Fill and Sign the And for Other Relief Individual Form

Complaint to Enforce Materials Lien Page 1 of 2 IN THE CIRCUIT COURT OF ________________ COUNTY, MISSISSIPPI __________________________________ PLAINTIFF VS. CIVIL ACTION NO. ________________ _________________________________ DEFENDANT COMPLAINT TO ENFORCE MATERIALS LIENAND FOR OTHER RELIEF- INDIVIDUAL COMES NOW _________________________________ , and files his or her Complaint against _________________________________ and would show unto the Court the following: 1. __________________________________ is a lien claimant whose address is: _____________________________________________________________________________. 2.__________________________________ is/are Defendant(s) whose address is/are: ________________________________________________________________________ , and may be served with process of the Court by service upon ____________________________. 3. _________________________________ contracted with Plaintiff ________________________________ to ___________________________________________ (description of services provided, such as labor, materials or laborers) and more particularly described in Exhibit "_______". 4. Plaintiff is entitled to judgment against Defendants in the amount of $ _______________ . 5. Plaintiff is entitled to a lien on the property described in the Exhibit "A" pursuant to MCA (1972) § 85-7-131. Alternatively, Plaintiff is entitled to an equitable lien against the said property based on unjust enrichment and equitable estoppel. WHEREFORE, PREMISES CONSIDERED Plaintiff prays that judgment be entered against _______________________________ in the amount of $_____________ plus all costs incurred herein including reasonable attorneys fees, and that Plaintiff be granted a lien against the property described in Exhibit "A" to secure the payment of said amount. Respectfully submitted, _______________________________________ Signature Attorney for __________________________________________________________ Complaint to Enforce Materials Lien Page 2 of 2 Type or Print Name Of counsel: ____________________________________________________________________________________________________________________________________ Telephone: __________________ MSB #________________ Attorney for _____________________