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i MARICOPA COUNTY ICW'A CaqiNir Department of Finance nig NOV - 1 2;5p 301 West Jefferson, Ste 960 Phoenix, Arizona 85003 Poul INTEROFFICE MEMORANDUM Date: November 1, 2019 To: Clerk of the Board From: Walter Chang Department of Finance Subject: Affidavits — Replacement of Lost Warrants Please find attached 1 Affidavits for lost warrants to be included on the next available Board Agenda. • The attached items have been researched to ensure the warrant in question have not been cashed or previously re-issued. • The original warrants have a void/stale date/stop payment done. Please call me at 506 - 8747 if you have any questions. Please return the approved Affidavits to my attention in the Department of Finance, Suite 960. Thank you. Re: Fund: 100 / Dept:430 / TREASURER / MAGNUS TITLE AGENCY Application for a Duplicate or Stale-Dated Warrant/Check Affidavit/Claim Form This application is for: El Duplicate or al Stale-Dated (definitions are on page 2) STATE OF ARIZONA Note: Numbers on this form correspond to COUNTY OF MARICOPA numbers on the Instruction sheet which is oacie 2 of this form. MAGNUS TITLE AGENCY (1), being first sworn, upon oath deposes and says: Name/Claimant On or about I2 c2- (date)(2) a warrant/check was issued to the above named person/entity in the amount as stated below. Such warrant/check was either never received or was subsequently inadvertently lost or destroyed and there is no reasonable probability of its being found or presented for payment, or it was not presented for payment within one year after the date of issuance. Therefore, under penalty of perjury, claimant hereby affirms that this claim is correct and the amount shown is due and owing, and the applicant requests that a replacement , 1. L-15 q . 143- a /nd warrant/ch4 be issued to him/her in the sum of $ 1,97-3-:45— Si 3. 9 cs .(3) C (4) ease attach a copy of the warrant/check if available and/or any other evidence that a warrant/check was originally issued (5) Subscribed and swor before me this 0 day of OCIbb cr20 I cl NOTARY PUBLIC RUDIE LUGO Notary Public- State of Arizona My commission expires: MARICOPA COUNTY My Commission Expires (seal) March 28, 2021 Warrant/Check Number 872237 and 867340 (if known) (6) Original Date of Issue (If known) (7) am% ao/o17 Reason for original issue of Warrant/Check (8): El Payroll LI For Services or Goods furnished ID Treasurer's refund/payment Other: checks were found and went stale 3920 S. Rural Road, Suite 101 Tempe, AZ 85282 Phone: (480) 455-3700 MAGNUS TITLE Fax: (480) 682-3377 AGENCY LLC October 30, 2019 Maricopa County Department of Finance Accounts Payable Attn: Walter Chang 301 W Jefferson Street Suite 960 Phoenix, AZ 85003 RE: Warranty Numbers 872237 and 867370 1 Shawni Butler Magnus Title Agency, LLC, hereby authorize Linda R. Grabner to execute the attached Affidavit/Claim Form on behalf of Magnus Title Agency End: ApplicaNn for Stale Dated check Back up Acumentation Copies of Stale Dated checks 3920 S. Rural Road, Suite 101 Tempe, AZ 85282 , RECE11VED Phone: (480) 455-3700 MAGNUS TITLE Fax: (480) 682-3377 OCT 2 5 2019 AGENCY LLC MARICOPA COUNTY CLERK BOARD OF SUPERVISORS October 22, 2019 Board of Supervisors 301 W Jefferson St. 1 0th Floor Phoenix, AZ 85003-3561 RE: Stale Dated Checks 2 I'm contacting you regarding the 2 attached Stale Dated checks. These refunds were sent to Magnus Title Agency to process and refund to the appropriate party. The Parcel numbers are 301-66-205 and 131-53-302 The checks were placed in a file and over looked. Please reissue these so the funds can be disbursed to the comet parties. I apologize for the delay and inconvenience, however this oversight was not the Homeowner's error. If you have any questions or need additional information, please don't hesitate to contact me at 480-455-3700 or by email at linda.grabner(i0inagnustitle.com . The address to mail the replacement checks to is: Magnus Title Agency Attn: Linda R Grabner 3920 S Rural Rd. Ste 101, Tempe, AZ 85282 0 ely,,AA rdbner Es row Officer Magnus Title Agency