REDACTED-FOR AGENDA ATTACHMENT-JAMES SANDERSON LIV TR VARNETTE ET AL-#1117631.PDF

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

L
M A R) C Oo PA Cc Oo U N TY Phone: (602) 506-8511

http://treasurer.maricopa.gov
TREASURER’S OFFICE

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

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

Cathy Sanchez
cathy.sanchez@mMiaricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No

JAMES SANDERSON LIV TR/ 1117631 $430.52 | Treasurer

VERNETTE ET AL

MA av COPA Application for a Duplicate or Stale Dated

COUNTY Warrant/Check Affidavit/Claim Form
This application is for LJ Duplicate or Ebstate-pated (definitions are on page 2)
STATE OF ARIZONA Note: Numbers on this form correspond to the numbers
COUNTY OF M ARICO on the ‘Instruction sheet which is page 2 of this form
Domes Sandencen AN Cuero ETH
- Newn es Sande sontras tex (1), being) first swron, upon oath deposes and says:

Name/Claimant

On or about S-) T- 20344 (date) (2) a warrant/check was issued to the above named
person/entity in the amount 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
be issues to him/her inthe sum of $$ 430-5 > _. (3)

Signed Qyeeeee AewE.— ~ (4)

Print Name: (required) James Sanderson

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

(5) Subscrii sworn t ‘ore me this 21 day of A UOULS f
Soe

NOTARY PUBLIG .

20 26 .

TAYLEE HERTZ
Notary Public
State of North Dakota

IMy Commission Expires April 29,2029

My commission expires:

April 24, 2079

Warrant/Check Number
(if known) (6) ] | ( 7 63 |
Original Date of Issue 4
(if known) (7) 8 al. q = QOR
Reason for original issue of Warrant/Check (8):
O Payroll

O For Services or Goods furnished

px Treasurer's refund/payment

O Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc Revised
100518
ARS. 11-632 & 11-644 YEMire?
Gir I2§

pea

— a

[BB 309-02-634 8

File Help
Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Act
2019 RES REFUND CHECK LETTER 2024-10-22 N 9:16
2019 RES IMPOUND 2024-10-22 RS -42527 $719.04 N 7:4
2019. TAX PAYMENT 2024-10-22 RS -42527 $1,547.48 N 2019-09-19 F F:4t |
2019 POSTNEWTAX(RESOLUTION) 2024-10-22 AS -42527 $1,547.48 N 7:4€
2019 = CANCEL TAX 2024-10-22 RS -42527 $2,099.76 N Fe
2019 RESTORE TAX 2024-10-22 RS -42527 $2,099.76 N F 7:4€
2024 = TAX PAYMENT 2024-09-18 — 050-15206 $1,620.18 N 2024-09-17 F ax
2024 BILL PRINT 2024-08-24 v 12:(
2 REFUND 2 08-19 t 2

Parcel #: |309-02-634 Activity: [REFUND
Tax Year: [2018 Tran #:[- |

Activity Detail | Address Detail |

Act Date!08/19/24
ActTimefi2004M

cto  ——t—™ Check Date: [08/19/24
Buyer #: [J Check #: [1117631
Fund: [26 Refund Amount: $430.52

BS Refund ID 2024157293 RESOLUTION

File Help

S/R)

RefundAmount:  |$430.52

Requester: |RESOLUTIONS on 8/13/2024

Refund Reason: [Resolution has reduced taxes

Status: [DISBURSED on 8/13/2024
Slip 1D; {202400804

Address: JAMES SANDERSON LIV TRAVERNETTE ET AL.

Impounds | Stub | Comments |

Source Fund | Linked | Amount | Tax Year | Status
033 True $430.52 2018 READ

Impound Total : 1

Check Request: [QASIMYAR GROUP
Reference #: [RES # 19835

Impound #1
Parcel/Roll:|309-02-634 Dest fund : |026
CP H: Jo Reso #: 19835
CP buyer # :|0 Phase #: /6000

Mortgage code :
Transaction #: — /08402059
Case #:

oh Outlook

Qasimyar Inquiry Form

Date Tue 8/26/2025 8:06 AM

First Name: Jim
Last Name: Sanderson

Phone: |

Email

Parcel: 30902634
Tax Year: 2018

Message: Last week we received a check for 430.52. By the time we deposited the check in the bank it
had expired. Would you please re-issue the check? We deposited it on 8-20-25 and it expired 8-19-24.
Thank you .