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Application and Certificate for Payment
ProjectMaple Residence
OwnerMaple Residence, LLC
Application No.8
Period toMay 21 – Jun 20, 2026
Contract sum
1Original contract sum$1,200,000.00
2Net change by change orders$45,300.00
3Contract sum to date (1 +/- 2)$1,245,300.00
4Total completed & stored to date$775,820.00
5Retainage$62,265.00
5aa. 5% of completed work$58,890.00
5bb. 5% of stored material$3,375.00
6Total earned less retainage (4 - 5)$713,555.00
7Less previous certificates$622,074.50
8Current payment due$91,480.50
9Balance to finish, incl. retainage$531,745.00
Change Order Summary
Change Order Summary
Additions$45,300.00
Deductions$0.00
Net change$45,300.00
Certification
· locked· requiredThe undersigned certifies that to the best of the Contractor's knowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued, and that current payment shown herein is now due.
Signature
· locked· requiredsignature.contractor
DateJune 20, 2026
Continuation
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