Date: <**insert date**> WARNING: YOUR FAILURE TO FURNISH THE REQUESTED STATEMENT, SIGNED UNDER OATH, WITHIN 30 DAYS OR THE FURNISHING OF A FALSE STATEMENT WILL RESULT IN THE LOSS OF YOUR LIEN. To: <**insert name of subcontractor**>.The undersigned hereby demands a written statement under oath of the account that is the basis for your "Notice to Owner". The statement must show 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 real property that is described as follows: <**insert legal description of propertyThe undersigned further demands that you provide it with a copy of the contract or subcontract that is the basis for your Notice to Owner. These requests are made pursuant to Chapter 713.16, Florida Statutes <**insert name of Owner**> By: _________________________________ <**name of agent**> <**address**> <**telephone**> |