Fill and Sign the Mississippi Lien 497314097 Form

Prepared by: Return to:                                     State of Mississippi County of ____________ ____________ Judicial District ASSIGNMENT OF LIEN- CORPORATION 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, as a representative of _________________________________ a _________________________________ Assignment of Lien – Corporation Page 1 of 3 corporate lien claimant, furnished or supplied labor, materials, or laborers to ___________________________________ for the purpose of 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 its 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 _____ _________________________ Title _____ _________________________ Corporation Attest: Secretary 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 is __________________ of ________________________ , a __________________ corporation, and that for and on behalf of the said corporation, and as its act and deed he/she executed the above and foregoing instrument, after first having been duly authorized by said corporation so to do. (Seal) Notary Public My commission expires:       Type or Print Name Assignment of Lien – Corporation Page 2 of 3 EXHIBIT A       Assignment of Lien – Corporation Page 3 of 3