Florida Forms

Polk County Request for a Sworn Statement of Account Form

Polk County Request for a Sworn Statement of Account Form

Polk County Request for a Sworn Statement of Account Form

Fill in the blank form formatted to comply with all recording and content requirements.

Validated 6/16/2025 Preview Form
Polk County Request for a Sworn Statement of Account Guide

Polk County Request for a Sworn Statement of Account Guide

Line by line guide explaining every blank on the form.

Validated 6/26/2025 Preview Form
Polk County Completed Example of the Request for a Sworn Statement of Account Document

Polk County Completed Example of the Request for a Sworn Statement of Account Document

Example of a properly completed form for reference.

Validated 7/22/2025 Preview Form

All 3 documents above included • One-time purchase • No recurring fees

Important: Your property must be located in Polk County to use these forms. Documents should be recorded at the office below.

Where to Record Your Documents

Clerk of Circuit Court - Official Records

Address:
255 N Broadway Ave
Bartow, Florida 33830

Hours: 8:00am - 5:00pm M-F

Phone: (863) 534-4516

Mail to: Clerk of Circuit Court - Official Records

Address:
P.O. Box 9000 Drawer CC-8
Bartow, Florida 33831

Hours: for mailing purposes

Phone: N/A

Northeast Branch - NE Polk Co. Gov. Center

Address:
3425 Lake Alfred Rd
Winter Haven, Florida 33881

Hours: 8:00am - 5:00pm M-F

Phone: (863) 401-2400

Lakeland Branch

Address:
930 E Parker St, Rm 240
Lakeland, Florida 33801

Hours: 8:00am - 5:00pm M-F

Phone: (863) 603-6412

Recording Tips for Polk County:
  • White-out or correction fluid may cause rejection
  • Check margin requirements - usually 1-2 inches at top
  • Recording fees may differ from what's posted online - verify current rates
  • Recorded documents become public record - avoid including SSNs
  • Recording early in the week helps ensure same-week processing

Cities and Jurisdictions in Polk County

Properties in any of these areas use Polk County forms:

  • 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

How do I get my forms?

Forms are available for immediate download after payment. The Polk County forms will be in your account ready to download to your computer. An account is created for you during checkout if you don't have one. Forms are NOT emailed.

Are these forms guaranteed to be recordable in Polk County?

Yes. Our form blanks are guaranteed to meet or exceed all formatting requirements set forth by Polk County including margin requirements, content requirements, font and font size requirements.

Can I reuse these forms?

Yes. You can reuse the forms for your personal use. For example, if you have multiple properties in Polk County you only need to order once.

What do I need to use these forms?

The forms are PDFs that you fill out on your computer. You'll need Adobe Reader (free software that most computers already have). You do NOT enter your property information online - you download the blank forms and complete them privately on your own computer.

Are there any recurring fees?

No. This is a one-time purchase. Nothing to cancel, no memberships, no recurring fees.

How much does it cost to record in Polk County?

Recording fees in Polk County vary. Contact the recorder's office at (863) 534-4516 for current fees.

Have other questions? Contact our support team

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.

Important: Your property must be located in Polk County to use these forms. Documents should be recorded at the office below.

This Request for a Sworn Statement of Account meets all recording requirements specific to Polk County.

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.

Save Time and Money

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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November 20th, 2020

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July 27th, 2022

Easy fill in the blanks form. Just FYI make sure you have a copy of whatever deed you are changing and the tax records. You will want the language to be identical.

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June 25th, 2020

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August 25th, 2020

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September 23rd, 2021

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March 23rd, 2022

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May 9th, 2024

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October 18th, 2022

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Marilyn W.

April 25th, 2022

The Mineral Deed transfer form was pretty good. Could have used more info in the guide about where to find legal property descriptions and source of title. Also more space on the pdf for entering return addresses - there was room for only one; I needed three. I will be sending the form to the County Courthouse soon. I hope it works.

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