Payment Assignment - Office Of The New York State Comptroller (Page 2 of 2) in pdf

Payment Assignment - Office Of The New York State Comptroller Page 2

PAYMENT ASSIGNMENT

DATE ________________

NYS 7-DIGIT-CONTRACT NUMBER ________________________

NYS VENDOR ID#______________

TYPE OF ASSIGNMENT (Check one)

{ } All Monies Assignment (All monies remaining on contract)

{ } Partial Monies Assignment

Amount $____________

{ } Retainage Assignment

Amount $____________

NAME & ADDRESS OF ASSIGNEE

__________________________________________________________

NAME & ADDRESS OF ASSIGNOR

__________________________________________________________

•

The assignor (owner) will hold in trust sufficient moneys to be first

applied to the payment of trust claims as defined in section seventy-one

of the lien law, and apply such moneys to such payments only, before

completing the assignment. "Trust claims" means claims of

contractors, subcontractors, architects, engineers, surveyors, laborers

and materialmen arising out of the improvement, for which the owner is

obligated, and also means any obligation of the owner incurred in

connection with the improvement for a payment or expenditure defined

as cost of improvement

Sworn to before me this

_____________________

____Day of _________

ASSIGNOR’ S PRINTED NAME

___________________

_________________________________

ASSIGNOR’S SIGNATURE & TITLE

)

NOTARY PUBLIC

(Primary Contractor

Payment Assignment - Office Of The New York State Comptroller Page 2