{"text_format":"1","workbook":"xlsx","n_sheets":4,"sheets":["Sheet1","Sworn Statement","Full Unconditional","Partial Unconditional"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":0,"defined_names":0,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Sheet1","index":0,"n_rows":128,"n_cols":26,"rows_kept":128,"cut":false,"hidden":true,"merged":[[10,0,12,25],[6,12,6,15],[6,18,6,22],[17,0,21,25],[23,0,25,25],[26,0,27,25],[28,0,28,25],[72,22,72,23],[72,24,72,25],[64,18,64,19],[64,20,64,21],[62,22,62,23],[62,24,62,25],[63,12,63,13],[63,14,63,15],[63,18,63,19],[63,20,63,21],[63,22,63,23],[63,24,63,25],[62,12,62,13],[60,1,60,7],[61,1,61,7],[72,12,72,13],[72,14,72,15],[72,18,72,19],[72,20,72,21],[64,22,64,23],[64,24,64,25],[65,12,65,13],[65,14,65,15],[65,18,65,19],[65,20,65,21],[65,22,65,23],[65,24,65,25],[64,12,64,13],[64,14,64,15],[67,24,67,25],[62,14,62,15],[62,18,62,19],[62,20,62,21],[60,22,60,23],[60,24,60,25],[61,12,61,13],[61,14,61,15],[61,18,61,19],[61,20,61,21],[61,22,61,23],[61,24,61,25],[60,12,60,13],[60,14,60,15],[60,18,60,19],[60,20,60,21],[60,16,60,17],[61,16,61,17],[62,16,62,17],[56,1,56,7],[57,1,57,7],[58,22,58,23],[58,24,58,25],[59,12,59,13],[59,14,59,15],[59,18,59,19],[59,20,59,21],[59,22,59,23],[59,24,59,25],[58,12,58,13],[58,14,58,15],[58,18,58,19],[58,20,58,21],[58,16,58,17],[59,16,59,17],[58,1,58,7],[59,1,59,7],[56,22,56,23],[56,24,56,25],[57,12,57,13],[57,14,57,15],[57,18,57,19],[57,20,57,21],[57,22,57,23],[57,24,57,25],[56,12,56,13],[56,14,56,15],[56,18,56,19],[56,20,56,21],[56,16,56,17],[57,16,57,17],[52,1,52,7],[53,1,53,7],[54,22,54,23],[54,24,54,25],[55,12,55,13],[55,14,55,15],[55,18,55,19],[55,20,55,21],[55,22,55,23],[55,24,55,25],[54,12,54,13],[54,14,54,15],[54,18,54,19],[54,20,54,21],[54,16,54,17],[55,16,55,17],[54,1,54,7],[55,1,55,7],[52,22,52,23],[52,24,52,25],[53,12,53,13],[53,14,53,15],[53,18,53,19],[53,20,53,21],[53,22,53,23],[53,24,53,25],[52,12,52,13],[52,14,52,15],[52,18,52,19],[52,20,52,21],[52,16,52,17],[53,16,53,17],[53,8,53,11],[54,8,54,11],[55,8,55,11],[48,8,48,11],[49,8,49,11],[48,16,48,17],[49,16,49,17],[49,1,49,7],[50,22,50,23],[50,24,50,25],[51,12,51,13],[51,14,51,15],[51,18,51,19],[51,20,51,21],[51,22,51,23],[51,24,51,25],[50,12,50,13],[50,14,50,15],[50,18,50,19],[50,20,50,21],[50,8,50,11],[51,8,51,11],[50,16,50,17],[51,16,51,17],[50,1,50,7],[51,1,51,7],[48,22,48,23],[48,24,48,25],[49,12,49,13],[49,14,49,15],[49,18,49,19],[49,20,49,21],[49,22,49,23],[49,24,49,25],[48,12,48,13],[48,14,48,15],[48,18,48,19],[48,20,48,21],[46,22,46,23],[46,24,46,25],[47,12,47,13],[47,14,47,15],[47,18,47