REDACTED - FOR AGENDA ATTACHMENT - ADVANTAGE INVESTMENT #952121.PDF

Maricopa County — Formal (2024-06-12)

View PDF Item 84 Meeting page

Extracted text (via ocr_local) 7181 characters
John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003

v
MA Rg COPA COUNTY Mga: (602) 806-1102

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 aa
maria.quitangon@maricopa.gov
602-506-1958

Cathy Sanchez Cue

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

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
Advantage Investment 952121 $317.37 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/ Check

Affidavit/Claim Form

This application is for: oO Duplicate or U1 stale-Dated (definitions are on page 2)

STATE OF ARIZONA Note: Numbers on this form correspond to numbers on the
COUNTY OF a Instruction sheet which is page 2 of this form.
kf 2A (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about ! al q| W2re (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 $ 3 / hi : 3/ (3)
Signed: Yun fer Greg . C+ 22 W (4)
Print name: (required) [unfes Gao

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 ~o- day of Agr | 20 24

COLLYR

NOTARY PUBLIC(/ ‘

My Calis) 26 res Corease So) on

Warrant/Check Number
(if known) (6) # 9¢ uw

Original Date of Issue 1/ q | wr

(if known) (7)

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

O For Services or Goods furnished

ee 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
gfe Fier
a Gr

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CALIFORNIA JURAT

A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of California

County of Sata C lala,

Subscribed and sworn to (or affirmed

this ey: day of

Date Month

Piste
; 20M, by

() yunte l Gao

(and (2) ys
Name(s) of Signer(s)

proved to me on the basis of satisfactory evidence to
be the person(s) who appeared before me.

Signature
Place Notary Seal and/or Stamp Above

OPTIONAL

Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document: {

Document Date: Number of Pages:

Signer(s) Other Than Named Above:

Maricopa County Treasurer's Office 101-10-033 9 5/16/2024 4:01:25 PM

101-10-033 9
File Help

a x

Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Act Time «
2023. TAX PAYMENT 2023-10-19  849-00892 $300.58 N 2023-10-19 F 8:55:00 Aly
2023. «TAX BILL 2023-08-26 ‘i 12:00:00 4
TAX PAYMENT 21701-17261 $145.23 oN 2023-02-21 =F 11:44:00 4
2020 REFUND Og : 3 N 4 0.4
2020 REDEMPTION PAYMENT 2022-10-25 =: 072-36542 $327.37 N 2022-10-20 6:42:00 PI
2022. TAX PAYMENT 2022-10-25  072-36542 $145.23 N 2022-10-20 1 6:42:00 Ph
2021 +TAX PAYMENT 2022-10-25 0072-36542 $311.67 N 2022-10-20 F 6:42:00 Ph
2022 = TAX BILL 2022-08-20 M 12:00:00 4
2021 DELINQUENT NOTICE 2022-06-02 ¥ 12:00:00 4 v
< $ >
Parcel #: fi 01-10-033 Activity: JREFUND Act Datej11/09/22
Tax Year: [2020 Tran #:[- fs] Act Timefi2:00 AM
Activity Detail | Address Detail |
CP #: [20008309 Check Date: [11/09/22
Fund: [60S Refund Amount: $317.37
Click icon for Disbursements Inquiry. —-> al

View Image... | Close

Maricopa County Treasurer's Office

Refund ID 2022022868 CP_BUYER

&. Refund ID 2022022868 CP_BUYER
File Help

Caley

Refund Amount: [sat 7.37

Requester: |CCARDWEB on 10/25/2022

Refund Reason: jcP Redemption refund

Address:

Impounds | Stub | Comments }

Status: JDISBURSED on 11/9/2022

Slip ID: ]202200816

Check Request [MAIL

Reference #: [CP 20008309

Source Fund | Linked |

Amount | Tax Year | Status

050 True $317.37 2020

READ

Impound Total: 1

Impound #1
Parcel/Rall:[101-10033  Destfund:|050
cp#: [20008309 pReso#: [0
CPbuyer#:[20042 —Phasett: [DS

Mottgagecode: [|

Transaction # : Jo7236542
Case #: J

5/16/2024 4:02:02 PM

Maricopa County Treasurer's Office

5/16/2024 3:57:18 PM

Copy
Name/Address

CP. List

J¥ Outstanding [~ Redeemed [~ Expired J~ Extinguished

IRS Form Type [ws

BuyerNunbec [KT Swer Code: [~ SSN:

x

cP Number _ | Parcel Number | # of Years | Status

20008343
20008372
20008427
20009247
20009932
20009943

<

10122251
10140011)
10211206
10608023
11346035
113550488

1

Outstanding
Outstanding
Outstanding
Outstanding
Outstanding
Outstanding

Number of C.P.'s Displayed: 6

OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO

CERTIFICATE OF FACT OF GOOD STANDING

I, Jena Griswold, as the Secretary of State of the State of Colorado, hereby certify that, according to the
records of this office,

Advantage Investment Consulting LLC

isa
Limited Liability Company
formed or registered on 08/02/2021 under the law of Colorado, has complied with all applicable

requirements of this office, and is in good standing with this office. This entity has been assigned entity
identification number 20211716012 .

This certificate reflects facts established or disclosed by documents delivered to this office on paper through
07/20/2023 that have been posted, and by documents delivered to this office electronically through
07/24/2023 @ 10:56:13 .

[ have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this
official certificate at Denver, Colorado on 07/24/2023 @ 10:56:13 in accordance with applicable law.
This certificate is assigned Confirmation Number 15170486

Secretary of State of the State of Colorado

TENE ETE EERE ENCE EEE TEER EEREO EERE Of Cortificatet etter htt Oe HOHE EE RETR EER ER ER RHEE HE

Notice: A certificate issued electronically from the Colorado Secret State's website is fully and immediately valid and effective.
However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a
Certificate page of the Secretary of State's website, hitps://www.coloradosos,gow/biz/CertificateSearchCriteria.do entering the
certificate's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate
is merely optional and is not neces. to _the valid and effective issuance of a certificate. For more information, visit our website,
hups://www,coloradosos.gov click “Businesses, trademarks, trade names" and select ‘Frequently Asked Questions,”