REDACTED - FOR AGENDA ATTACHMENT - JOHN-LINDSEY HIGGINSON #957943.PDF
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John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003
Fi
MARI COPA COUNTY eet
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
maria.quitangon@maricopa.gov
602-506-1958
Cathy Sanchez
cathy.sanchez@maricopa.gov
602-506-7881
Re: Stale Dated Warrant
Vou
Name Warrant Amount Dept/School
No
JOHN OR LINDSEY HIGGINSON 957943 $9,019.34 | Treasurer
Application for a Duplicate or Stale-Dated Warrant/ Check
Affidavit/Claim Form
This application is for: LC] Duplicate or K)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.
Li Nn ai i] OALNS DIA, being first sworn, upon oath deposes and says:
Name/Claipfant £7
On or about 5 (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 $ 4) e]| qj. 24 .(3)
Signed (4)
ia RONGVOISDYAN
Note. Please attach a copy of the-warrant/chéCtk if available and/or any other
evidence that a warrant/check was originally issued.
Print name: (required)
(5) Subscribed and sworn to before me this Ti day of BY uly 2024 .
JONATHAN D MONTOYA 5
NOTARY PUBLIC’- ARIZONA
Maricopa County
Commission # 592113
My Commission Expires
ee c i hives orpires:
> September 16, 2024 (seal)
Warrant/Check Number | 1°
(if known) (6) Ss) FG Ut 2
Original Date of Issue im NC Ss
(if known) (7) > F > QS
Reason for original issue of Warrant/Check (8):
O1 Payroll
O For Services or Goods furnished
at reasurer’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
Ver vIEY
aqliqhey
he
Maricopa County Treasurer's Office
Refund ID 2023009024 MANUAL
&. Refund ID 2023009024 MANUAL
File Help
SIR)
$9,019.34
| Refund Amount:
Requester, |RHINA. CANJURA on 5/24/2023
| Refund Reason: [Overpayment of property taxes
|
|
Status: [DISBURSED on 5/24/2023
Slip ip: [202300241
Address: JOHN OR LINDSEY HIGGINSON
Impounds | Stub | Comments |
Check Request: |RHINA
Reference #: |
Impound mn
Amount | Tax Year_| Statu
Parcel/Roll :[174-28-2224 Dest fund : [026
Source Fund | Linked |
034 True $8,576.76 0
| | 094 True $442.58 0
<
REAL CPR:
REAL
0 Reso#: [0
CP buyer # :|/0 Phase #: |0
Mortgage code :
> Transaction #: (05110197
Impound Total : 2
Case #: |
6/20/2024 8:37:00 AM
Maricopa County Treasurer's Office 174-28-222A 6 7/17/2024 1:37:19 PM
PB 174-298-2224 6
= x
File Help
Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Act Time a
2023 TAX PAYMENT 2024-07-08 = 072-15761 $4,916.65 N 2024-07-02 F 6:30:00 PM
2023. =DELINQUENT NOTICE 2024-06-03 Y 12: 00: 004M
2023. TAX BILL 20231 08- a ¥
it} REFUND 2023-05- 3 : $442.58 N 12: 00: o0 AM
2022 TAX PREPAYMENT 2022-09-27 051-10197 $8,576.76 ¥ 2022-09-26 7:13:00 PM
2022 TAX PREPAYMENT 2022-08-22 086-09478 $442.58 N 2022-08-22 10:28:00 AM
2022 TAX PAYMENT 2022-08-22 0986-09478 $4.176.24 N 2022-08-22 -F 10:28:00 AM
2022. TAX PAYMENT 2022-08-22 0896-09477 $112.14 N 2022-08-22 1 10:28:00 4M v
< >
Parcel #: fi 1 74-28-2224 Activity: [REFUND Act Date:05/26/23
| TaxYear [0 Tran #:[- fe Act Time {12:00 AM
(an aa eh ame ee +P
Activity Detail | Address Detail | O-x*
: : | [mpeuves 82576+° 764
cP #: jo Check Date: [05/26/23 G42+56+
Buyer #: [9 Check #: [357543 002
| Fund [2 Refund Amount: [——~~$8 57676 | Tore. = BIT O=IBMOP
| Click icon for Disbursements Inquiry. -----> 002
| 92019 *34%+
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Maricopa County Treasurer's Office 174-28-222A 6 7/17/2024 1:37:08 PM
[BB 174-28-2224 6 - x
File Help
Year | Description el Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Act Time A
2023 TAX PAYMENT 2024-07-08 = 072-15761 $4.916.65 N 2024-07-02 F 6:30:00 PM
2023 =DELINQUENTNOTICE 2024-06-03 12:00:00 AM
2023) TAX BILL 2023-08-26 12:00:00 4M
0 REFUND 26 12:00:00 AM
O REFUND 7 “ i r
2022 TAX PREPAYMENT 2022-09-27 =—051-10197 Y 2022-09-26 7:13:00 PM
2022 TAX PREPAYMENT 2022-08-22 0186-09478 $442.58 N 2022-08-22 10:28:00 4AM
2022 TAX PAYMENT 2022-08-22 086-09478 $4,176.24 N 2022-08-22 F 10:28:00 AM
2022. TAX PAYMENT 2022-08-22 086-09477 $112.14 N 2022-08-22 1 10:28:00 4M v
< >
Parcel #: [174-28-2224 Activity: [REFUND Act Date:05/26/23
Tax Year: [0 Tran #:[- (| Act Time 12:00 4M
Activity Detail | Address Detail |
CP #: jo Check Date: {05726723
Fund GE __Refund Amount: [F005
Click icon for Disbursements Inquiry. ----> E ras
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