,19],[47,20,47,21],[47,22,47,23],[47,24,47,25],[46,12,46,13],[46,14,46,15],[46,18,46,19],[46,20,46,21],[46,16,46,17],[47,16,47,17],[42,8,42,11],[43,8,43,11],[42,16,42,17],[43,16,43,17],[44,22,44,23],[44,24,44,25],[45,12,45,13],[45,14,45,15],[45,18,45,19],[45,20,45,21],[45,22,45,23],[45,24,45,25],[44,12,44,13],[44,14,44,15],[44,18,44,19],[44,20,44,21],[44,8,44,11],[45,8,45,11],[44,16,44,17],[45,16,45,17],[42,22,42,23],[42,24,42,25],[43,12,43,13],[43,14,43,15],[43,18,43,19],[43,20,43,21],[43,22,43,23],[43,24,43,25],[42,12,42,13],[42,14,42,15],[42,18,42,19],[42,20,42,21],[38,8,38,11],[39,8,39,11],[38,16,38,17],[39,16,39,17],[40,22,40,23],[40,24,40,25],[41,12,41,13],[41,14,41,15],[41,18,41,19],[41,20,41,21],[41,22,41,23],[41,24,41,25],[40,12,40,13],[40,14,40,15],[40,18,40,19],[40,20,40,21],[38,24,38,25],[39,12,39,13],[39,14,39,15],[39,18,39,19],[39,20,39,21],[39,22,39,23],[39,24,39,25],[38,12,38,13],[38,14,38,15],[38,18,38,19],[38,20,38,21],[36,8,36,11],[37,8,37,11],[36,16,36,17],[37,16,37,17],[40,8,40,11],[41,8,41,11],[40,16,40,17],[41,16,41,17],[38,22,38,23],[35,16,35,17],[36,24,36,25],[37,12,37,13],[37,14,37,15],[37,18,37,19],[37,20,37,21],[37,22,37,23],[37,24,37,25],[36,12,36,13],[36,14,36,15],[36,18,36,19],[36,20,36,21],[36,22,36,23],[56,8,56,11],[57,8,57,11],[32,24,32,25],[33,12,33,13],[33,14,33,15],[33,18,33,19],[33,20,33,21],[35,12,35,13],[35,14,35,15],[35,18,35,19],[35,20,35,21],[35,22,35,23],[35,24,35,25],[33,22,33,23],[33,24,33,25],[34,12,34,13],[34,14,34,15],[34,18,34,19],[34,20,34,21],[34,22,34,23],[34,24,34,25],[34,8,34,11],[35,8,35,11],[34,16,34,17],[30,20,30,21],[30,22,30,23],[30,24,30,25],[31,24,31,25],[31,22,31,23],[31,20,31,21],[31,18,31,19],[31,14,31,15],[30,8,30,11],[30,12,30,13],[30,16,30,17],[31,16,31,17],[31,12,31,13],[31,8,31,11],[30,14,30,15],[30,18,30,19],[4,8,4,25],[66,18,66,19],[66,20,66,21],[66,22,66,23],[66,24,66,25],[30,1,30,7],[31,1,31,7],[32,1,32,7],[33,1,33,7],[34,1,34,7],[35,1,35,7],[36,1,36,7],[37,1,37,7],[38,1,38,7],[39,1,39,7],[40,1,40,7],[41,1,41,7],[42,1,42,7],[43,1,43,7],[44,1,44,7],[45,1,45,7],[46,1,46,7],[66,8,66,11],[64,8,64,11],[65,8,65,11],[46,8,46,11],[47,8,47,11],[32,14,32,15],[32,18,32,19],[32,20,32,21],[32,22,32,23],[72,1,72,7],[72,16,72,17],[66,12,66,13],[66,14,66,15],[66,16,66,17],[32,8,32,11],[33,8,33,11],[32,12,32,13],[72,8,72,11],[58,8,58,11],[59,8,59,11],[60,8,60,11],[61,8,61,11],[62,8,62,11],[63,8,63,11],[52,8,52,11],[68,1,68,7],[0,0,2,9],[67,1,67,7],[67,8,67,11],[67,12,67,13],[67,14,67,15],[67,16,67,17],[67,18,67,19],[67,20,67,21],[67,22,67,23],[14,2,14,9],[14,16,14,22],[15