REDACTED-FOR AGENDA ATTACHMENT-NATIONAL TAX SEARCH LLC-#967202.PDF

v
MARICOPA COUNTY

TREASURER’S OFFICE

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003
Phone: (602) 506-8511
rer.maricopa.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 CS
cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name

Warrant
No

Amount Dept/School

NATIONAL TAX SEARCH LLC

967202

$40,315.74 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form

This application Is for: Oo Duplicate or Stale-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF MARICOPA Instruction sheet which is page 2 of this form.

NATIONAL TAX SZACCH (1), being first sworn, upon oath deposes and says:
Name/Claimant

On or about 12/28/2023 (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, clalmant 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 issued to him/her in the sum of $40,315.74 .(3)

Signed: {4 (4)

Print name: (required) Roberto Garcia

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

(5) Subscribed and sworn to before me this g* day of Way 20.25,
ww

OTARY PUBLIC
My commission expires:

Si
September a4, 228
Warrant/Check Numb ‘
aren [ nome | Tot 262 ,

° 09-94-90
Original Date of Issue 7, preee ws
none (known) 12/28/2023 mam

Reason for original issue of Warrant/Check (8):
0 Payroll

D For Services or Goods furnished

O Treasurer's refund/payment

f@ Other; Check was sent to our old office.

S:\PROCESSES\Warrants ~ Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of clalm.doc
Revised 100518 A,R.S. 11-632 & 11-644

VEMELED

gyi WC

GE 208-14-856 5 = x
File Help

Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code |
2024 = INFO STATEMENT 2024-08-25 N
2024 ~~ BILL PRINT 2024-08-24 Y
2023 REFUND 2023-12-28 : $40,315.74 N
2023. =RES3RDPARTYREFUNDLETTER 2023-12-27 N
2023 RES IMPOUND 2023-12-27 RS -77879 $40,315.74 N
2023 = POST NEW TAX (RESOLUTION) 2023-12-27 RS -77879 $0.00 N
2023 = CANCEL TAX 2023-12-27 RS -77879 $80,631.48 N
2023 RESTORE TAX 2023-12-27 = RS -77879 $40,315.74 N 1
2023» =RESOLUTION REPRINT 2023-12-27 Y
Parcel #: |208-14-856 Activity: [REFUND Act Date12/28/23
Tax Year: [2023 Tran #:[- Jad] Act Time{12:00 AM
Address Detail |
CP #: fo Check Date: [12/28/23
Buyer: [0 Check #: [967202
Fund: [26 Refund Amount: | $40,315.74

Click icon for Disbursements Inquiry. -----> re]

ra

Requester: |RESOLUTIONS on 12/27/2023

Status: |DISBURSED on 12/27/2023

Slip 1D; [202300634

File Help
4iR
Refund Amount | $40,315.74
Refund Reason: [Resolution has reduced taxes
Address: [NATIONAL TAX SEARCH

Impounds | Stub | Comments |

Source Fund | Linked |

Amount | Tax Year | State

033 True

$40,315.74 2023 REA

Impound Total: 1

Check Request: |RESO DESK

Reference #: [PHASE # 00090

Impound #1
Parcel/Roll -f208-14-856 — Dest fund : }026
CP#: jC Reso #: [77879
CP buyer # jc Phase #: fo

Mortgage code: [NO00

Transaction #: — |RS 77879
Case #:

“cotality

Intelligence beyond bounds

Cotality

cotality.co

May 15, 2025

To Whom it May Concern,

|, Denise Shields, Manager of Account Services Commercial Tax
authorize Roberto Garcia to file a refund claim with Maricopa County, AZ
for replacement of stale dated checks per attached Affidavit of Claim, on
behalf of Cotality.

National Tax Search was acquired by CoreLogic, who is now Cotality.

Please feel free to contact me directly with any questions or concerns.
Phone|

Email:

Best Regards,

Denise Shields