Form 5060 - Statement Of Contracts Awarded By General Contractors And Subcontractors
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STATE OF DELAWARE
STATEMENT OF CONTRACTS
AWARDED BY GENERAL CONTRACTORS
Department of Finance
Print Form
AND SUBCONTRACTORS
Division of Revenue
P.O. Box 8911
FORM 5060
REV CODE
0028-16
Wilmington, Delaware 19899-8911
THIS FORM MUST BE COMPLETED BY ALL CONTRACTORS WHO USE NON-RESIDENT SUBCONTRACTORS
1.
Enter Federal Employee Identification Number
OR
Social Security Number
1
-
2
-
-
2.
Name
(Submitted by:
General Contractor
Architect
Engineer
{Circle One})
3.
Business Name if Different from Above
4.
Business Location Address
5.
Location of Project
City
State
Zip Code
City
State
Zip Code
6.
Contract have been awarded to the following nonresident contractors and nonresident subcontractors:
Name & Address
Date of Award:
1
DE Business License No.
Employer ID No.
Amount of Contract
Business Code
Date of Award:
2
DE Business License No.
Employer ID No.
Amount of Contract
Business Code
Date of Award:
3
Employer ID No.
DE Business License No.
Amount of Contract
Business Code
Date of Award:
4
Employer ID No.
DE Business License No.
Amount of Contract
Business Code
Date of Award:
5
Employer ID No.
DE Business License No.
Amount of Contract
Business Code
(See back of return for additional space.)
Signature
Title
Telephone No.
Date
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