,14,15,17],[62,1,62,7],[63,1,63,7],[64,1,64,7],[65,1,65,7],[66,1,66,7],[47,1,47,7],[48,1,48,7],[63,16,63,17],[64,16,64,17],[65,16,65,17],[32,16,32,17],[33,16,33,17],[68,8,68,11],[68,12,68,13],[68,14,68,15],[68,16,68,17],[68,18,68,19],[68,20,68,21],[68,22,68,23],[68,24,68,25],[69,1,69,7],[69,8,69,11],[69,12,69,13],[69,14,69,15],[69,16,69,17],[69,18,69,19],[69,20,69,21],[69,22,69,23],[69,24,69,25],[70,8,70,11],[70,12,70,13],[70,14,70,15],[70,16,70,17],[70,18,70,19],[70,20,70,21],[70,22,70,23],[70,24,70,25],[93,3,93,6],[74,0,75,25],[76,0,76,17],[76,18,76,21],[76,22,76,25],[77,0,79,25],[71,1,71,7],[71,8,71,11],[71,12,71,13],[71,14,71,15],[71,16,71,17],[71,18,71,19],[71,20,71,21],[71,22,71,23],[71,24,71,25],[70,1,70,7],[96,1,96,11],[96,14,96,17],[100,8,100,9],[100,12,100,17],[100,10,100,11],[100,20,100,21],[103,2,103,15],[81,0,85,25],[87,0,88,25],[123,1,123,12],[123,14,123,18],[126,2,126,12],[127,2,127,12],[105,2,105,10],[107,6,107,10],[109,6,109,10],[115,1,115,12],[116,1,116,12],[115,13,115,25],[116,13,116,25],[117,1,118,25],[119,1,119,17],[119,18,119,25]]}
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,"SWORN STATEMENT - CONTRACTOR OR SUBCONTRACTOR"]
[]
[null,null,null,null,null,null,null,null,null,"Commitment No. ",null,null,null,null,null,null,"  Lender",null,null,null,null,null,null,"  Draw No.",null,1]
[]
[]
[]
["WARNING TO OWNER: AN OWNER OR LESSEE OF THE DESCRIBED PROPERTY MAY OT RELY ON THIS SWORN STATEMENT TO AVOID THE CLAIM OF A SUBCONTRACTOR, SUPPLIER, OR LABORER WHO HAS PROVIDED A NOTICE OF FURNISHING PURSUANT TO SECTION 109 OF THE CONSTRUCTION LIEN ACT TO THE DESIGNEE OR TO THE OWNER OR LESSEE IF THE DESIGNEE IS NOT NAMED OR HAS DIED."]
[]
[]
[]
["(1) That ",null,null,null,null,null,null,null,null,null,"being duly sworn, deposes and says",null,null,null,null,null,null,null,null,null,null,null,null,"is the","contractor/"]
["subcontractor for an improvement to the following described real property situated in ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"County, Michigan, described as follows:"]
[]
[]
[]
[]
[]
[]
[]
["(2) 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 has contracted/subcontracted for performance under the contract with the owner or lessee 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:"]
[]
[]
["Note 1: Some columns are not applicable if listed type of improvement is not being provided by a subcontractor or supplier of contractor or subcontractor executing this sworn statement."]
[]
["Note 2: All contract and payment information must be completed for each applicable column."]
