Polk County Request for a Sworn Statement of Account Form

Additional Florida and Polk County documents included at no extra charge:

Where to Record Your Documents

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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

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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.

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