Form 110: Contractor's Declaration to Procure Payment (Reusable PDF Format)
The Contractor's Declaration to Procure Payment is used by a general or subcontractor to list all suppliers of materials or labor. This is to assure that all persons contributing to the job have been paid for their materials and services.
The Contractor's Declaration to Procure Payment has the effect of minimizing the exposure to unknown lien claims. The declarant must state the names of all persons or firms that did work for him (or supplied him with materials) on the project mentioned. Omissions of names can result in prosecution.
Click here to see a sample of the form.
This Adobe Acrobat (pdf) file can be saved an unlimited number of times with all the specific contract data you enter intact.
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