[]
["No.","Subcontractor, Supplier or Laborer",null,null,null,null,null,null,"Type of Improvement Furnished",null,null,null,"Total Contract Price",null,"Change Orders (+) or (-)",null,"Adjusted Contract Amount",null,"Amount Already Paid",null,"Current Request",null,"Retainage",null,"Balance to Complete"]
[1,null,null,null,null,null,null,null,"Architectural Services",null,null,null,null,null,null,null,{"$f":"M32+O32","v":0},null,null,null,null,null,null,null,{"$f":"IF(Q32<>0,Q32-S32-U32,M32-S32-U270)","v":0}]
[2,null,null,null,null,null,null,null,"Excavating"]
[3,null,null,null,null,null,null,null,"Sand/Gravel/backfill"]
[4,null,null,null,null,null,null,null,"Basement Walls"]
[5,null,null,null,null,null,null,null,"Structural Steel"]
[6,null,null,null,null,null,null,null,"Rough Lumber/Trusses"]
[7,null,null,null,null,null,null,null,"Finish Lumber"]
[8,null,null,null,null,null,null,null,"Rouch Carpentry"]
[9,null,null,null,null,null,null,null,"Finish Carpentry"]
[10,null,null,null,null,null,null,null,"Windows & Doors"]
[11,null,null,null,null,null,null,null,"Roofing Labor/Material"]
[12,null,null,null,null,null,null,null,"Insulation"]
[13,null,null,null,null,null,null,null,"Brick"]
[14,null,null,null,null,null,null,null,"Mason Labor/Material"]
[15,null,null,null,null,null,null,null,"Siding"]
[16,null,null,null,null,null,null,null,"Rough Plumbing"]
[17,null,null,null,null,null,null,null,"Finish Plumbing"]
[18,null,null,null,null,null,null,null,"Rough Electrical"]
[19,null,null,null,null,null,null,null,"Finish Electrical"]
[20,null,null,null,null,null,null,null,"Drywall Labor"]
[21,null,null,null,null,null,null,null,"Drywall Materal"]
[22,null,null,null,null,null,null,null,"Cement Work - Inside"]
[23,null,null,null,null,null,null,null,"Cement Work - Outside"]
[24,null,null,null,null,null,null,null,"Rough Heating/Air"]
[25,null,null,null,null,null,null,null,"Finish Heating/Air"]
[26,null,null,null,null,null,null,null,"Ceramic Tile"]
[27,null,null,null,null,null,null,null,"Painint Labor/Materials"]
[28,null,null,null,null,null,null,null,"Kitchen Cabinets"]
[29,null,null,null,null,null,null,null,"Countertops"]
[30,null,null,null,null,null,null,null,"Garage Door"]
[31,null,null,null,null,null,null,null,"Final Grading"]
[32,null,null,null,null,null,null,null,"Electrical Fixtures"]
[33,null,null,null,null,null,null,null,"Carpeting"]
[34,null,null,null,null,null,null,null,"Floor Covering"]
[35,null,null,null,null,null,null,null,"Built-in Appliances"]
[36,null,null,null,null,null,null,null,"Well/Septic Service"]
[37]
[38]
[39]
[40]
[41]
[null,null,null,null,null,null,null,null,"TOTALS:",null,null,null,{"$f":"SUM(M32:N70)","v":0},null,{"$f":"SUM(O32:P70)","v":0},null,{"$f":"SUM(Q32:R70)","v":0},null,{"$f":"SUM(S32:T70)","v":0},null,{"$f":"SUM(U32:V70)","v":0},null,{"$f":"SUM(W32:X70)","v":0},null,{"$f":"SUM(Y32:Z70)","v":0}]
[]
["(3) That the contractor has not procured material from, or subcontracted with, any person other than those set forth above and owes no money for the improvement other than the sums set forth above."]
[]
["(4) Deponent further sayas that he or she makes the foregoing statement as the contractor/subcontractor or as ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," of the contractor/"]
["subcontractor for the purpose of representing to the owner or lessee of the above-described property is free from claims of construction liens, or the possibility of construction liens, except as specifically set forth above and except for claims of construction liense y laborers which may be provided pursuant to Section 109 of the Construction Lien Act, Act No. 497 of the PUblic Acts of 1980, as amended, being Section 570.1109 of the Michigan Coplied Laws."]
[]
[]
[]
["On receipt of this Sworn Statement, the owner or lessee, or the owner's or lessee's designee, must give notice of its receipt, either in writing, by telephone, or personally, to each subcontractor, supplier, and laborer who has provided a Notice of Furnishing under Section 109 or, if a notice of furnishing is excused under Section 108 or 108a, to each subcontractor, suppliers, and laborers named in the Sworn Statement. If a subcontractor, supplier or laborer who has provided a Notice of Furnishing or who is named in the Sworn Statement makes a request, the owner, lessee, or designee shall provide the requester a copy of the Sworn Statement within 10 business days after receiving the request."]
[]
[]
[]
[]
[]
["WARNING TO DEPONENT: A PERSON, WHO WITH INTENT TO DEFRAUD, GIVES A FALSE SWORN STATEMENT IS SUBJECT TO CRIMINAL PENALTIES AS PROVIDED IN SECTION 110 OF THE CONSTRUCTION LIEN ACT, ACT NO. 497 OF THE PUBLIC ACTS OF 1980, AS AMENDED, BEING SECTION 570.1110 OF THE MICHIGAN COMPILED LAWS."]
