REDACTED-FOR AGENDA ATTACHMENT-ULTIMATE PROPERTIES-#962239.PDF

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

v Phoenix, Arizona 85003
M A R) C ‘o] PA Cc Oo U N TY Phone: (602) 506-8511

TREASURER’S OFFICE

http://treasurer.maricopa.gov

as SEE ae

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

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

Cathy Sanchez Co

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

Re: Stale Dated Warrant

Name

Warrant
No

Amount Dept/School

ULTIMATE PROPERTIES

962239

$1,172.14 | Treasurer

l
MA R) COPA Application for a Duplicate or Stale Dated

COUNTY Warrant/Check Affidavit/Claim Form
This application is for L] Duplicate or [X] stale-Dated (definitions are on page 2)
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
— ULTIMATE PeoreeTi€s, (1), being first swron, upon oath deposes and says:

Name/Claimant

On or about 8/23 [wor (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 eee the sum of $__LpI7Z, 1Y . (3)

Signed: Fo (4)
Print Narfe: (required) Tévsrn Meor€

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

ane en to before me this 5™ day of Augicst 2025.
NOTARY PUBLIC ~~ >

DEBRAS. KENNEDY
Notary Public
Comrnisston Number 687610
My commission expires: net October 6, 2028
iojos[2u
Warrant/Check Number
G known) (6) 6 tU3 4
Original Date of Issue
(if known) (7) e/ ?3 [ BUS
Reason for original issue of Warrant/Check (8):
O Payroll

O For Services or Goods furnished

Treasurer's refund/payment

OQ Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc Revised
100518 VERIEIEY
ARS. 11-632 & 11-644 Fishes

pe

r

HH 207-11-505 3

File Help
Year [ Description [ Act Date | Tran Num [ Amount | Images [ Pmt Date [ Half Code [ Act Time
2024 = TAX PAYMENT 2025-04-24 =O -U021 $613.22 N 2025-04-21 F 8:04:00 PF |
2024 = TAX PAYMENT 2024-10-24 =O -U021 $613.22 N 2024-10-15 1 9:42:00 Ph
2024 =“ TAXBILL 2024-08-24 Y 12:00:00 4
2023. TAX PAYMENT 2024-04-22 0054-14087 $602.12 N 2024-04-19  F 7:18:00 Ph
2023. TAX PAYMENT 2023-10-25 0052-26358 $602.12 Y 2023-10-24 1 6:37:00 Ph
2023) TAX BILL 2023-08-26 Y 12:00:00 4
0 REFUND 2023-08-23 2 $1172.14 N 12:00:00 4
2022 TAX PREPAYMENT 2023-08-17 011-08751 $1,172.14 N 2022-10-19 1:13:00 Ph
2022. TAX PAYMENT 2023-08-17 = .011-08751 $1,164.86 N 2022-10-19 F 1:13:00 Pt
Parcel #: |207-11-505 Activity: [REFUND Act Date|08/23/23
Tax Year: |0 Tran #:[-- [iad Act Time {12:00 AM
Activity Detail | Address Detail |
CP #: [0 Check Date: [08/23/23
Buyer #: [0 Check #: [962239
Fund: [26 Refund Amount: $1,172.14
r
& Refund ID 2023015343 MANUAL = a}

File Help

&|Q)
| Refund Amount, [81,172.14

Requester: \JOSE.MANCERA on 8/21/2023

Refund Reason: [Overpayment of property taxes

Status: [DISBURSED on 8/21/2023
Slip ID: [202300396

Address: (ULTIMATE PROPERTIES

Impounds | Stub | Comments |

Source Fund_| Linked |

Amount | Tax Year | Statu

034 True $1172.14 0

REAL

Impound Total: 1

Check Request: JOSE

Reference #: |

Impound #1
Parcel/Roll:|207-11-505 Dest fund: foc
cP #: lo Reso#: |0
CP buyer # :/0 Phase #: jf ~~

Mottgagecode: [

Transaction #: [01108751
Case #:

7: 623-376-8870 UJ [Tl M ATE F: 623-566-1303
E: INFO@ULTIMATEPROPERTIES.COM W: WWW.ULTIMATEPROPERTIES.COM

PROPERTIES

RECEIVED
August 5, 2025

AUG 8 2025
Maria F. Quitangon MARICOPA COUNTY
Management Analyst TREASURER

Maricopa County Treasurer’s Office
Business Operations

301 W Jefferson St Suite 100
Phoenix, AZ 85003

RE: Application for Duplicate or Stale Dated Warrant/Check Affidavit/Claim Form
and Signature Authorization

Dear Ms. Quitangon,

Attached please find our Application for Duplicate or Stale Dated Warrant/Check Affidavit/Claim
Form which has been executed by our General Manager, Jensen Moore. Mr. Moore is
authorized to sign on behalf of Ultimate Properties, Inc. as it pertains to the attached
Application.

We are submitting this Application regarding Check #962239, originally issued on August 23,
2023 in the amount of $1,172.14. We respectfully request that a replacement check be issued

to us as the original check was never received in our office.

Should you have any questions regarding the above, or need additional information, please do
not hesitate to contact me or Mr. Moore at the above number.

Sincerely,

8518 W DEER VALLEY RD STE 100 PEORIA, AZ 85382