Florida Claim Of Lien

Information you will need

• Lienor or Agent Name
• Choose One (1): Lienor or Agent
• Lienor Address
• Owner / Contractor / etc
• Provided Services / Materials
• Property Legal Description
• Construction Contract Amount
• Construction Lien Amount
• Work Start Date
• Property Owner Name
• Work End Date
• Contractor Name
• Subcontractor Name
• Lienor Signing Date
• Lienor Printed Name
• County Name
• Owner Service Method
• Owner Date of Service
• Contractor Date of Service
• Contractor Service Method
• Subontractor Date of Service
• Subcontractor Service Method
• Signing Date (Notarization)
• Notary Public Commission Expiration

…and 16 more fields in the PDF.

Completed by the recipient and the contractor and the agent.

The form includes 2 signature lines, a notary acknowledgment.

The document text refers to the laws of Florida.