[]
[]
[]
[null,"STATE OF MICHIGAN",null,null,null,null,null,")"]
[null,null,null,null,null,null,null,") SS."]
[null,"COUNTY OF ",null,null,null,null,null,")"]
[]
[]
[]
[null,"Deponent Signature",null,null,null,null,null,null,null,null,null,null,null,null,"Date"]
[]
[]
[null,"Subscribed and sworn to before me this",null,null,null,null,null,null,null,null," day of",null,null,null,null,null,null,null,null,20]
[]
[]
[null,"By:"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"Notary Public"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"County, Michigan"]
[]
[null,"My commission expires: "]
[]
[]
[]
[]
[]
[null,"asdf",null,null,null,null,null,null,null,null,null,null,null," (Contractor/Subcontractor), hereby agrees to indemnify and hold"]
[null,null,null,null,null,null,null,null,null,null,null,null,null," (Underwriter) harmless against any lien, claim or suit of or by any subcontractor,"]
[null,"supplier, laborer or other construction lien claimant if said lien, claim or suit is asserted by a claimant whose compensation for services or materials furnished was, or should have been, received whether directly or indirectly out of funds paid pursuant hereto. This indemnity includes, but is not limited to,"]
[]
[null,"a reimbursement of all legal fees and other reasonable expenses connected with the proper defense by"]
[null,"of its insureds against claims of construction liens."]
[]
[]
[]
[null,"Signature",null,null,null,null,null,null,null,null,null,null,null,null,"Date"]
[]
[null,"By: "]
[null,"Its:","asdf"]

{"sheet":"Sworn Statement","index":1,"n_rows":85,"n_cols":26,"rows_kept":85,"cut":false,"hidden":false,"merged":[[81,2,81,16],[82,1,82,16],[83,5,83,14],[84,6,84,12],[84,21,84,26],[76,20,76,25],[77,1,77,9],[77,11,77,16],[78,1,78,9],[78,11,78,16],[80,7,80,10],[80,12,80,15],[78,21,78,25],[67,2,67,8],[67,9,67,14],[68,2,68,14],[71,18,71,26],[72,1,74,16],[72,18,74,26],[64,2,64,8],[64,9,64,14],[65,2,65,8],[65,9,65,14],[66,2,66,8],[66,9,66,14],[61,2,61,8],[61,9,61,14],[62,2,62,8],[62,9,62,14],[63,2,63,8],[63,9,63,14],[58,2,58,8],[58,9,58,14],[59,2,59,8],[59,9,59,14],[60,2,60,8],[60,9,60,14],[55,2,55,8],[55,9,55,14],[56,2,56,8],[56,9,56,14],[57,2,57,8],[57,9,57,14],[52,2,52,8],[52,9,52,14],[53,2,53,8],[53,9,53,14],[54,2,54,8],[54,9,54,14],[49,2,49,8],[49,9,49,14],[50,2,50,8],[50,9,50,14],[51,2,51,8],[51,9,51,14],[46,21,46,22],[46,25,46,26],[47,2,47,8],[47,9,47,14],[48,2,48,8],[48,9,48,14],[44,1,44,17],[46,2,46,8],[46,9,46,14],[46,15,46,16],[46,17,46,18],[46,19,46,20],[39,2,39,8],[39,9,39,14],[40,2,40,8],[40,9,40,14],[41,2,41,14],[43,21,43,26],[36,2,36,8],[36,9,36,14],[37,2,37,8],[37,9,37,14],[38,2,38,8],[38,9,38,14],[33,2,33,8],[33,9,33,14],[34,2,34,8],[34,9,34,14],[35,2,35,8],[35,9,35,14],[30,2,30,8],[30,9,30,14],[31,2,31,8],[31,9,31,14],[32,2,32,8],[32,9,32,14],[27,2,27,8],[27,9,27,14],[28,2,28,8],[28,9,28,14],[29,2,29,8],[29,9,29,14],[24,2,24,8],[24,9,24,14],[25,2,25,8],[25,9,25,14],[26,2,26,8],[26,9,26,14],[21,2,21,8],[21,9,21,14],[22,2,22,8],[22,9,22,14],[23,2,23,8],[23,9,23,14],[18,2,18,8],[18,9,18,14],[19,2,19,8],[19,9,19,14],[20,2,20,8],[20,9,20,14],[14,25,14,26],[15,2,15,8],[15,9,15,14],[16,2,16,8],[16,9,16,14],[17,2,17,8],[17,9,17,14],[14,2,14,8],[14,9,14,14],[14,15,14,16],[14,17,14,18],[14,19,14,20],[14,21,14,22],[7,6,7,12],[7,15,9,26],[9,7,9,10],[10,0,10,4],[10,8,10,12],[10,15,13,26],[11,0,11,12],[12,5,12,12],[1,1,1,26],[2,5,2,7],[2,15,6,26],[3,2,3,12],[4,3,4,12],[5,2,5,12],[6,6,6,12]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"After making changes, Click Here to:"]
[null,"SWORN STATEMENT"]
["Commitment No.:",null,null,null,null,null,null,null,"Draw#:",null,null,1,null,null,null," \nThat the following is a complete statement of each contractor, subcontractor, supplier, and laborer, for which laborer the payment of wages or fringe benefits and withholdings is due but unpaid, and for which laborer the payment of fringe benefits and withholdings is earned by unpaid, with whom the (contractor) (subcontractor) has (contracted) (subcontracted) for performance under the contract with the owner or lessee thereof, and that the amount due to the persons as of the date hereof are correctly and fully set forth opposite their names."]
