Whitestown, IN · Boone County
Contractor's Application and Certificate for Payment
This payment application documents a contractor’s completed work, retainage, prior payments, and current amount due for a construction project, and is submitted to the project owner for payment.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form itemizes contract amounts, completed and stored work, retainage, previous payment certificates, and the balance remaining. It includes the contractor’s certification that the work and payment information comply with the contract documents, plus a notarial jurat. For Padgett Commons, this application identifies the Town of Whitestown as owner and covers site infrastructure; submit it as required by the project contract and payment process.
Who needs it
The contractor applying for payment for Padgett Commons site infrastructure work needs to complete and submit this application with its supporting continuation sheet.
Why it needs a notary
The form carries a subscribed-and-sworn jurat; the contractor’s authorized signer must sign the application certification and swear to it before the notary.
How to get this notarized
- 1
Download the Form
Download the Application and Certificate for Payment and its referenced Continuation Sheet, Document G703.
- 2
Fill In Project Details
Complete the application fields and review the work, payment amounts, contractor certification, and supporting continuation sheet.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary for the contractor’s sworn certification.
- 4
Sign on Video
The contractor’s authorized signer takes the oath and signs the application during the video session.
- 5
Submit to the Project Owner
Submit the notarized application and required supporting documents through the project’s payment process.
Preview the form
The blank PDF straight from Whitestown. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the payment application?
- Enter the project and application details, review the payment calculations and continuation sheet, and complete the contractor certification. The contractor’s authorized signer must swear to the certification before signing with a notary.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a subscribed-and-sworn jurat, so the contractor’s authorized signer must take the oath and sign before a notary. Do not sign the certification beforehand.
- Can I use an online notary for this form?
- Indiana authorizes remote online notarization by a commissioned online notary. Book a session, show identification, and sign and take the oath during the video session; confirm with the city or town if unsure.
- What documents accompany this application?
- The form states that Continuation Sheet, Document G703, is attached. It also refers to an explanation if the amount certified differs from the amount applied for.