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The Michigan Sworn Statement form plays a crucial role in the construction and contracting process within the state. This form is designed to provide a clear and detailed account of all subcontractors, suppliers, and laborers involved in a public works project. It ensures that payments for labor, materials, and services are accurately documented and that all parties are informed of any outstanding balances. By requiring the contractor, subcontractor, or supplier to declare the amounts due to each entity, the form helps prevent disputes related to unpaid wages or benefits. Additionally, it serves to protect the interests of the owner, lessee, or general contractor by affirming that the project is free from claims of construction or bond liens, except as noted. The form also includes a warning about the legal consequences of providing false information, underscoring the importance of accuracy and honesty in these declarations. Overall, the Michigan Sworn Statement form is an essential tool for maintaining transparency and accountability in the construction industry.

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SWORN STATEMENT

STATE OF MICHIGAN

)

 

 

) ss.

COUNTY OF

 

)

<<<name of person signing sworn statement>>>, being duly sworn, deposes and says: That <<<name of company>>> is a/the <<<select one>>>(contractor)(subcontractor)(supplier) for an improvement to the following described public works situated in __________ County, Michigan, described as follows:

Contract No. <<<MDOT Contract ID Number>>> Project Name: <<<eg. I-96 from U.S 23 to Kent Road>>>

That the following is a statement of each subcontractor and supplier and laborer, for which laborer the payment of wages or fringe benefits and withholdings is due but unpaid, with whom the <<<same selection as above>>>(contractor)(subcontractor)(supplier) has <<<select one>>>(contracted)(subcontracted)(supplied material)(supplied labor) for performance under the contract with the owner, lessee, or general contractor 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:

Name of Subcontractor,

Type of

Total

Amount

Amount

Balance

Amount of

 

Amount of Laborer

Supplier, or Laborer

Improvement Furnished

Contract

Already

Currently

to

Laborer

Retention

Fringe Benefits

 

 

Price

Paid

Owing

Complete

Wages Due

 

and Withholdings

 

 

 

 

 

 

But Unpaid

 

Due But Unpaid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUB TOTALS

Name of Subcontractor,

Type of

Total

Amount

Amount

Balance

Amount of

 

Amount of Laborer

Supplier, or Laborer

Improvement Furnished

Contract

Already

Currently

to

Laborer

 

Fringe Benefits

 

 

Price

Paid

Owing

Complete

Wages Due

Retention

and Withholdings

 

 

 

 

 

 

But Unpaid

 

Due But Unpaid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

That the (contractor) (subcontractor) has not procured material from, or subcontracted with, any person other than those set forth on the reverse side and owes no money for the improvement other than the sums set forth on the reverse side.

Deponent further says that he or she makes the foregoing statement as the (contractor)(subcontractor)(supplier) or as <<<authorized agent if signator is not officer or employee of company>>> of the (contractor)(subcontractor)(supplier) for the purposes of representing to the owner, lessee, or general contractor of the public works described on the reverse side and his or her agents that the public works described on the reverse side is free from claims of construction or bond liens, or the possibility of construction or bond liens, except as specially set forth on the reverse side hereof..

WARNING TO DEPONENT: A PERSON, WHO WITH INTENT TO DEFRAUD, GIVES A FALSE SWORN STATEMENT FOR THE PURPOSE OF OBTAINING PAYMENT IS SUBJECT TO CRIMINAL and CIIVIL PENALTIES AS PROVIDED BY LAW.

(Deponent)

Subscribed and sworn to before me this

 

day of

 

, 20___.

 

 

 

, Notary Public

 

 

County, Michigan

 

My commission expires:

 

Acting in _______________ County

 

91742v2

 

 

 

 

 

 

 

 

SWORN STATEMENT

 

 

STATE OF MICHIGAN

)

 

 

 

 

 

 

 

 

 

 

 

) ss.

 

 

COUNTY OF

 

)

 

 

 

 

 

 

 

 

__________________

 

, being duly sworn, deposes and says: That ______________________

is a/the (contractor)(subcontractor)(supplier) for an improvement to

 

 

 

 

 

 

 

 

 

 

 

the following described public works situated in _______ County, Michigan, described as follows:

 

 

 

 

 

 

 

 

 

 

 

 

Contract No.

