Fill and Sign the Notice is Hereby Given that a Form

Stop Notice Page 1 of 2 STOP NOTICE TO: _________________________________STATE OF MISSISSIPPICOUNTY OF _________________ NOTICE is hereby given that ___________________________________, a subcontractor who has a contract with _________________________________, a contractor in privity with _________________________________, the owner of the following described real property situated in _________________ County, Mississippi, to-wit: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ LEGAL DESCRIPTION and does hereby claim a lien on such property in the amount of $______________, which is the unpaid balance for goods, materials and services furnished in the construction of the improvements on the above described real property, at the request of the owner. Suit has/ has not been filed at ________________________________. The Contract has/ has not been filed or recorded at ________________________________ . The undersigned claims a contractors and materialmen's lien under the provisions of Mississippi Code Annotated Section 85-7-131 and § 85-7-133 (Supp. 1990) and does hereby provide a Stop Notice not to advance additional funds to _______________________________ until this debt is paid. WITNESS my signature this the _____ day of _____________, 20______. BY: ________________________________________________________ Type or Print Name Stop Notice Page 2 of 2STATE OF MISSISSIPPICOUNTY OF ______________ PERSONALLY appeared before me, the undersigned authority in and for the county and state aforesaid, the within named ___________________________________ who acknowledged to me that he or she signed and delivered the above and foregoing instrument on the date and year therein mentioned, and acknowledged to me that all matters, facts and things set forth in the above and foregoing STOP NOTICE are true and correct as therein stated and signed and delivered a true and correct copy of the foregoing STOP NOTICE as in such cases required by law on the day and date herein written. ____________________________Signature GIVEN under my hand and official seal, this the _____ day of ______________, 20______. ____________________________ NOTARY PUBLIC MY COMMISSION EXPIRES:_______________