Palm Beach County Request for a Sworn Statement of Account Form (Florida)
All Palm Beach County specific forms and documents listed below are included in your immediate download package:
Request for a Sworn Statement of Account Form

Fill in the blank form formatted to comply with all recording and content requirements.
Included Palm Beach County compliant document last validated/updated 6/16/2025
Request for a Sworn Statement of Account Guide

Line by line guide explaining every blank on the form.
Included Palm Beach County compliant document last validated/updated 6/26/2025
Completed Example of the Request for a Sworn Statement of Account Document

Example of a properly completed form for reference.
Included Palm Beach County compliant document last validated/updated 5/12/2025
The following Florida and Palm Beach 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 Palm Beach County. The executed documents should then be recorded in one of the following offices:
County Clerk/Comptroller: Recording Dept - Main Courthouse
205 North Dixie Hwy, Rm 4.25 / PO Box 4177, West Palm Beach, Florida 33401 / 33402-4177
Hours: 8:00am - 4:00pm M-F
Phone: (561) 355-2991
North County Courthouse
3188 PGA Blvd, Palm Beach Gardens, Florida 33410
Hours: 8:00 to 4:00 M-F
Phone: Document drop-off only
South County Courthouse
200 W Atlantic Ave, Delray Beach, Florida 33444
Hours: 8:00 to 4:00 M-F
Phone: Document drop-off only
West County Courthouse
2950 State Rd 15, Belle Glade, Florida 33430
Hours: 8:00 to 4:00 M-F
Phone: Document drop-off only
Midwestern Community Service Center
200 Civic Center Way, Suite 500, Royal Palm Beach, Florida 33411
Hours: 8:00 to 4:00 M-F
Phone: Document drop-off only
Local jurisdictions located in Palm Beach County include:
- Belle Glade
- Boca Raton
- Boynton Beach
- Bryant
- Canal Point
- Delray Beach
- Jupiter
- Lake Harbor
- Lake Worth
- Loxahatchee
- North Palm Beach
- Pahokee
- Palm Beach
- Palm Beach Gardens
- Royal Palm Beach
- South Bay
- West Palm Beach
How long does it take to get my forms?
Forms are available immediately after submitting payment.
How do I get my forms, are they emailed?
Immediately after you submit payment, the Palm Beach County forms you order will be available for download directly from your account. You can then download the forms to your computer. If you do not already have an account, one will be created for you as part of the order process, and your login details will be provided to you. If you encounter any issues accessing your forms, please reach out to our support team for assistance. Forms are NOT emailed to you.
What does "validated/updated" mean?
This indicates the most recent date when at least one of the following occurred:
- Updated: The document was updated or changed to remain compliant.
- Validated: The document was examined by an attorney or staff, or it was successfully recorded in Palm Beach County using our eRecording service.
Are these forms guaranteed to be recordable in Palm Beach County?
Yes. Our form blanks are guaranteed to meet or exceed all formatting requirements set forth by Palm Beach County including margin requirements, content requirements, font and font size requirements.
Can the Request for a Sworn Statement of Account forms be re-used?
Yes. You can re-use the forms for your personal use. For example, if you have more than one property in Palm Beach County that you need to transfer you would only need to order our forms once for all of your properties in Palm Beach County.
What are supplemental forms?
Often when a deed is recorded, additional documents are required by Florida or Palm Beach County. These could be tax related, informational, or even as simple as a coversheet. Supplemental forms are provided for free with your order where available.
What type of files are the forms?
All of our Palm Beach County Request for a Sworn Statement of Account forms are PDFs. You will need to have or get Adobe Reader to use our forms. Adobe Reader is free software that most computers already have installed.
Do I need any special software to use these forms?
You will need to have Adobe Reader installed on your computer to use our forms. Adobe Reader is free software that most computers already have installed.
Do I have to enter all of my property information online?
No. The blank forms are downloaded to your computer and you fill them out there, at your convenience.
Can I save the completed form, email it to someone?
Yes, you can save your deed form at any point with your information in it. The forms can also be emailed, blank or complete, as attachments.
Are there any recurring fees involved?
No. Nothing to cancel, no memberships, no recurring fees.
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 Palm Beach County recording requirements for formatting. If there's an issue caused by our formatting, we'll make it right and refund your payment.
Save Time and Money
Get your Palm Beach 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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June 30th, 2025
Great service! Recording was smooth and swiftly performed. Deeds.com is an excellent service.rn
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June 30th, 2025
Breeze.... It feels silly to hire an attorney to do this for just one beneficiary. Thanks.
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June 29th, 2025
Everything that was stated to be included in my order was complete. Very satisfied
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Sara S.
January 8th, 2021
Deed.com was very user friendly, made recording convenient and fast responses. I do recommend.
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Kimberly R.
January 8th, 2019
Very easy to use. Very informative. I think this is a very good service and is worth the $19 especially if you value time.
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February 7th, 2025
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February 3rd, 2021
very happy so far. Haven't gone to record deeds yet so am in good hopes everything will be in good order. Time saver!!!
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December 30th, 2020
excellent
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June 20th, 2022
So thankful I found this. I was feeling stressed out and reluctant about doing this on my own.
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August 24th, 2020
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October 29th, 2019
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January 20th, 2019
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February 1st, 2024
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mary c.
May 24th, 2022
Really good product, included guide to filling out forms.
Totally pleased with that part.
Customer service however was terrible. Did not hear back after I sent two emails. The site signed me up but after I was accepted they would not allow me to download a form, with the notation my account was closed. Had to use another email. Had problems with that. Finally got off of site and went to a login site that allowed me to download the forms. If you can get past setting up your account, it is fantastic site. Nice price compared to alternatives. Also I recieved two validation codes. Have no idea why they were sent.
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Robert D.
March 7th, 2019
These forms made it so easy to update the property deed and the instructions and sample filled out form were most helpful. You might want to add some brief information on when or why to use the Acknowledgment in Individual Capacity notary form. In my case the notary was required to use it but also filled in the brief notarize section on the Affidavit as well. She said the one on the Affidavit had some value because it showed she had witnessed the my signature. But this was only after I suggested both be filled in as she initially thought to just strike through it and just use the Acknowledgment in Individual Capacity form.
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