Form 1280 - Statement Of Payments Made By General Contractors To Subcontractors Page 2
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1
2
3Payments to Subcontractors
Month/Year
Name & Address
Employer ID No.
DE Business License No.
6
Amount of Payment
Business Code
Employer ID No.
DE Business License No.
7
Amount of Payment
Business Code
Employer ID No.
DE Business License No.
8
Business Code
Amount of Payment
Employer ID No.
DE Business License No.
9
Amount of Payment
Business Code
Employer ID No.
DE Business License No.
10
Amount of Payment
Business Code
Employer ID No.
DE Business License No.
11
Business Code
Amount of Payment
Employer ID No.
DE Business License No.
12
Amount of Payment
Business Code
DE Business License No.
Employer ID No.
13
Amount of Payment
Business Code
Employer ID No.
DE Business License No.
14
Amount of Payment
Business Code
Employer ID No.
DE Business License No.
15
Amount of Payment
Business Code
* Business Codes 331, 332, 333, 335, 336 or 337 only.
(Form 1280 - Revised 11/2007)
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Parent category: Financial