Fill and Sign the Titles Rules and Regulations Mississippi Department of Form

Notice of Lien of Garageman and SalePage 1 of 2 Notice of Lien of Garageman and Sale Department of Motor Vehicles (Name of State) Pursuant to : (cite state statute) To: , of . (Name of Owner)(Street Address, City, County, State, Zip Code) To: , of . (Name of Lienholder) (Street Address, City, County, State, Zip Code) Please take notice that , of (Name of Garageman) (Street Address) , hereby claims a lien on the following motor vehicle or (City, County, State, Zip Code) boat now in the possession of said Garageman pursuant to . (Citation of State) Vehicle or Hull ID Number: . (Citation of State) Year: . (Identification of year) Make: . (Description of Make) Plate Number (if available): . (Number of Plate) Model: . (Description of Model) Estimated Retail Value Prior to Filing of the Lien: $  The nature of the lien (towing and/or daily storage charges listing the number of days and cost per day, including the date of the tow and/or the date the storage charges began) with an itemized statement of the claim, the date it was due, and the total amount due is listed below. If repair costs are claimed, a copy of the invoice dated , which (Date) itemizes the cost of parts and labor is attached. Authorization to tow, store or repair is also attached.Towing:Date towed: (Date)  Amount owed: $  Repair: $( )Amount owed: $  Storage Fees: $ Notice of Lien of Garageman and SalePage 2 of 2Date Storage Began: (Date) Number of days: (Number)  Price per day: $  Date original claim was due: (Date)  Total amount due: $  An additional lien is claimed for storage charges from to the date of (Date) payment or sale, and for charges incurred in enforcing this lien.You may redeem this motor vehicle or boat on or before , at least (Date) (Number) of days after service of this notice. Otherwise, the motor vehicle or boat will be advertised for sale at public auction on , which must be at least days after the (Date) (Number) first date of publication:Date: (Date of Sale) Time: (Time of Sale) Place: (Place of Sale) By: (Name of Auctioneer) If you dispute the validity or the amount of this lien, you are entitled to bring a court proceeding under within of service of this Notice of Lien. (citation of state statute) (Number) I am the Garageman with respect to the motor vehicle or boat described in this notice. To the best of my knowledge and belief, the facts stated in this notice are true, the lien claimed on the motor vehicle or boat is valid, and the debt upon which such lien is founded remains unpaid.Witness my signature this the day of , 20 . (Name of Garageman) (Address of Garageman) (Attachments)