Mississippi Code Title 85. Debtor-Creditor Relationship § 85-7-37

“State of Mississippi, __________ County

“Before me, __________, a justice of the peace of the said county, __________ makes oath that he was employed by __________ during the year A. D. __________, as a laborer, and as such, and under his employment, assisted to make a crop of cotton and corn, which yielded __________ bales of cotton and __________ bushels of corn, which are now in the possession of __________, and the same is at __________, in said county; and that affiant is, by his contract and services, entitled to one-half of said cotton and corn, the same being of the value of __________ dollars, which the said __________ withholds from him [or whatever may be the claim]. Affiant claims a lien on all of said cotton and corn for the recovery of his share or interest therein, and that __________ and __________ claim a like lien thereon. Affiant prays process according to law.

“Sworn to and subscribed before me, the ___ day of ___, A. D.