Standard Form 1440 - Application For Partial Payment

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OMB No.: 9000-0012
Expires:
05/31/98
For use by Prime Contractor or Subcontractor under contracts terminated for the convenience of the Government
CONTRACTOR WHO SENT NOTICE OF TERMINATION
IF CONTRACTOR HAS GUARANTEED LOANS OR HAS ASSIGNED
MONEYS DUE UNDER THE CONTRACT, GIVE THE FOLLOWING:
SECTION I - STATUS OF CONTRACT OR ORDER AT EFFECTIE DATE OF TERMINATION
UNFINISHED OR NOT
TOTAL
COMMENCED
ON HAND
PRODUCTS COVERED BY TERMINATED
COVERED BY
CONTRACT OR PURCHASE ORDER
CONTRACT
OR ORDER
SECTION II - APPLICANT'S OWN TERMINATION CHARGES
(Exclusive of its Subcontractors' Charges)
ACCEPTABLE FURNISHED PRODUCT (at contract price)
WORK-IN-PROCESS
RAW MATERIALS, PURCHASED PARTS, AND SUPPLIES
GENERAL AND ADMINISTRATIVE EXPENSES
TOTAL (Sum of lines 1, 2, 3, and 4)
SPECIAL TOOLING AND SPECIAL TEST EQUIPMENT
OTHER COSTS
SETTLEMENT EXPENSES
TOTAL (Sum of lines 5, 6, 7, and 8)
SUBCONTRACTOR SETTLEMENTS APPROVED BY CONTRACTING OFFICER OR SETTLED
UNDER A DELEGATION OF AUTHORITY AND PAID BY APPLICANT
UNLIQUIDATED PARTIAL, PROGRESS, AND ADVANCE PAYMENTS RECEIVED
DISPOSAL AND OTHER CREDITS
TOTAL (Sum of lines a and b)
AMOUNT OF PARTIAL PAYMENT REQUESTED
TOTAL (Sum of lines c and d)

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