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The Illinois Sworn Statement form is a crucial document used in construction projects to ensure transparency and accountability between contractors, subcontractors, and property owners. This form serves as a sworn declaration by the contractor, detailing the work performed and the payments due to various parties involved in the project. It includes essential information such as the names and addresses of contractors and subcontractors, the type of work completed, and the amounts owed for materials and labor. The form also outlines the total contract amount, work completed to date, and any extras to the contract, along with retention amounts and net payments. By requiring this statement before each payment, property owners can protect themselves from potential liens and ensure that all parties are compensated fairly for their contributions. The importance of this document cannot be overstated, as it provides a clear record of financial transactions and obligations within the construction process.
Example - Illinois Sworn Statement Form
GREATER ILLINOIS TITLE COMPANY
SWORN STATEMENT OF CONTRACTOR AND SUBCONTRACTOR
TO OWNER AND TO GREATER ILLINOIS TITLE COMPANY
STATE OF ILLINOIS |
} ss. |
COUNTY OF _________________________ |
Page___________ of ___________ Pages
The affiant, _____________________________________________________________________________ being first duly sworn, on oath deposes
and says that he is _______________________________________________________________________________________________________
of _________________________________________________________________________________________________that ___________ has
contract with __________________________________________________________________________________ , owner ______________ for
______________________________________________________________________________________________________________________
on the following described premises in said County, to wit:________________________________________________________________________
That, for the purposes of said contract, the following persons have been contracted with, and have furnished, or are furnishing and preparing materials for, and have done or are doing labor on said improvement. That there is due and to become due them, respectively, the amounts set opposite their names for materials or labor as stated. That this statement is a full, true and complete statement of all such persons, the amounts paid
and the amounts due or to become due to each. |
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Amount of |
Retention |
Net of Previous |
Net Amount |
Balance To |
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Name and Address |
Kind of Work |
Become Due |
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Contract |
(inc. Current) |
Payments |
This Payment |
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(Inc. Retentions) |
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TOTAL |
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AMOUNT OF ORIGINAL CONTRACT |
$ ___________________ WORK COMPLETED TO DATE |
$ ___________________ |
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EXTRAS TO CONTRACT |
$ ___________________ |
LESS ____________% RETAINED |
$ ___________________ |
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NET AMOUNT EARNED |
$ ___________________ |
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TOTAL CONTRACT AND EXTRAS |
$ ___________________ |
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NET PREVIOUSLY PAID |
$ ___________________ |
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CREDITS TO CONTRACT |
$ ___________________ |
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NET AMOUNT OF THIS PAYMENT |
$ ___________________ |
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ADJUSTED TOTAL CONTRACT |
$ ___________________ |
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BALANCE TO BECOME DUE (Inc. Retention) $ ___________________ |
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It is understood that the total amount paid to date plus the amount requested in this application shall not exceed _______% of the cost of work
completed to date.
I agree to furnish Waivers of Lien for all materials under my contract when demanded.
SIGNED ______________________________________________ POSITION _____________________________________________________
Subscribed and sworn to before me this __________________________ day of ______________________ , ____________
SEAL:
_____________________________________________________________
Notary Public
The above sworn statement should be obtained by the owner before each and every payment.
Copyright ©2005 Greater Illinois Title Company. All Rights Reserved. http://gitc.com/forms/
Compliments of Greater Illinois Title Company; for Internal and External Use.
Universal Doc Ref:
Document Breakdown
| Fact Name | Details |
|---|---|
| Purpose | The Illinois Sworn Statement form is used by contractors and subcontractors to declare the amounts due for labor and materials on a construction project. |
| Governing Law | This form is governed by the Illinois Mechanics Lien Act, which provides guidelines for the payment and rights of contractors and subcontractors. |
| Affidavit Requirement | The form requires the affiant to be sworn in, affirming the truthfulness of the information provided regarding contracts and payments. |
| Payment Verification | It is essential for the owner to obtain this sworn statement before making any payments to ensure all parties are compensated fairly. |
| Retention Clause | The form includes a section for retention, allowing a percentage of the payment to be withheld until the project meets certain completion criteria. |
| Waivers of Lien | Contractors must agree to furnish Waivers of Lien upon request, ensuring that all materials and labor have been paid for before payments are released. |
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