DEMAND FOR COPY OF CONTRACT
AND STATEMENT OF AMOUNT DUE
[name and address of owner, sub, GC, etc.]
Project: [project name or legal description]
In accordance with F.S. § 713.16, the undersigned Lienor demands that, within 30 days
of this request, you furnish it with a copy of the contract or agreement entered into
between you and [name of other party to contract] relating to the Project, together with
a statement of the amounts due or to become due on the contract or agreement. Lienor
will reimburse you for the reproduction cost of such documents.
WARNING: YOUR FAILURE OR REFUSAL TO FURNISH A COPY OF THE CONTRACT,
OR YOUR WILLFUL AND FALSE STATEMENT OF THE AMOUNT DUE OR TO BECOME
DUE, MAY RESULT IN A CAUSE OF ACTION FOR DAMAGES AGAINST YOU BY ANY
PERSON WHO SUFFERS ANY DETRIMENT THEREBY.
Lienor: [name and address] By Lienor’s Agent: