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Fill and Sign the Free 9 Contractor Affidavit Form in Sample Example Format

Fill and Sign the Free 9 Contractor Affidavit Form in Sample Example Format

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Affidavit of Payment of Subcontractor Page 1 of 2 AFFIDAVIT OF PAYMENT OF SUBCONTRACTORS, MATERIALMEN, ETC. BY ORIGINAL CONTRACTOR TO RESIDENTIAL OWNER RESIDENTIAL CONSTRUCTION- CORPORATION STATE OF TEXAS COUNTY OF BEFORE ME, the undersigned authority, duly authorized to administer oaths and take acknowledgments, personally appeared who being duly sworn, deposes and says: 1. The undersigned is the of , a Corporation and makes this Affidavit in his or her capacity as such. This affidavit concerns the following project: Project Name or Address: Owner name and Address: Short Legal Description ("Real Property"): 2. This Affidavit is made for the purpose of acknowledging, and the undersigned states on oath, that the undersigned is the original contractor and as a condition of final payment certifies that all subcontractors, laborers, or materialmen of the undersigned have been paid in full for all labor and materials used in the construction of the project, except as follows (List unpaid persons): Address Phone Name Address Phone Name Address Phone Name Address Phone Name Address Phone Name Address Phone Name Affidavit of Payment of Subcontractor Page 2 of 2 NOTICE: A PERSON, INCLUDING A SELLER, COMMITS AN OFFENSE IF THE PERSON INTENTIONALLY, KNOWINGLY, OR RECKLESSLY MAKES A FALSE OR MISLEADING STATEMENT IN THIS AFFIDAVIT. SUCH AN OFFENSE IS A MISDEMEANOR. A PERSON ADJUDGED GUILTY OF SUCH AN OFFENSE SHALL BE PUNISHED BY A FINE NOT TO EXCEED $4,000 OR CONFINEMENT IN JAIL FOR A TERM NOT TO EXCEED ONE YEAR OR BOTH A FINE AND CONFINEMENT. A PERSON MAY NOT RECEIVE COMMUNITY SUPERVISION FOR THE OFFENSE. A PERSON SIGNING THIS AFFIDAVIT IS PERSONALLY LIABLE FOR ANY LOSS OR DAMAGE RESULTING FROM ANY FALSE OR INCORRECT INFORMATION IN THE AFFIDAVIT. FURTHER AFFIANT SAYETH NOT. Dated this the _____ day of _________________, 20____. ______________________________________________________ Name of Corporation Signature: Print Name: Title: Doing Business as: SWORN TO AND SUBSCRIBED before me on this the _____ day of ______________, 20____ by _________________________________, as __________________________ of _______________________________, a __________________________ Corporation. Notary Public Printed Name My Commission Expires: TX Code § 53.259

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