 

 

 

 

; Project Name:

 

 

 

That the following is a statement of each subcontractor and supplier and laborer, for which laborer the payment of wages or fringe benefits and withholdings is due but unpaid, with whom the (contractor)(subcontractor)(supplier) has (contracted)(subcontracted)(supplied material)(supplied labor) for the improvement on the above referenced public works project and that the amounts due to the persons as of the date hereof are correctly and fully set forth opposite their names, as follows:

Name of Subcontractor,

Type of

Total

Amount

Amount

Balance

Amount of

 

Amount of Laborer

Supplier, or Laborer

Improvement Furnished

Contract

Already

Currently

to

Laborer

Retention

Fringe Benefits

 

 

Price

Paid

Owing

Complete

Wages Due

 

and Withholdings

 

 

 

 

 

 

But Unpaid

 

Due But Unpaid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUB TOTALS

Name of Subcontractor,

Type of

Total

Amount

Amount

Balance

Amount of

 

Amount of Laborer

Supplier, or Laborer

Improvement Furnished

Contract

Already

Currently

to

Laborer

 

Fringe Benefits

 

 

Price

Paid

Owing

Complete

Wages Due

Retention

and Withholdings

 

 

 

 

 

 

But Unpaid

 

Due But Unpaid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

That the (contractor) (subcontractor) has not procured material from, or subcontracted with, any person other than those set forth on the reverse side and owes no money for the improvement other than the sums set forth on the reverse side.

Deponent further says that he or she makes the foregoing statement as the (contractor)(subcontractor)(supplier) or as _____ ____ of the (contractor)(subcontractor)(supplier) for

the purposes of representing to the party from whom payment is requested and to the prime contractor who has furnished a payment bond covering the public works project described on the reverse side and his or her agents that the public works described on the reverse side is free from claims of payment bond liens, or the possibility of payment bond liens, except as specially set forth on the reverse side hereof.

WARNING TO DEPONENT: A PERSON, WHO WITH INTENT TO DEFRAUD, GIVES A FALSE SWORN STATEMENT FOR THE PURPOSE OF OBTAINING PAYMENT IS SUBJECT TO CRIMINAL and CIIVIL PENALTIES AS PROVIDED BY LAW.

(Deponent)

Subscribed and sworn to before me this

 

day of

 

, 20___.

 

 

 

, Notary Public

 

 

County, Michigan

 

My commission expires:

 

Acting in _______________ County

 

91742

FULL CONDITIONAL WAIVER

Our contract with <<<name of company>>> to furnish<<<general description of

work/material furnished. Eg. Concrete work and related items. Eg. Aggregate

materials>>> materials to <<<MDOT>>> Project No. <<<MDOT Contract ID

Number>>> has been fully paid and satisfied with respect to our rights under the Payment / Lien Bond covering said Project and all of our rights to pursue payment under the Payment/Lien Bond No. _____________ issued by <<<name of prime

contractor>>> as principal and <<<name of payment bond surety>>> as surety,

together with any rights, demands, or causes of action we may have against _<<<name

of prime contractor>>> or <<<name of payment bond surety>>>, are hereby fully waived and released and the “Notice of Lien Claim” (if any) dated ,<<<insert “N/A” if none. Insert date of Notice of Lien Claim if one has been filed>>> and any amendment(s) thereto, is hereby rescinded.

This waiver is

conditioned upon our receipt of payment in the amount of

$<<<amount of payment for which waiver is being given>>>

 

<TYPE OR PRINT COMPANY NAME>

 

__________________________

 

by:

<<type or print name>>

 

its:

<<type or print title>>

STATE OF MICHIGAN

)

 

 

) SS

 

COUNTY OF

)

 

The signator is known to me and acknowledged the foregoing instrument this

___ day of ________, 20___.

________________________________

____________________, Notary Public

_____________County, Michigan

My commission expires: ___________

Acting In _____________ County

91748v2

FULL CONDITIONAL WAIVER

Our contract with _________________ to furnish ______________________

materials to _______ Project No. _____________ has been fully paid and satisfied with

respect to our rights under the Payment / Lien Bond covering said Project and all of our rights to pursue payment under the Payment/Lien Bond No. _____________ issued by

_______________________ as principal and ____________________ as surety,

together with any rights, demands, or causes of action we may have against

_____________________ or __________________ , are hereby fully waived and

released and the “Notice of Lien Claim” (if any) dated _______________, and any

amendment(s) thereto, is hereby rescinded.

 

This waiver

 

is

conditioned upon our receipt of payment in the amount of

$

 

.

