Authorized Signer. Title: Date: The individual who has before me signed the foregoing Sworn Statement on the date shown, being first duly sworn, deposes and says that they are authorized to execute the foregoing on behalf of the Subcontractor indicated above and that the statements contained herein are true: Subscribed and sworn to before me this day of , . Notary Public Typed or Printed Name My Commission Expires: SEAL SCHEDULE "I" SECOND TIER SUBCONTRACTORS AND SUPPLIERS LIST SWORN STATEMENT Project No: The affiant, (1) , being first duly sworn on oath deposes and says that he is (2) of (3) who has contracted with and for the benefit of (4) Wohlsen Construction Company for (5) ("Work") on the following described premises: (6)
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Authorized Signer. Title: Date: The individual who has before me signed the foregoing Sworn Statement on the date shown, being first duly sworn, deposes and says that they are authorized to execute the foregoing on behalf of the Subcontractor indicated above and that the statements contained herein are true: Subscribed and sworn to before me this day of , . Notary Public Typed or Printed Name My Commission Expires: SEAL SCHEDULE "I" SECOND TIER SUBCONTRACTORS AND SUPPLIERS LIST SWORN STATEMENT Project No: The affiant, (1) , being first duly sworn on oath deposes and says that he is (2) of (3) who has contracted with and for the benefit of (4) Wohlsen Construction Company for (5) ("Work") on the following described premises: (6)) SAMPLE
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Authorized Signer. Title: Date: The individual who has before me signed the foregoing Sworn Statement on the date shown, being first duly sworn, deposes and says that they are authorized to execute the foregoing on behalf of the Subcontractor indicated above and that the statements contained herein are true: Subscribed and sworn to before me this day of , . Notary Public Typed or Printed Name My Commission Expires: SEAL SCHEDULE "I" SECOND TIER SUBCONTRACTORS AND SUPPLIERS LIST SWORN N STATEMENT Project No: The affiant, (1) , being first duly sworn on oath deposes and says that he is (2) of (3) who has contracted with and for the benefit of (4) Wohlsen Construction Company for (5) ("Work") on the following described premises: (6)) SAMPLE
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Samples: wohlsenconstruction.com
Authorized Signer. Title: Date: The individual who has before me signed the foregoing Sworn Statement on the date shown, being first duly sworn, deposes and says that they are authorized to execute the foregoing on behalf of the Subcontractor indicated above and that the statements contained herein are true: Subscribed and sworn to before me this day of , . Notary Public Typed or Printed Name My Commission Expires: SEAL SCHEDULE "I" SECOND TIER SUBCONTRACTORS AND SUPPLIERS LIST SWORN STATEMENT Project No: The affiant, (1) , being first duly sworn on oath deposes and says that he is (2) of (3) J who has contracted with and for the benefit of (4) Wohlsen Construction Company for (5) ("Work") on the following described premises: (6)) . SAMPLE
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Samples: wohlsenconstruction.com