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

Palm Beach County 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

Palm Beach County 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

Palm Beach County 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 7/22/2025

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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Reply from Staff

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