SWORN STATEMENT OF ACCOUNT - Florida Contractor
SWORN STATEMENT OF ACCOUNT
(This reply form can be used from any party to any party in the construction hierarch that sent a Request For Sworn Statement Of Account..)
To: (Whomever sent you the Request for Sworn Statement Of Account, The Owner, Contractor, Sub-contractor, etc..)
The undersigned hereby responds to your Request For Sworn Statement of Account dated the ________ day of ________, 19__, And hereby submits the following requested information:
Nature of service or materials performed to date
Nature of future services or materials to be performed
Amount paid to date: Amount due: Amount to become due: Amount of contract:
________ ________ ________ ________
The undersigned certifies that this statement of account has been served at the address specified above on the ________ day of ________, 19__, in accordance with the provision of Florida Statutes Section 713
_________________________ (Signature of person preparing the statement)
_________________________ (Firm sending the statement)
_________________________ (address of the firm) _________________________ _________________________
Sworn to and subscribed before me this ________ day of ________ , 19__ . _________________________ Notary Public, State of Florida at Large. _________________________ is / is not known personally to me and did / did not take an oath. Type of identification produced: _________________________. My commission expires: ________ (seal)
Koning Contractors Library
1.800.571.4777
Hudson, FL ? KCL 1997
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