledging their assets to secure government contracts, showcasing the intersection between personal financial integrity and public trust.

QuestionAnswer
Form NameStandard Form 28
Form Length3 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out57 sec
Other namesform mg 91 90 06 17, gsa sf 90 pdf, gsa forms 90 91 28, optional form 90 fillable

Form Preview Example

e. MY COMMISSION EXPIRES

AFFIDAVIT OF INDIVIDUAL SURETY

(SEE INSTRUCTIONS ON REVERSE)

OMB No.: 9000-0001

Public reporting burden for this collection of information is estimated to average 3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Regulatory Secretariat (MVA), Office of Acquisition Policy, GSA, Washington, DC 20405.

STATE OF

 

SS.

COUNTY OF

 

I, the undersigned, being duly sworn, depose and say that I am: (1) the surety to the attached bond(s); (2) a citizen of the United States; and of full age and legally competent. I also depose and say that, concerning any stocks or bonds included in the assets listed below, that there are no restrictions on the resale of these securities pursuant to the registration provisions of Section 5 of the Securities Act of 1933. I recognize that statements contained herein concern a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious or fraudulent statement may render the maker subject to prosecution under Title 18, United States Code Sections 1001 and 494. This affidavit is made to induce the United States of America to accept me as surety on the attached bond.

1.

NAME (First, Middle, Last) (Type or Print)

2.

HOME ADDRESS (Number, Street, City, State, ZIP Code)

 

 

 

 

3.

TYPE AND DURATION OF OCCUPATION

4.

NAME AND ADDRESS OF EMPLOYER (If Self-employed, so State)

 

 

 

 

5.

NAME AND ADDRESS OF INDIVIDUAL SURETY BROKER USED (If any)

6.

TELEPHONE NUMBER

 

(Number, Street, City, State, ZIP Code)

HOME -

 

 

BUSINESS -

7.THE FOLLOWING IS A TRUE REPRESENTATION OF THE ASSETS I HAVE PLEDGED TO THE UNITED STATES IN SUPPORT OF THE ATTACHED BOND:

(a)Real estate (Include a legal description, street address and other identifying description; the market value; attach supporting certified documents including recorded lien; evidence of title and the current tax assessment of the property. For market value approach, also provide a current appraisal.)

(b)Assets other than real estate (describe the assets, the details of the escrow account, and attach certified evidence thereof).

8.IDENTIFY ALL MORTGAGES, LIENS, JUDGEMENTS, OR ANY OTHER ENCUMBRANCES INVOLVING SUBJECT ASSETS INCLUDING REAL ESTATE TAXES DUE AND PAYABLE.

9.IDENTIFY ALL BONDS, INCLUDING BID GUARANTEES, FOR WHICH THE SUBJECT ASSETS HAVE BEEN PLEDGED WITHIN 3 YEARS PRIOR TO THE DATE OF EXECUTION OF THIS AFFIDAVIT.

DOCUMENTATION OF THE PLEDGED ASSET MUST BE ATTACHED.

10. SIGNATURE

11.BOND AND CONTRACT TO WHICH THIS AFFIDAVIT RELATES (Where appropriate)

12. SUBSCRIBED AND SWORN TO BEFORE ME AS FOLLOWS:

a. DATE OATH ADMINISTERED

b. CITY AND STATE (Or other jurisdiction)

MONTH

DAY

YEAR

 

c. NAME AND TITLE OF OFFICIAL ADMINISTERING OATH d. SIGNATURE (Type or print)

Official

Seal

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 28

 

6

Previous edition is not usable

 

(REV.

/2003)

Prescribed by GSA-FAR (48 CFR) 53.228(e)

INSTRUCTIONS

1.Individual sureties on bonds executed in connection with Government contracts must complete and submit this form with the bond. (See 48 CFR 28.203, 53.228(e).) The surety must have the completed form notarized.

2.No corporation, partnership, or other unincorporated association or firm, as such, is acceptable as an individual surety. Likewise, members of a partnership are not acceptable as sureties on bonds that a partnership or an association, or any co-partner or member thereof, is the principal obligor. However, stockholders of corporate principals are acceptable provided (a) their qualifications are independent of their stockholdings or financial interest therein, and (b) that the fact is expressed in the affidavit of justification. An individual surety will not include any financial interest in assets connected with the principal on the bond that this affidavit supports.

3.United States citizenship is a requirement for individual sureties for contracts and bonds when the contract is awarded in the United States. However, when the Contracting Officer is located in an outlying area or a foreign country, the individual surety is only required to be a permanent resident of the area or country in which the contracting officer is located.

4.All signatures of the affidavit submitted must be originals. Affidavits bearing reproduced signatures are not acceptable. An authorized person must sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of a firm, partnership, or joint venture, or an officer of the corporation involved.

STANDARD FORM 28 (REV. 6/2003) BACK

How to Edit Standard Form 28 Online for Free

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Step 2: As soon as you open the PDF editor, you'll notice the form ready to be filled out. Apart from filling out different fields, you may as well perform other sorts of actions with the Document, particularly writing any words, modifying the original textual content, adding illustrations or photos, affixing your signature to the PDF, and a lot more.

This form will need particular details to be filled out, thus ensure you take your time to type in exactly what is requested:

1. Start completing the gsa form 90 and 91 with a group of major fields. Get all of the important information and be sure absolutely nothing is forgotten!

Tips to complete standard form 90 step 1

2. Once your current task is complete, take the next step – fill out all of these fields - b Assets other than real estate, IDENTIFY ALL MORTGAGES LIENS, PAYABLE, IDENTIFY ALL BONDS INCLUDING BID, EXECUTION OF THIS AFFIDAVIT, SIGNATURE, BOND AND CONTRACT TO WHICH THIS, DOCUMENTATION OF THE PLEDGED ASSET, appropriate, SUBSCRIBED AND SWORN TO BEFORE ME, a DATE OATH ADMINISTERED, MONTH, DAY, YEAR, and b CITY AND STATE Or other with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

standard form 90 completion process shown (part 2)

Always be really mindful when filling in DOCUMENTATION OF THE PLEDGED ASSET and MONTH, because this is where a lot of people make mistakes.

3. This next step is all about c NAME AND TITLE OF OFFICIAL, d SIGNATURE, Type or print, AUTHORIZED FOR LOCAL REPRODUCTION, e MY COMMISSION, EXPIRES, Seal, and STANDARD FORM REV Prescribed by - fill in these empty form fields.

standard form 90 conclusion process clarified (step 3)

Step 3: Once you've looked once again at the details in the fields, simply click "Done" to finalize your form. Sign up with us right now and easily get gsa form 90 and 91, all set for download. Each change made is conveniently preserved , making it possible to change the pdf later on as needed. We do not share the details that you provide while filling out forms at our website.