REDACTED - FOR AGENDA ATTACHMENT - MAGNUS TITLE ORDER NO. 820-4029-DW.PDF

L
MARICOPA COUNTY

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

Phoenix, Arizona 85003
Phone: (602) 506-8511
Fax: (602) 506-1102

TREASURER’S OFFICE http://treasurer.maricopa.gov
To: — Clerk of the Board
clerk.agenda@maricopa.gov
Dorene.Stretar@Maricopa.Gov
From: Treasurer’s Office
Maria Quitangon ‘ond
maria.quitangon@maricopa.gov
602-506-1958
Cathy Sanchez CH
cathy.sanchez@maricopa.gov
602-506-7881
Re: Stale Dated Warrant
Name Warrant Amount Dept/School
No
MAGNUS TITLE 956512 $1,167.87 | Treasurer

ORDER NO. 820-4029-DW

Application for a Duplicate or Stale-Dated Warrant/Check

Affidavit/Claim Form

This application is for: O 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.
ir (1), being first sworn, upon oath deposes and says:

Nameé/Claimant

On or about Y-dl- oa (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 the applicant requests that a replacement

warrant/check be issued to him/her in the sum of $ WZ. & Et iC)
Signed: pO bi PAZ (4)
Print name: (required) [>enise Lx Yol fe

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

d and
Md

wore me this SO day hide, 202QY.
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7

NOTARY PUBLIC SSM RUDIE LUGO
4) tertsloe Co Poanall
My commission expires: Ones 0.
3-9E-B0aS Seen Sane (seal)
Warrant/Check Number
(if known) (6) A505 lo
Original Date of Issue ™ fi
(if known) (7) 4 | a>
Reason for original issue of Warrant/Check (8):
OO Payroll
© For Services or Goods furnished
ref Treasurer's refund/payment
OO 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
yerirrey

glighy
ia

Magnus Title Agenc

MAGNUS TITLE
AGENCY

July 30, 2024

To: Maricopa County Treasurer
Re: Escrow No: 820-4029-DW

Denise Wolfe is an Escrow Officer at our branch. She has the authority to file the Affidavit/Claim Form for the stale dated
check,

Thank you,

ee

Shawni Butler
Branch Manager
Magnus Title Agency, LLC

Amendment to Escrow Instructions and/or Purchase Contract
Escrow No.: 820-4029-DW Page | of |

Maricopa County Treasurer's Office 113-39-003J 3 8/13/2024 9:27:26 AM
FRB 113-39-003) 3 - x
File Help
Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | HalfCode A
2023. = DELINQUENT NOTICE 2024-06-03 ¥
2023 TAX BILL 2023-08-26 Y
0 REFUND 21 3
2021 REFUND 2023-04-19 : $40.57 N
2022 TAX PREPAYMENT 2023-04-18 0011-04907 $1,167.87 N 2023-03-13
2021 REDEMPTION PAYMENT 2023-04-18 011-04907 $50.57 N 2023-03-13
2022. TAX PAYMENT 2023-04-18 011-04907 $1,167.87 N 2023-03-13. F
2021. =BTX_IMPOUND 2023-03-14 053-98378 $2,386.31 VY
2021 CP BUYER PAYMENT 2023-02-15  087-00050 $45.57 N 2023-02-15 v
< >
Parcel #: [113-39-003) Activity: [REFUND Act Date 04/21/23
Tax Year: [0 Tran #: [- fal Act Time {12:00 4M
Activity Detail | Address Detail |
| CP #: jo Check Date: 04721 723
Buyer #: {0 Check #: J 956512
| Fund 260 | Refund Amount: $1,167.87

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Maricopa County Treasurer's Office

Refund ID 2023006914 MANUAL

B& Refund ID 2023006914 MANUAL
File Help

iky

Refund Amount: — [$1,167.87

Requester. |DAVID.DAMIAN on 4/20/2023

Refund Reason: [Overpayment of property taxes

Status, [DISBURSED on 4/20/2023

Slip 1D: [202300188

Address: — [MAGNUS TITLE

Impounds | Stub | Comments |

Source Fund | Linked | Amount | Tax Year | Statu
094 True $1167.87 0 REAL
|
|
| < >

Impound Total: 1

Check Request |DAVID

Reference #: |

Impound #1 ig
Pacel/Roll :[113-39-003) Dest fund : [026
cpe#: [0 — Reso#: [0
cPbwert:[0  —sPhasett: [0

Mortgage code :

Transaction #: —|01104907
Case #: li. ts—~SY

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8/13/2024 9:28:06 AM