 

 

 

 

 

 

___________________________

 

 

 

 

__________________________

 

 

 

 

by:

_____________________

 

 

 

 

its:

_____________________

STATE OF MICHIGAN

)

 

 

 

 

 

) SS

 

COUNTY OF

 

 

)

 

The signator is known to me and acknowledged the foregoing instrument this

___ day of ________, 20___.

________________________________

____________________, Notary Public

_____________County, Michigan

My commission expires: ___________

Acting In _____________ County

91748

FULL UNCONDITIONAL WAIVER

Our contract with <<<name of company>>> to furnish general description of work/material furnished. Eg. Concrete work and related items. Eg. Aggregate

materials>>>

materials to <<<MDOT>>> Project No. <<<MDOT Contract ID

Number>>>

has been fully paid and satisfied with respect to our rights under the

Payment / Lien Bond covering said Project and all of our rights to pursue payment under the Payment/Lien Bond No. _____________ issued by <<<name of prime

contractor>>> as principal and <<<name of payment bond surety>>> as surety, together with any rights, demands, or causes of action we may have against <<<name

of prime contractor>>> or <<<name of payment bond surety>>> , are hereby fully waived and released and the “Notice of Lien Claim” (if any) dated ,<<<insert “N/A” if none. Insert date of Notice of Lien Claim if one has been filed>>>, and any amendment(s) thereto, is hereby rescinded.

 

<TYPE OR PRINT COMPANY NAME>

 

__________________________

 

by: <<type or print name>>

 

its: <<type or print title>>

STATE OF MICHIGAN

)

 

) SS

COUNTY OF

)

The signator is known to me and acknowledged the foregoing instrument this

___ day of ___________, 20___.

________________________________

Notary Public

_____________County, Michigan

My commission expires: ___________

Acting In _____________ County

91747v2

FULL UNCONDITIONAL WAIVER

Our contract with _________________ to furnish ______________________

materials to ______ Project No._________________ has been fully paid and satisfied

with respect to our rights under the Payment / Lien Bond covering said Project and all of our rights to pursue payment under the Payment/Lien Bond No. _____________ issued

by _______________________ as principal and ____________________ as surety,

together with any rights, demands, or causes of action we may have against

_____________________ or __________________ , are hereby fully waived and

released and the “Notice of Lien Claim” (if any) dated _______________, and any

amendment(s) thereto, is hereby rescinded.

 

___________________________

 

__________________________

 

by:

 

its:

STATE OF MICHIGAN

)

 

) SS

COUNTY OF

)

The signator is known to me and acknowledged the foregoing instrument this

___ day of ___________, 20___.

________________________________

Notary Public

_____________County, Michigan

My commission expires: ___________

Acting In _____________ County

91747

PARTIAL CONDITIONAL WAIVER OF LIEN

Our contract with <<<name of company>>> to furnish <<<general description of work/material furnished. Eg. Concrete work and related items. Eg. Aggregate

materials>>>to <<<MDOT>>> Project No. <<<MDOT Contract ID Number>>> has

been partially paid and satisfied in the amount of $<<<amount of payment for which waiver is being given>>>with respect to our rights under the Payment / Lien Bond covering said Project and our rights to pursue payment under the Payment/Lien Bond

No.issued by <<<name of prime contractor>>> as principal and

<<<name of payment bond surety>>> as surety, together with any rights, demands, or causes of action we may have against <<<name of prime contractor>>> or <<<name

of payment bond surety>>> are hereby waived and released to the extent of said partial payment of $ <<<amount of payment for which waver is being given>>> and the “Notice of Lien Claim” (if any) dated ,<<<insert “N/A” if none. Insert date of Notice of Lien Claim if one has been filed>>> and any subsequent amendment(s) thereto, are hereby rescinded, waived and released for the amount of $ <<<amount of payment for which waiver is being given>>> and are hereby amended to reflect only the remaining balance claimed to be due under our contract in the amount of $<<<remaining balance after deduction of all partial payments to date>>>.

This waiver is conditioned upon our receipt of payment in the amount of

$<<<amount of payment for which waver is being given>>>

 

<TYPE OR PRINT COMPANY NAME>

 

______________________________

 

by:

<<type or print name>>

 

its:

<<type or print title>>

STATE OF MICHIGAN

)

 

 

) SS

 

COUNTY OF

)

 

The signator is known to me and acknowledged the foregoing instrument this

___ day of ________, 20___.

________________________________

____________________, Notary Public

_____________County, Michigan

My commission expires: ___________

Acting In _____________ County

91744v2

PARTIAL CONDITIONAL WAIVER OF LIEN

Our contract with ___________________________ to furnish _____________,

__________________________________ to _________________________ Project

No. _________________________________ has been partially paid and satisfied in

the amount of $___________with respect to our rights under the Payment / Lien Bond

covering said Project and our rights to pursue payment under the Payment/Lien Bond No. _____________ issued by ____________________________ as principal and

