Fill and Sign the To the Clerk of the Chancery Court of Form

NOTICE OF ASSESSMENT STATE OF MISSISSIPPICOUNTY OF TO THE CLERK OF THE CHANCERY COURT OF COUNTY, MISSISSIPPI: , a Condominium, established pursuant to the Mississippi Condominium Law and pursuant to the authority granted by a Declaration of Restrictions, filed pursuant to Section 89-9-17, Mississippi Code Annotated, , hereby gives notice that by virtue of Section 89-9-21, Mississippi Code Annotated, , that it claims a lien for the common expenses assessment as shown against the following described properties for the calendar year , to-wit:MONTHLY ASSESSMENTANNUAL ASSESSMENTMONTHLY ASSESSMENTANNUAL ASSESSMENTLOTAMOUNTAMOUNTLOTAMOUNTAMOUNT Said lots are duly recorded according to maps or plats recorded in the County Chancery Clerk's office located in , Mississippi, County, together with all rights thereunto pertaining.The nature of the lien sought to be enforced is as follows: The lien arises by virtue of certain assessments levied against the above described real property by the for annual assessments of charges and special assessments for capitol improvements, major repairs not covered by insurance, and for such other matters as the association determined to be proper, pursuant to Articles VI of the Declaration of Restriction being on file in the office of the Chancery Clerk of County, Mississippi in Deed Book at page . The lien additionally arises by virtue of the provisions of Section 89-9-21 of the Mississippi Code Annotated, , wherein said lien and Notice of Assessment in a Condominium Book is authorized.Said assessment constitutes a lien against said property as of , but is due and payable in equal monthly installments on the first day of each calendar month in the amount of $ Record assessment payments is kept and is available for inspection at the office of the 888, Post Office Box , , Mississippi , between the hours of a.m./p.m. and a.m./p.m., through , except holidays. The execution and recording of this lien in no way eliminates delinquencies in homeowners’ assessments that have accrued or occurred in prior years. This lien covers all assessments due for the current year as well as any arrearages or delinquencies from prior years. BY: ____________________________________PRESIDENTSTATE OF MISSISSIPPICOUNTY OF PERSONALLY appeared before me, the undersigned authority in and for the above jurisdiction, the within named , who being by me first duly sworn, states on oath that he/she is the President of the , and signed and delivered the above and foregoing Notice of Assessment on behalf of , being duly authorized to do so, on the day and year set forth above, and that the nature and facts contained therein are true and correct as therein stated.SWORN TO AND SUBSCRIBED before me, on this the day of , ._________________________________NOTARY PUBLICMy Commission Expires:_______________________