(Caption of Action)
OWNER'S CLAIM FOR MORTGAGE FORECLOSURE SURPLUS
State of
County of
Under penalty of perjury, I (we) hereby certify that:
(Legal description of real property)
(Signatures)
Sworn to (or affirmed) and subscribed before me this day of, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
Fla. Stat. § 45.032