____________________________ as surety, together with any rights, demands, or

causes of action we may have against __________________________ or

_______________________________________ are hereby waived and released to the

extent of said partial payment of $_________ and the “Notice of Lien Claim” (if any)

dated _________________________, and any subsequent amendment(s) thereto, are

hereby rescinded, waived and released for the amount of $____________ and are

hereby amended to reflect only the remaining balance claimed to be due under our

contract in the amount of $___________.

 

This waiver

is

conditioned upon our receipt of payment in the amount of

$

 

.

 

 

 

 

______________________________

 

 

 

______________________________

 

 

 

by:

 

 

 

its:

STATE OF MICHIGAN

)

 

 

 

) SS

COUNTY OF

 

)

The signator is known to me and acknowledged the foregoing instrument this

___ day of ________, 20___.

________________________________

____________________, Notary Public

_____________County, Michigan

My commission expires: ___________

Acting In _____________ County

91744

Form Specifications

Fact Name Details
Purpose of the Form The Michigan Sworn Statement is used to declare the payment status of subcontractors and suppliers involved in public works projects. It ensures transparency regarding any unpaid wages or benefits.
Governing Law This form is governed by the Michigan Construction Lien Act (MCL 570.1101 et seq.), which outlines the rights and responsibilities related to construction liens in the state.
Signatory Requirements The statement must be signed by the contractor, subcontractor, or supplier, or an authorized agent. This ensures that the information is verified and holds legal weight.
Consequences of False Statements Providing a false sworn statement can lead to serious legal repercussions, including criminal and civil penalties. Honesty is crucial when completing this document.

Michigan Sworn Statement: Usage Guidelines

Completing the Michigan Sworn Statement form is an important step in ensuring that all parties involved in a public works project are properly compensated. After filling out the form, you will need to submit it to the relevant parties as required by the contract or legal obligations. Below are the steps to guide you through the process of filling out the form accurately.

  1. Begin by entering the name of the person signing the sworn statement in the designated space at the top of the form.
  2. Next, fill in the name of the company involved in the project.
  3. Select the appropriate designation for the company by checking either "contractor," "subcontractor," or "supplier."
  4. Provide the name of the county where the public works project is located.
  5. Fill in the Contract Number, which is the MDOT Contract ID Number.
  6. Enter the Project Name, such as "I-96 from U.S. 23 to Kent Road."
  7. List each subcontractor, supplier, or laborer in the table provided, filling in the following details for each:
    • Name of Subcontractor, Supplier, or Laborer
    • Type of Improvement Furnished
    • Total Contract Price
    • Amount Already Paid
    • Amount Currently Owing
    • Amount of Retention
    • Fringe Benefits Due
    • Wages Due and Withholdings But Unpaid
  8. Calculate and enter the subtotals for each section as required.
  9. Confirm that the contractor or subcontractor has not procured materials from anyone other than those listed on the reverse side of the form.
  10. Indicate the authorized agent if the signatory is not an officer or employee of the company.
  11. Review the statement for accuracy and completeness, ensuring all required fields are filled out.
  12. Sign the form in the designated area, acknowledging that the information provided is true and correct.
  13. Have the form notarized by a Notary Public, including the date and county of notarization.

Your Questions, Answered

What is the Michigan Sworn Statement form?

The Michigan Sworn Statement form is a legal document used in the construction industry. It serves as a declaration by a contractor, subcontractor, or supplier regarding payments owed to laborers and subcontractors for work done on public works projects. This form helps ensure that all parties involved are aware of any outstanding payments and protects against potential claims of construction or bond liens.

Who needs to complete the Michigan Sworn Statement?

Typically, contractors, subcontractors, and suppliers involved in public works projects in Michigan are required to complete this form. It is essential for those who are seeking payment for their services or materials provided. The person signing the form must be authorized to represent the company or entity involved in the project.

What information is required on the form?

The form requires specific details, including the name of the person signing, the name of the company, the type of role (contractor, subcontractor, or supplier), and the project details. Additionally, it must list all subcontractors, suppliers, and laborers, along with amounts owed for wages, fringe benefits, and any other payments due. This information helps clarify any outstanding financial obligations related to the project.

What happens if false information is provided?

