Fill and Sign the Certification of Job Progress by Corporation or Llc Alaska Form

CERTIFICATION OF JOB PROGRESS—CORPORATION, LLC, etc. (A.S. § 34.35.062(f)) COMES NOW, _________________________________ , as a representative of __________________________________ a _________________________________ company which owns the property undergoing improvements at: _________________________________ , and would state as follows: 1. The following is a statement of the progress of the project taking place at the above-mentioned property including the percentage completion of the project: ___________________________________ . 2. The following prime contractors have furnished labor, material, services, or equipment for the above-mentioned project: Name Address Phone Number ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ _____ _ __ ______________________ ___ ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ ________ ______________________ __ . 3. Each prime contractor listed is owed the following amounts by the undersigned corporate owner: Name Amount Owed ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ _____ _ __ ______________________ ___ ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ ________ ______________________ __ . 4. The portion of the draw that the owner will pay to each listed prime contractor is: Name Portion of the Draw ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ _____ _ __ ______________________ ___ ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ ________ ______________________ ___ ________________ __ _____________________ ________ ______________________ __ . This the ___ day of __________ , 20 _____ . Certification of Job Progress Page 1 of 2 ______________________________ Name of Company By: __________________________ ______ _ _____ Signature Title ______________________________ Type or Print Name Certification of Job Progress Page 2 of 2