Your AIA G702/G703 Preview
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APPLICATION AND CERTIFICATE FOR PAYMENT
G702
Project
Application No.
Project No.
Period To
Architect Project No.
Date
Contractor
Owner
Architect
Contractor's Application for Payment
Change Order Summary
| Additions | Deductions | |
|---|---|---|
| Approved Change Orders | ||
| Net Change | ||
Contractor's Certification
The undersigned contractor certifies that the work covered by this application for payment has been completed in accordance with the contract documents, and that the current payment shown is now due.
Contractor's Signature
Date
Printed Name & Title
Architect's Certificate for Payment
Based on observations of the work in place and the data in this application, the undersigned architect certifies that to the best of the architect's knowledge the contractor has performed the work in accordance with the contract documents.
Architect's Signature
Date
Printed Name & Title
Notary Public
State of _________________ · County of _________________
Notary Public — Signature & Commission Expires
Subscribed and Sworn Before Me
NOT AN OFFICIAL AIA DOCUMENT — This is a free template inspired by the layout of AIA Documents G702 and G703. Official AIA documents are published by the American Institute of Architects and must be purchased from AIA or an authorized distributor.
CONTINUATION SHEET — SCHEDULE OF VALUES
G703
Project:
Application No.:
| A Item | B Description of Work | C Sched. Value | D From Previous | E This Period | F Stored Mat. | G Total + Stored | H % | I Balance to Finish | J Retain- age |
|---|
NOT AN OFFICIAL AIA DOCUMENT — This is a free template inspired by the layout of AIA Documents G702 and G703. Official AIA documents are published by the American Institute of Architects and must be purchased from AIA or an authorized distributor.