REDACTED - FOR AGENDA ATTACHMENT - CHICAGO TITLE AGENCY.PDF
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John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003
l
M A R) C Oo PA C oO U N T Y __ Phone: (602) 506-8511
TREASURER’S OFFICE
To: Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov
From: Treasurer’s Office
Maria Quitangon “
maria.quitangon@maricopa.gov
602-506-1958
Cathy Sanchez
cathy.sanchez@maricopa.gov
602-506-7881
Re: Stale Dated Warrant
Name Warrant Amount | Dept/School
No
CHICAGO TITLE AGENCY 957839 1,093.94 | Treasurer
ESCROW #C209330-346 SB2
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Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form
This application is for: Oo Duplicate or [1Stale-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.
aN \SSK tev (1), being first sworn, upon oath deposes and says:
Name/Claimant |
On or about 4 4 | 23 (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 ths applicant requests that a replacement
Chicago Tre 2G
warrant/check be issued ehh rin the sum of $ CHER /4 i{3)
Signed: LA ALA i ie (4)
Print name: (required) MINTEZA Wier, Vice React, Ezxrow Ope
Note, Please attach a copy of the ee If available aie any aie MAORY
evidence that a warrant/check was originally issued.
(5) “ener before me this_\t_day of DO Uiehev 292,
NOTARY PuBNIC_7 V *
. DANA'N. HOSEA
Y Marionpe Co earen
My commission expires: Me” Expires 06/30/2028
"ELS Oy20 2S (seal)
Warrant/Check Number o rae l
(if known) (6) 4 I ¥ 29
Original Date of Issue
2 (if known) (7) s/24] as
Reason for original issue of Warrant/Check “ey
0 Payroll
© For Services or Goods furnished
DW 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 A.R.S, 11-632 & 11-644
VERIFIED
12) 24(%4
Mer
Locusign Envelope IU: D/USUZ4F-D8A1-40U 1-84 E8-USE TBSD4B9 58
CHICAGO TITLE AGENCY, INC.
October 17, 2024
Ms. Maria Quitangon
Business Operations
Maricopa County Treasurer's Office
301 West Jefferson Street, Suite 100
Phoenix, AZ 85003
RE: Stale-Dated Check #957839
Escrow #C209330-346 SB2
Dear Ms. Quitangon:
Please let this serve as written authorization for Alissa Weber to file a claim to have the above-
referenced stale-dated check replaced. Thank you.
Sincerely,
69C71FE7FBF34C6...
Maggie Winnett
President and County Manager
MW/sdr
Maricopa County Treasurer's Office 121-63-116 9 10/24/2024 1:24:34 PM
Fl 121-63-116 9 os x
File Help
Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code A
2024 TAX PAYMENT 2024-09-25 050-66613 $429.84 N 2024-09-24 F
2024 ~=TAXBILL 2024-08-24 Y
2023. TAX PAYMENT 2023-09-14 = 071-11984 $431.82 N 2023-09-11 F
2023 TAX BILL he
0 REFUND - $ 4 oN
2022 = TAX PREPAYMENT 086-02771 $1,093.94 N 2022-08-22
2022 TAX PAYMENT 086-02771 $406.72 N 2022-08-22 F
2022 TAX BILL Y
2021 TAX PREPAYMENT 086-02542 $1,500.66 N 2021-08-23 ¥
< >
Parcel #: [121-63-116 Activity: [REFUND Act Date:05/24/23
Tax Year: [0 Tran #:[- i Act Time {i2:00 4M
Activity Detail | Addess Detail |
CP #: fo Check Date: )05724723
Buyer #: fo Check #: [957839
Fund: [26 Refund Amount: $1,093.94
Click icon for Disbursements Inquiry. ----> Fe]
View Image... | Close
Maricopa County Treasurer's Office
Refund ID 2023008871 MANUAL
& Refund ID 2023008871 MANUAL
Requester, [JOSE.MANCERA on 5/22/2023
File Help
SiR
Refund Amount: [st 093.94
| Refund Reason: [Overpayment of property taxes
|
Status: |DISBURSED on 5/22/2023
SlipID: [202300233
|CHICAGO TITLE AGENCY
ESCROW NO# C209330
Address:
Impounds | Stub | Comments |
Check Request: \JOSE
Reference #: |
Impound #1
Parcel/Roll:|121-63-116 Dest fund: [026
CP #: if Reso #: Jo
CP buyer #:[0 Phase # : fo
Mortgage code: [
Source Fund | Linked | Amount | Tax Year { Statu
094 True $1,093.94 0 REAL
< >
Impound Total : 1
Transaction #: |08602771
Case #:
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10/24/2024 1:25:28 PM