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Fill and Sign the Sworn Statement of Account from Lienor to Contractorcorporation Form

Fill and Sign the Sworn Statement of Account from Lienor to Contractorcorporation Form

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Sworn Statement of Account from Lienor to Contractor Page 1 of 2 SWORN STATEMENT OF ACCOUNT FROM LIENOR TO CONTRACTOR- CORPORATION TO: _________________________ DATE: _____________________ ____________________________________________ ____________________________________________ (contractor's name and address)In accordance with Section 713.16(4), Florida Statutes, and in response to your demand for a statement of account in your letter dated ___________________, 20 _____, the undersigned submits the following Statement of Account: Nature of labor or services performed, if any:_____________________________________________________________________________. Nature of labor or services to be performed, if any: _____________________________________________________________________________. Materials furnished: __________________________________________________________. Materials to be furnished, if known: _____________________________________________. Amount paid to date: $ _____________________ Amount due: $ _____________________ Amount to become due, if known: $ _______________________ Amount of our contract: $ ______________________ Names of Parties to the contract:_________________________________________________________________________. The undersigned certifies that this Statement of Account has been served at the address specified above, on ____________________ , 20 ______, in accordance with Section 713.18, Florida Statutes. Sworn Statement of Account from Lienor to Contractor Page 2 of 2 Corporate Lienor’s Name _________________________ By (signature) _________________________ Type or Print Name ________________________Title _____________________________________ Name of Corporation ____________________________ STATE OF ___________ COUNTY OF _____________ Sworn to (or affirmed) and subscribed before me this _____ day of _________________, 20______ by _________________________ (name of person making statement) who is personally known to me or produced _________________________ as identification, and who did take an oath.____________________________ NOTARY PUBLICPrinted Name of Notary _________________________Commission Expires _________________________

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The best way to complete and sign your sworn statement of account from lienor to contractorcorporation form

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How to complete and sign documents on iOS

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