Free JUDGMENT LIEN AMENDMENT STATEMENT - Florida


File Size: 36.5 kB
Pages: 1
File Format: PDF
State: Florida
Category: Secretary of State
Author: Florida Department of State
Word Count: 295 Words, 3,496 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://form.sunbiz.org/pdf/jlien_corr.pdf

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Preview JUDGMENT LIEN AMENDMENT STATEMENT
JUDGMENT LIEN CORRECTION STATEMENT
THE FOLLOWING IS SUBMITTED IN ACCORDANCE WITH s. 55.207, FLORIDA STATUTES, AS INFORMATION ONLY. THE CORRECTION STATEMENT DOES NOT AFFECT THE EFFECTIVENESS OF THE JUDGMENT LIEN NOR WILL IT CHANGE THE INFORMATION SHOWN ON THE RECORDS OF THE DEPARTMENT OF STATE. JUDGMENT DEBTOR(S) 1.
JUDGMENT DEBTOR (DEFENDANT) NAME AS SHOWN ON THE RECORDS OF THE DEPARTMENT OF STATE: _____________________________________________________________________________________________________________________ INDIVIDUAL OR BUSINESS ENTITY NAME ______________________________________________________________________________________________________________________ MAILING ADDRESS ___________________________________________________________________________ CITY ADDITIONAL JUDGMENT DEBTOR, IF APPLICABLE: _______________ ST ________________________ ZIP

DO NOT PHOTOCOPY THIS FORM PRIOR TO USE.

BAR CODE MUST BE LEGIBLE.

2.

_____________________________________________________________________________________________________________________ INDIVIDUAL OR BUSINESS ENTITY NAME _____________________________________________________________________________________________________________________ MAILING ADDRESS ___________________________________________________________________________ CITY _______________ ST _______________________ ZIP

JUDGMENT CREDITOR(S) 3.
JUDGMENT CREDITOR (PLAINTIFF) NAME AS SHOWN ON THE RECORDS OF THE DEPARTMENT OF STATE: _____________________________________________________________________________________________________________________ CREDITOR NAME(S) _____________________________________________________________________________________________________________________ MAILING ADDRESS ____________________________________________________________________________ CITY ________________ ST _____________________ ZIP

THIS SPACE FOR USE BY FILING OFFICER

4. ___________________________________________________________________
ENTER FILE NUMBER ASSIGNED TO ORIGINAL JUDGMENT LIEN BY DEPARTMENT OF STATE

5. ____________________________________________
DATE JUDGMENT LIEN FILED WITH DEPARTMENT OF STATE

6.

THE JUDGMENT BEARING THE FILE NUMBER REFERENCED ABOVE, TO MY BELIEF, WAS WRONGFULLY FILED OR THE RECORD IS INACCURATE. THE MANNER IN WHICH THE RECORD SHOULD BE CORRECTED TO CURE THE INACCURACY IS STATED BELOW:

7. UNDER PENALTY OF PERJURY, I hereby certify that: (1) All of the information set forth above is true, correct, current and complete; and (2) I have complied with all applicable laws in submitting this Judgment Lien Correction Statement for filing. 8.
NAME AND ADDRESS TO WHOM ACKNOWLEDGMENT/CERTIFICATION IS TO BE MAILED:

____________________________________________________ Authorized Signature

_______________________________________________________________________________________________________________ NAME

____________________________________________________ Printed Name

_______________________________________________________________________________________________________________ MAILING ADDRESS

NON-REFUNDABLE PROCESSING FEE: JUDGMENT LIEN CORRECTION STATEMENT $20.00

____________________________________________________________ CITY

______________________ ST

_________________________ ZIP

EACH ATTACHED PAGE, IF NECESSARY $ 5.00

CERTIFIED COPY REQUESTED $10.00 Division of Corporations P.O. Box 6250 Tallahassee, Fl 32314 850-245-6011 Make Checks Payable to: Florida Department of State
CR2E093 (03/08)