Washington County Request for a Sworn Statement of Account Form
Last validated April 9, 2026 by our Forms Development Team
Washington County Request for a Sworn Statement of Account Form
Fill in the blank form formatted to comply with all recording and content requirements.

Washington County Request for a Sworn Statement of Account Guide
Line by line guide explaining every blank on the form.

Washington County Completed Example of the Request for a Sworn Statement of Account Document
Example of a properly completed form for reference.
All 3 documents above included • One-time purchase • No recurring fees
Immediate Download • Secure Checkout
Additional Florida and Washington County documents included at no extra charge:
Where to Record Your Documents
Washington County Clerk of Court
Chipley, Florida 32428
Hours: 8:00 to 4:00 M-F
Phone: (850) 638-6289
Recording Tips for Washington County:
- Documents must be on 8.5 x 11 inch white paper
- Leave recording info boxes blank - the office fills these
- Request a receipt showing your recording numbers
- Recorded documents become public record - avoid including SSNs
Cities and Jurisdictions in Washington County
Properties in any of these areas use Washington County forms:
- Caryville
- Chipley
- Ebro
- Vernon
- Wausau
Hours, fees, requirements, and more for Washington County
How do I get my forms?
Forms are available for immediate download after payment. The Washington 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 Washington County?
Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Washington County, including margin requirements, font requirements, and other layout standards. This guarantee applies to formatting, not to the legal sufficiency of information entered by the user or the suitability of a form for a particular transaction.
Can I reuse these forms?
Yes. You can reuse the forms for your personal use. For example, if you have multiple properties in Washington 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 Washington County?
Recording fees in Washington County vary. Contact the recorder's office at (850) 638-6289 for current fees.
Questions answered? Let's get started!
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 Washington 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 Washington County.
Our Promise
The documents you receive here are guaranteed to meet or exceed the applicable Washington County recording format requirements. If there is a rejection caused by our formatting, we will correct the issue or refund your payment. This guarantee applies to document formatting only and does not extend to information entered by the user, the selection of the form, or the legal effect of the completed document.
Save Time and Money
Get your Washington 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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October 22nd, 2019
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December 10th, 2020
I thought the instructions could have been a little better. I didn't know how to do this if the spouses are married but living in separate residences. Also I didn't understand the "Prior Instrument Reference". That should be explained better. Very sketchy instructions.
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