Providing false information on the Michigan Sworn Statement form can lead to serious consequences. The individual who signs the form may face both criminal and civil penalties. This warning is included to emphasize the importance of honesty and accuracy when completing the document.

How does this form protect against liens?

The Michigan Sworn Statement serves as a declaration that the public works project is free from claims of construction or bond liens, except for those specifically noted on the form. This protection is crucial for ensuring that the project owner and general contractor are not liable for any unpaid claims from subcontractors or laborers.

Is notarization required for the form?

Yes, the Michigan Sworn Statement must be notarized. The person signing the document must do so in the presence of a notary public, who will then acknowledge the signature. This step adds a layer of authenticity and legal validity to the form.

Where should the completed form be submitted?

The completed Michigan Sworn Statement form should be submitted to the appropriate party involved in the public works project. This typically includes the project owner, general contractor, or any other relevant stakeholders who require proof of payment status for laborers and subcontractors.

Common mistakes

  1. Failing to provide the correct name of the person signing the sworn statement. This information is crucial for identification purposes.

  2. Not selecting the appropriate type of entity (contractor, subcontractor, or supplier). This choice affects the legal responsibilities outlined in the statement.

  3. Omitting the Contract No. and Project Name. These details are essential for linking the statement to a specific project.

  4. Incorrectly listing subcontractors and suppliers. Ensure that all parties involved are accurately named to avoid disputes.

  5. Failing to include the total amounts due for laborers and suppliers. This information must be clear and complete to prevent misunderstandings.

  6. Not specifying the amounts already paid versus the amounts currently owed. This distinction is vital for transparency.

  7. Neglecting to indicate if any fringe benefits are due. This could lead to potential claims against the contractor or subcontractor.

  8. Failing to sign the document in front of a notary public. A notarized signature is often required for the statement to be valid.

  9. Not including the expiration date of the notary's commission. This information is necessary for the legality of the notarization.

  10. Ignoring the warnings about false statements. Understanding the legal implications of providing incorrect information is crucial.

Documents used along the form

The Michigan Sworn Statement form is a critical document in construction and contracting, particularly in public works projects. It serves to affirm that payments owed to subcontractors, suppliers, and laborers are accurately reported. Several other forms and documents are often used in conjunction with this form to ensure compliance and protect the rights of all parties involved. Below is a list of these related documents.

  • Full Conditional Waiver: This document serves to release a contractor's or supplier's rights under a payment or lien bond once they have received full payment. It ensures that the contractor cannot pursue further claims against the prime contractor or surety after payment is made.
  • Notice of Lien Claim: This document is filed to assert a claim against a property for unpaid work or materials. It serves as a formal notification to the property owner and other interested parties that a lien may be placed if payment is not received.
  • Payment Bond: A payment bond is a type of surety bond that guarantees payment to subcontractors and suppliers in the event that the contractor fails to pay them. This bond protects the interests of those who provide labor and materials for a project.
  • Contractor's Affidavit: This affidavit is used by the contractor to confirm that all subcontractors and suppliers have been paid and that there are no outstanding claims against the project. It provides assurance to the owner that the project is free from liens.
  • Subcontractor Agreement: This document outlines the terms and conditions between a contractor and a subcontractor. It details the scope of work, payment terms, and other obligations, ensuring all parties understand their responsibilities.
  • Change Order: A change order is a document that modifies the original construction contract. It may include changes in scope, price adjustments, or extensions of time, and must be agreed upon by all parties involved in the project.

These documents work together to create a clear framework for payment and obligations in construction projects. Understanding their roles can help ensure compliance and protect the rights of all parties involved in the contracting process.

Similar forms

The Michigan Sworn Statement form serves a specific purpose in the construction industry, ensuring that all parties involved are aware of the financial obligations related to a public works project. Several other documents share similarities with this form in terms of function and intent. Here’s a list of nine such documents:

