Mississippi Code Title 89. Real and Personal Property § 89-7-63

The affidavit for an attachment for rent and supplies, or either, may be in the following form, viz.:

“State of Mississippi,

__________ County.

“Before me, __________, a justice of the peace of the County of __________, came __________, who, being duly sworn, says on oath: That __________ [the tenant] is indebted to him [or if the affidavit be made by an agent or attorney, strike out ‘him’ and insert the name of the landlord or person to whom the rent is due, and add after the landlord's name, ‘of whom the affiant is agent’] in the sum of __________ dollars for rent in arrears [or if the rent be not due, strike out the words ‘in arrears,’ and insert ‘to become due on the ___ day of __________, A.D. __________’] by virtue of a lease for the term commencing on the ___ day of __________, A.D. __________, and ending on the ___ day of __________, A.D.__________ of land situated in __________ County, and described as [here describe the leased premises; it is well to describe by name, if it has one, or by its occupants, and if such be the case it would be well to say ‘and occupied by said __________, tenant, during the year __________’].

“And the said __________, the tenant, is further indebted to affiant [or if the oath be made by an agent or attorney, strike out ‘affiant’ and insert the name of the landlord or person to whom the debt is due] in the further sum of __________ dollars, now due [if the debt be not due, strike out the words ‘now due,’ and insert ‘to become due on the ___ day of __________, A.D.’] __________ of which supplies a bill of particulars is attached hereto. Affiant [or if made by an agent or attorney, say ‘affiant's said principal’] claims a lie the following agricultural products raised during the year __________, on the said leased premises [here describe the products, giving their location, if known, for the officer's guidance].

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