Andrew Douglas, P.A.

NOTICE

This service is provided to fill out the forms contained in Florida Statute Section 713. The use of any forms provided by this site does not constitute an attorney/client relationship with Andrew Douglas, P.A., or any legal advice. Further, Andrew Douglas, P.A. does not warrant that the use of the forms provided herein will meet your specific needs. If you are unsure about your needs, feel free to contact Andrew Douglas, P.A. to discuss your legal matters.

Name of Contractor
Name of Prime Contractor. *Prime Contractor is contractor who has direct contract with Owner and is the Principal on the Bond.

Description of Materials and Labor provided to the Project

Property Description
Accurately Describe Property where work was performed. Any or all of: Address, Legal Description, Folion Number

Owner's Name and Address
Name, Street, City, State, Zip

Name of Company Giving Order for Work on Project
Who instructed you to perform work or ordered your work on Project?

Name of Lienor and Company Name
Name of Lienor, Company Name (if applicable)

Email *

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