["Lender:"]
["Bank Officer:"]
["Owner:"]
["State  of  Michigan,  County  of",null,null,null,null,null,null,null,null,null,null,null,null,","]
["being duly sworn, deposes and says that",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"That (he) (she) has not employed or procured material from, contracted or subcontracted with, any person or persons, firm, or corporations other than those below-mentioned, and owes no monies for the construction of said buildings or improvements other than the sums set forth hereinafter."]
["is the (owner,  contractor, or  subcontractor) of/for an improvement to the following described real"]
["property situated in the",null,null,null,null,null,"of",null,null,null,null,", County of "]
[null,null,null,null,null,"Michigan, described as follows:",null,null,null,null,null,null,null,null,null,"That (he) (*she) makes the foregoing statements as the (owner) (contractor) (subcontractor) or as of the (owner) (contractor) (subcontractor) for the purpose of representing to the owner or lessee of the aforementioned premises and his or her agents and the mortgagee and Legacy Title Agency and Legacy Title's underwriter that the aforementioned property is free from claims of construction liens, or the possibility of construction liens, except as specifically set forth below."]
[]
["commonly known as:"]
[]
[null,null,"NAME OF\nSUBCONTRACTOR\nSUPPLIER, OR LABORER",null,null,null,null,null,null,"TYPE OF\nIMPROVEMENT\nFURNISHED",null,null,null,null,null,"TOTAL\nCONTRACT\nPRICE",null,"ADJUSTED\nCONTRACT\nAMOUNT",null,"AMOUNT\nALREADY\nPAID",null,"CURRENT\nREQUEST",null,"RETAINAGE",null,"BALANCE TO\nCOMPLETE"]
[null,1,null,null,null,null,null,null,null,"Architectural Services",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,{"$f":"IF(R16<>0,R16-T16-V16,P16-T16-V16)","v":0}]
[null,2,null,null,null,null,null,null,null,"Excavating",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,3,null,null,null,null,null,null,null,"Sand/Gravel/Backfill",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,4,null,null,null,null,null,null,null,"Basement Walls",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,5,null,null,null,null,null,null,null,"Structural Steel",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,6,null,null,null,null,null,null,null,"Rough Lumber/Trusses",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,7,null,null,null,null,null,null,null,"Finish Lumber",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,8,null,null,null,null,null,null,null,"Rough Carpentry",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,9,null,null,null,null,null,null,null,"Finish Carpentry",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,10,null,null,null,null,null,null,null,"Windows & Doors",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,11,null,null,null,null,null,null,null,"Roofing Labor/Material",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,12,null,null,null,null,null,null,null,"Insulation",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,13,null,null,null,null,null,null,null,"Brick",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,14,null,null,null,null,null,null,null,"Mason Labor/Material",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,15,null,null,null,null,null,null,null,"Siding Gutters",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,16,null,null,null,null,null,null,null,"Rough Plumbing",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,17,null,null,null,null,null,null,null,"Finish Plumbing",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,18,null,null,null,null,null,null,null,"Rough Electrical",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,19,null,null,null,null,null,null,null,"Finish Electrical",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,20,null,null,null,null,null,null,null,"Drywall Labor",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,21,null,null,null,null,null,null,null,"Drywall Material",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,22,null,null,null,null,null,null,null,"Cement Work-inside",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,23,null,null,null,null,null,null,null,"Cement Work-outside",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,24,null,null,null,null,null,null,null,"Rough Heating/Air",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,25,null,null,null,null,null,null,null,"Finish Heating/Air",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,26,null,null,null,null,null,null,null,"Ceramic Tile",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,null,"SUBTOTALS CONTINUED ON NEXT PAGE",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(P16:P41)","v":0},null,{"$f":"SUM(R16:R41)","v":0},null,{"$f":"SUM(T16:T41)","v":0},null,{"$f":"SUM(V16:V41)","v":0},null,{"$f":"SUM(X16:X41)","v":0},null,{"$f":"SUM(Z16:Z41)","v":0}]
