Polk County Request for a Sworn Statement of Account Form (Florida)

The following Florida and Polk County supplemental forms are included as a courtesy with your order:

When using these Request for a Sworn Statement of Account forms, the subject real estate must be physically located in Polk County. The executed documents should then be recorded in one of the following offices:

Local jurisdictions located in Polk County include:

• Alturas
• Auburndale
• Babson Park
• Bartow
• Bradley
• Davenport
• Dundee
• Eagle Lake
• Eaton Park
• Fort Meade
• Frostproof
• Haines City
• Highland City
• Homeland
• Indian Lake Estates
• Kathleen
• Kissimmee
• Lake Alfred
• Lake Hamilton
• Lake Wales
• Lakeland
• Lakeshore
• Loughman
• Mulberry
• Nalcrest
• Nichols
• Polk City
• River Ranch
• Waverly
• Winter Haven

What is a request for a sworn statement of account?

Under section 713.16 Fla. Stat. (2016), a statutory Request for a Sworn Statement of Account is used by property owners in response to a notice of intent to place a lien on the owner's property.

The request is addressed to the lienor and contains a description of the owner's property, the name of the contractor, and the name of the lienor's customer (if different from the owner). The form is then signed and dated by the owner. The demand to the lienor must be served on the lienor at the address (and to the attention) of any person designated to receive the demand as stated in the notice to owner. Failure or refusal to provide the statement as directed will not deprive the lienor of his or her lien. (713.16(2)).

A response to the form from the contractor must include a written statement, given under oath, of his or her account showing the nature of the labor or services performed and to be performed, if any, the materials furnished, the materials to be furnished, if known, the amount paid on account to date, the amount due, and the amount to become due, if known, as of the date of the statement for the improvement of the identified real property. (713.16(2)).

The lienor must furnish the requested statement within 30 days of receipt. If the lienor furnishes a false or misleading statement, the lienor will lose the right to recover attorney's fees in any action to enforce the claim of lien. See 713.16(5)(b).

Each case is unique, so contact an attorney with questions about the sworn statement of account, for complex situations, or any other issues relating to Florida's Construction Lien Law.

Our Promise

The documents you receive here will meet, or exceed, the Polk County recording requirements for formatting. If there's an issue caused by our formatting, we'll make it right and refund your payment.

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Get your Polk County Request for a Sworn Statement of Account form done right the first time with Deeds.com Uniform Conveyancing Blanks. At Deeds.com, we understand that your time and money are valuable resources, and we don't want you to face a penalty fee or rejection imposed by a county recorder for submitting nonstandard documents. We constantly review and update our forms to meet rapidly changing state and county recording requirements for roughly 3,500 counties and local jurisdictions.

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