  • Affidavit of Payment: This document is similar as it confirms that all subcontractors and suppliers have been paid for their work. It is often used to protect against future claims of non-payment.
  • Conditional Waiver of Lien: This waiver indicates that a party will relinquish their right to file a lien against a property, but only upon receipt of payment. Like the Sworn Statement, it helps ensure transparency in financial transactions.
  • Unconditional Waiver of Lien: Unlike the conditional version, this waiver states that a lien is waived regardless of whether payment has been received. It provides assurance to property owners that no future claims will arise from the contractor or subcontractor.
  • Payment Bond: This document guarantees that subcontractors and suppliers will be paid for their work, similar to the assurances provided in a Sworn Statement. It protects project owners from the risk of non-payment.
  • Notice of Intent to Lien: This document serves as a warning to property owners that a lien may be filed if payment is not made. It shares the purpose of informing parties of potential claims related to unpaid work.
  • Contractor's Affidavit: This affidavit confirms that a contractor has paid all subcontractors and suppliers, similar to the Michigan Sworn Statement. It is often required before final payment is made on a project.
  • Subcontractor's Statement: This document outlines the financial obligations of a subcontractor to their suppliers and laborers. It parallels the Sworn Statement by detailing amounts owed and ensuring accountability.
  • Final Release of Lien: This document is issued once all payments have been made, confirming that no further claims will be made against the property. It aligns with the Sworn Statement’s intent to clear any potential liens.
  • Release of Claims: This document indicates that a party has received payment and waives any future claims related to the project. It serves a similar purpose by ensuring that all parties are on the same page regarding financial obligations.

Understanding these documents can help ensure smoother transactions and protect the rights of all parties involved in construction projects.

Dos and Don'ts

When filling out the Michigan Sworn Statement form, there are several important guidelines to follow. Here’s a list of things you should and shouldn’t do:

  • Do ensure that all names are spelled correctly.
  • Do provide accurate information regarding the type of contractor, subcontractor, or supplier.
  • Do clearly describe the public works project and include the correct contract number.
  • Do list all subcontractors and suppliers accurately, along with the amounts due.
  • Do review the form for completeness before submission.
  • Don't leave any sections blank; every part of the form must be filled out.
  • Don't provide false information; this could lead to serious legal consequences.
  • Don't forget to sign and date the form in front of a notary public.
  • Don't overlook the importance of the warning regarding false statements.

By following these guidelines, you can ensure that your Michigan Sworn Statement form is completed accurately and effectively.

Misconceptions

  • Misconception 1: The Michigan Sworn Statement form is only for contractors.
  • This is incorrect. While contractors often use the form, subcontractors and suppliers also have the right to complete and submit it. The form serves to ensure all parties involved in a public works project are acknowledged and compensated appropriately.

  • Misconception 2: The form guarantees payment to all listed subcontractors and suppliers.
  • Listing a subcontractor or supplier on the form does not guarantee payment. It merely states that the contractor has acknowledged their involvement and any outstanding amounts. Actual payment depends on the terms of the contract and the financial situation of the contractor.

  • Misconception 3: The Sworn Statement is optional for public works projects.
  • This is false. In Michigan, the use of the Sworn Statement is often a requirement for public works projects. It helps to protect the rights of all parties involved and ensures transparency in financial dealings.

  • Misconception 4: Once the form is submitted, it cannot be amended.
  • This is misleading. If there are changes in the amounts owed or the parties involved, the form can be amended. However, it is crucial to keep accurate records and notify relevant parties of any changes promptly.

  • Misconception 5: Providing false information on the form has no serious consequences.
  • This is a serious misunderstanding. Providing false information on a Sworn Statement can lead to criminal charges, civil penalties, and loss of credibility in future dealings. It is essential to ensure all information is accurate and truthful.

Key takeaways

Filling out the Michigan Sworn Statement form is a critical step in ensuring compliance and protecting rights in construction projects. Here are some key takeaways to consider:

  • Identify the Role: Clearly specify whether the signatory is a contractor, subcontractor, or supplier. This establishes the context of the statement.
  • Provide Accurate Information: Ensure that the names of all subcontractors, suppliers, and laborers are correctly listed, along with the amounts owed. Accuracy is vital.
  • Detail the Project: Include the contract number and project name. This information ties the statement to a specific public works project.
  • Check for Completeness: Verify that all required fields are filled out, including amounts due for labor, materials, and fringe benefits.
  • Understand the Legal Implications: Be aware that providing false information can lead to criminal and civil penalties. Honesty is crucial.
  • Signature Requirements: The form must be signed by an authorized person, which may be an officer or an agent of the company.
  • Notarization: Ensure the document is notarized. This adds an additional layer of authenticity and legality to the statement.
  • Reverse Side Information: Review the reverse side of the form for any additional requirements or disclosures that must be included.
  • Use the Waiver Wisely: If applicable, understand the conditions of the full conditional waiver and ensure it is filled out correctly when payment is received.

Completing the Michigan Sworn Statement form accurately and thoroughly helps to protect the rights of all parties involved in a construction project. It also ensures compliance with state regulations, minimizing the risk of disputes.