[]
[]
[null,"WARNING TO OWNER:An owner or lessee of the above-described property may not rely on this sworn statement to avoid the claim of a subcontractor, supplier, or laborer who has provided a notice of furnishing or a laborer who may provide a notice of furnishing pursuant to section 109 of the construction lien act to the designee or to the owner of lessee if the designee is not named or has died."]
[]
[null,null,"NAME OF\nSUBCONTRACTOR\nSUPPLIER, OR LABORER",null,null,null,null,null,null,"TYPE OF\nIMPROVEMENT\nFURNISHED",null,null,null,null,null,"TOTAL\nCONTRACT\nPRICE",null,"ADJUSTED\nCONTRACT\nAMOUNT",null,"AMOUNT\nALREADY\nPAID",null,"CURRENT\nREQUEST",null,"RETAINAGE",null,"BALANCE TO\nCOMPLETE"]
[null,27,null,null,null,null,null,null,null,"Painting Labor/Material",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,{"$f":"IF(R48<>0,R48-T48-V48,P48-T48-V48)","v":0}]
[null,28,null,null,null,null,null,null,null,"Kitchen Cabinets",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,29,null,null,null,null,null,null,null,"Countertops",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,30,null,null,null,null,null,null,null,"Garage Door",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,31,null,null,null,null,null,null,null,"Final Grading",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,32,null,null,null,null,null,null,null,"Electrical Fixtures",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,33,null,null,null,null,null,null,null,"Carpeting",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,34,null,null,null,null,null,null,null,"Floor Covering",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,35,null,null,null,null,null,null,null,"Built-in Appliance",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,36,null,null,null,null,null,null,null,"Well",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,37,null,null,null,null,null,null,null,"Septic",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,38,null,null,null,null,null,null,null,"Fireplace",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,39,null,null,null,null,null,null,null,"Driveway Paving",null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,40,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,41,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,42,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,43,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,44,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,45,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,46,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,47,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,null,null,0]
[null,null,"TOTALS",null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(P48:P68,P42)","v":0},null,{"$f":"SUM(R48:R68,R42)","v":0},null,{"$f":"SUM(T48:T68,T42)","v":0},null,{"$f":"SUM(V48:V68,V42)","v":0},null,{"$f":"SUM(X48:X68,X42)","v":0},null,{"$f":"SUM(Z48:Z68,Z42)","v":0}]
[]
[]
[]
[null,"WARNING TO DEPONENT: A person, who with intent to defraud, gives a false sworn statement is subject to criminal penalties as provided in section 110 of the Construction Lien Act, Act No. 497 of the Public Acts of 1980, as amended, being section 570.1110 of the Michigan Compiled Laws. "]
[]
[]
[]
[]
[]
[null,"Deponent",null,null,null,null,null,null,null,null,null,"Date"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Date",null,null,"By"]
[null,"Subscribed and sworn to before me this ",null,null,null,null,null,null,null,null,null,"Day of",","]
[null,"by"]
[]
[null,"Notary Public",null,null,null,null,null,null,null,null,null,null,null,null,null,"County, Michigan.",null,null,null,null,null,null,null,null,null,"This Form is Provided To You By"]
[null,"My commission expires:"]

{"sheet":"Full Unconditional","index":2,"n_rows":28,"n_cols":10,"rows_kept":28,"cut":false,"hidden":false,"merged":[[26,0,26,9],[19,6,19,9],[20,6,20,9],[21,7,21,9],[22,5,22,9],[23,7,23,9],[25,0,25,9],[18,5,18,9],[4,0,4,9],[5,2,5,9],[6,2,6,9],[7,1,7,9],[8,5,9,9],[10,5,10,8],[11,0,11,9],[12,0,12,9],[13,0,13,9],[16,7,16,9],[17,7,17,9]]}
[]
[]
[]
[]
["FULL UNCONDITIONAL WAIVER OF LIEN"]
["My/our contract with",null,{"$f":"'Sworn Statement'!G8","v":0}]
[null,null,"(other contracting party)"]
["to provide"]
[null,null,null,null,null,{"$f":"'Sworn Statement'!F13","v":0}]
["for the improvement to the property described as:"]
[null,null,null,null,null,{"$f":"'Sworn Statement'!H10","v":0},null,null,null,",Michigan"]
[]
[]
[]
["having been fully paid and satisfied, all my/our construction lien rights against such property are hereby waived"]
["and released."]
