Fill and Sign the Assignment of Lien Individual Mississippi Form

Prepared by: Return to:                                     State of Mississippi County of ____________ ____________ Judicial District ASSIGNMENT OF LIEN- INDIVIDUAL Name and Address of Owner:                   Name and Address of Assignor: Name and Address of Assignee:                                     (For Legal Description, see Exhibit A attached hereto) Indexing Instructions:       Beginning on or about the _____ of _______________ , 20 _____ , the undersigned lien claimant, __________________________________ , furnished or supplied labor, materials, or laborers to ___________________________________ for the purpose of Assignment of Lien – Individual Page 1 of 3 improvements of real property at ____________________________________ , such that the undersigned lien claimant is entitled to a lien for the value of labor, materials, or laborers supplied. Notice is hereby given that the above-mentioned lien claimant does hereby assign his or her claim and lien to ___________________________________ , who shall hereafter have all the rights and remedies under law to which the lien claimant is entitled subject to all defenses thereto that might be made if such assignment had not been made, for the purpose of filing and for the enforcement of the above-mentioned lien. This the _____ day of _______________ , 20 ______ . ______________________________ Signature _____ _________________________ Type or Print Name STATE OF MISSISSIPPI COUNTY OF _________________ Personally appeared before me, the undersigned authority in and for said county and state, on this ______ day of __________________ , 20 ______ , within my jurisdiction, the within named ______________________________ , who acknowledged that he/she/they executed the above and foregoing instrument. Notary Public My commission expires:       Type or Print Name Assignment of Lien – Individual Page 2 of 3 EXHIBIT A       Assignment of Lien – Individual Page 3 of 3