REDACTED-FOR AGENDA ATTACHMENT-JOHN AND MARGARITA BALENTINE-#1025459.PDF

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MARICOPA COUNTY

TREASURER’S OFFICE

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003

Phone: (602) 506-8511
http://treasurer.mari .GOV

To: Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov

From: Treasurer’s Office
Maria Quitangon ME
maria.quitangon@maricopa.gov
602-506-1958

Cathy Sanchez CYS

cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
JOHN/MARGARITA BALENTINE 1025459 $408.31 | Treasurer

MARICOPA App lication for a Duplicate or Stale Dated ...

COUNTY Warra Check Aifidavit/Claim Form |
This applicationisfor _}. _ Duplicate or [lstate-pates (definitions are on page2) Af
STATE OF ARIZONA Note; Numbers on this form correspond to the numbers

COUNTY OF MARICOPA ‘on the Instruction sheet which is page 2 of this form
Sahn Bb , €.(1), being first swron, upon oath deposes and says:

Ne lmant
‘On or about ZEL24 stom (2) a warrant/check was issued to the above named
person/entity in the dmount 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 warrant/check

Note: poe attach a copy oan the warrant/check if available and/or any other evidence that a
warrant/check was originally issues.

DEVEION ANDERSON

Notary Public, State of Okishoma
Commissioh # 23012966 ~

. My Commission Expifevg-26-2027

My commission expjres;
OGLE LCE
av “the (OZSYE9
Original Date of issue .
(ifknown) 7) 8 - g/ zy
Reason for original issue of Warrant/Check (8):
Payroll
O For Services or Goods furnished
a’ Treasurer's refund/payrgent _
© Other: _

SA\PROCESSES\Warrants- Duplicate or Stale\02 Forms\Current Claim Form\1 00518 Warrants Checks! mote of claim.foe Revised
100518

cmney
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File Help
Year_| Description | ActDate | TranNum_| Amount | Images | PmtDate | Half Code_|
2017 RES REFUND CHECK LETTER 2024-09-17 N
2017. RES IMPOUND 2024-09-17 RS -24788 $683.88 N
2017 = TAX PAYMENT 2024-09-17 RS -24788 $1,800.98 N 2017-09-19 F
2017 = POST NEW TAX (RESOLUTION) 2024-09-17 RS -24788 $1,800.98 N
2017 ~=CANCEL TAX 2024-09-17 RS -24788 $2,280.84 N
2017. RESTORE TAX 2024-09-17 RS -24788 $2,280.84 N F
2024 = INFO STATEMENT 2024-08-25 N
2024“ TAXBILL 2024-08-24 ¥
2016 REFUND 2024-08-08 $408.31 N
Parcel #: |118-34-199 Activity: [REFUND Act Date|08/08/24
Tax Year: [2016 Tran #:[- [iad Act Time {12:00 AM
Activity Detail | Address Detail |
CP #: [0 Check Date: [08/08/24
Buyer #: [0 Check #: [1025459
Fund [26 Refund Amount: $408.31
= a}

File Help

alk
Refund Amount: [$408.31

Refund Reason:

Impounds | Stub | Comments |

Requester: JRESOLUTIONS on 8/6/2024

[Resolution has reduced taxes

Status: [DISBURSED on 8/6/2024
Slip 1D: [202400705

Address:

Source Fund | Linked |

Amount | Tax Year_| Status

033 True

$408.31

2016

READ

Impound Total : 1

Check Request, [QASIMYAR GROUP
Reference #: [RES # 00230

54
Impound #1
Parcel/Roll i 18-34-1993 Dest fund : 026
cp#: [0 Reso#: [230
CP buyer # [0 Phase #: [8000

Mortgage code :
Transaction #: 08402057

Case #:

Moni ii

Re: Qasimyar Inquiry Form
4 messages

; | Tue, Aug 26, 2025
Qasimyar Inquiry at 3:14 PM
To:

Hello,

The check was originally sent to an old address in Phoenix. It has not
been returned to our office, and it has not been cashed.

We can reissue the 8/8/24 check; however, since it is past its void
date, we would need you to complete the document I've attached.
Please follow the directions listed on page two. For your
convenience, here is the check information: #1025459 $408.31 Issue
date: 8/8/24.

Please mail the original copy to:

Maricopa County Treasurer's Office
301 W Jefferson St

Phoenix AZ 85003

ATTN: Katelyn Hale

If you have any questions, please feel free to reach out.

Thank you,

Qasimyar Inquiry Team

0: 602-506-5655

Treasurer's Office

301 W Jefferson St Ste100 Phoenix, AZ 85003
Qasimyar vs. Maricopa County

We currently are experiencing a high volume of requests, and we
answer the emails in the order we receive them. Reissue requests

[Quoted text hidden]

. : Tue, Aug 26, 2025 at
Qasimyar Inquiry} 4:37 PM
To!

Oh I am sorry, lets try that again!

Qasimyar Inquiry Team

0: 602-506-5655

Treasurer's Office

301 W Jefferson St Ste100 Phoenix, AZ 85003
Qasimyar vs. Maricopa County

We currently are experiencing a high volume of requests, and we
answer the emails in the order we receive them. Reissue requests
are taking a minimum of 90 days to complete, we appreciate your
patience.

From: John Balentine
Sent: Tuesday, August 26, 2025 3:29 PM
To: Qasimyar Inquiry,
Subject: Re: Qasimyar Inquiry Form

[Quoted text hidden]

2] Stale dated check replacement form rev 060325.pdf
139K

John Balentinc

To: Qasimyar Inquiry

Tue, Aug 26, 2025 at 5:55 PM

Got it! Thanks!
[Quoted text hidden]