[null,null,null,null,null,"Signed on:"]
[null,null,null,null,null,null,null,"(date)"]
[]
[null,null,null,null,null,"by:"]
[null,null,null,null,null,null,"(signature of lien claimant)"]
[null,null,null,null,null,"Address:"]
[]
[null,null,null,null,null,"Telephone:"]
[]
["DO NOT SIGN BLANK OR INCOMPLETE FORMS.    RETAIN A COPY"]
[]
["Form 3027-10  (Rev.7-82)"]

{"sheet":"Partial Unconditional","index":3,"n_rows":36,"n_cols":15,"rows_kept":36,"cut":false,"hidden":false,"merged":[[34,0,34,14],[20,5,21,6],[20,11,20,14],[21,8,22,14],[22,5,23,6],[23,9,24,14],[25,5,26,6],[25,9,25,14],[26,11,27,14],[28,5,29,6],[28,8,29,14],[30,5,31,6],[30,11,31,14],[33,0,33,14],[3,0,3,14],[18,11,19,14],[4,3,4,14],[6,1,6,14],[8,7,8,14],[9,7,9,13],[10,0,10,14],[11,0,11,14],[12,0,12,14],[13,0,13,11],[14,2,14,4],[14,12,14,14],[15,12,15,14]]}
[]
[]
[]
["PARTIAL UNCONDITIONAL WAIVER OF LIEN"]
["I / we have a contract with",null,null,{"$f":"'Sworn Statement'!G8","v":0}]
[null,null,null,null,null,null,null,"(other contracting party)"]
["to provide"]
[]
["for the improvement to the property described as:",null,null,null,null,null,null,{"$f":"'Sworn Statement'!F13","v":0}]
[null,null,null,null,null,null,null,{"$f":"'Sworn Statement'!H10","v":0},null,null,null,null,null,null,", Michigan"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"and hereby waive my / our construction"]
["lien to the amount of $",null,null,null,null,"for labor/materials provided through"]
[null,null,null,null,null,null,null,null,null,null,null,null,"(date)"]
["This waiver, together with all previous waivers, if any (check one) ",null,null,null,null,null,null,null,"does",null,null,"does not   cover all amounts due to me / us for"]
["contract Improvement provided through the date shown above:"]
[]
["STATEMENT OF ACCOUNT:",null,null,null,null,null,null,null,"Signed on:"]
[null,null,null,null,null,null,null,null,null,null,null,"(date)"]
["Contract Price",null,null,null,"$"]
[]
["Previously Paid",null,null,null,"$"]
[null,null,null,null,null,null,null,null,"by"]
[null,null,null,null,null,{"$f":"F21-F23","v":0},null,null,null,"(signature of lien claimant)"]
["Balance to Become Due",null,null,null,"$"]
[null,null,null,null,null,null,null,null,"Address"]
[]
["Labor Wages Due but Unpaid ",null,null,null,"$"]
["Labor Fringe Benefits & Withholdings"]
["Due but Unpaid",null,null,null,"$",null,null,null,"Telephone"]
[]
["DO NOT SIGN BLANK OR INCOMPLETE FORMS.       RETAIN A COPY"]
[]
["Form 3027-9"]