REDACTED - FOR AGENDA ATTACHMENT - LANDMARK TITLE ASSURANCE AGENCY.PDF

v
MARICOPA COUNTY

TREASURER’S OFFICE

John M. Allen, Treasurer
301 West Jefferson St., Rm. 100
Phoenix, Arizona 85003

Phone: (602) 506-8511

Fax: (602) 506-1102
http://treasurer.maricopa.gov

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

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

Cathy Sanchez A

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

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
Landmark Title Assurance Agency 944082 486.14 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/Check
Affidavit/Claim Form

This application is for: Oo 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.
| ~\_. Loninarte—
(1), being first sworn, upon oath deposes and says:

Name/Claimant

On or about Ni | 3 WQA (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

aie k be issued to~him/Rer in the sum of $ HX ly : 4 .(3)

sone Pol Gi (4
Print name: “(required) Rarviae de U

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 YQ day of ALIA iN SE 20, 24,
Wdwira ol Dewfd

NOTARY PUBLIC
Notary Public State of Arizona
Maricopa County
My ommyesion jres: Wy Commascn Peps 06/21/2024
Commission Number 585499 (seal)
Warrant/Check Number {7 3
(if known) (6) —~ L\U O oO
Original Date of Issue |
(if known) (7) N 4 20 22
Reason for original issue of Warrant/Check (8):
0 Payroll
0 For Services or Goods furnished
 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

Ly LANDMARK

TITLE ASSURANCE AGENCY

August 29, 2023

RECEIVED

Maricopa County Treasurer
301 W Jefferson St Suite 100
Phoenix, AZ 85003

SEP 15 2023

MARICOPA COUNTY
u
TREASURER

Re:
Parcel: 232-04-296

Escrow No.: 06200239 - 080 - SH3
Please accept this letter as authorization for Randee Riley to sign as claimant on behalf of Landmark Title. Enclosed

herein please find the following documents in connection with reissuance of Stale Dated check for the above
referenced escrow:

M1 Signed & Notarized Application for Duplicate or Stale-Dated Warrant/Check

Thank you for your assistance in this matter! If you should have any questions, please do not hesitate to contact me.

Maricopa County Treasurer's Office 232-04-296 3 10/18/2023 1:58:12 PM

[BB 232-04-296 3 - x
File Help
Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Act Time | A
2023. TAX BILL 2023-08-26 Y 12:00:00 4M
2022 MTG REJECT 2023-05-01 MO -A113 $444.06 N 2023-04-24 F 6:46:00 PM
2022 TAX PAYMENT 2023-04-25 MO -F608 $444.06 N 2023-04-24 F 9:15:00 PM
2022 MTG REJECT 2022-10-25 MO -F608 $444.06 N 2022-10-25 1 9:23:00 PM
2022. TAX PAYMENT 2022-10-21 MO -A113 $444.06 N 2022-10-20 1 6:41:00 PM
2022 INFOSTATEMENT 2022-08-20 Y 12:00:00 AM
2022 TAX BILL 2022-08-20 Y 12:00:00 AM
2022 TAX BILL 2022-08-20 v 12:00:00 AM

12 i

REFUND

< >
Parcel #: |232-04-296 Activity: REFUND Act Date|06/03/22
Tax Year: [2021 Tran #: [- | Act Time {12:00 AM

Activity Detail | Address Detail |

cP# ff tt—~— Check Date: [06/03/22
Buyert: [J Check #: [944082
Fund: se © Refund Amount: | $496.14

Click icon for Disbursements Inquiry. ----->

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Maricopa County Treasurer's Office

Refund ID 2022012084 MANUAL

& Refund ID 2022012084 MANUAL
File Help

CaIey

Refund Amount: fsag6.1 4

Requester: |RAMONA. MORAN on 6/2/2022

Refund Reason: [Overpayment of property taxes

Status: [DISBURSED on 6/2/2022

Slip 1p: [202200398

Address: LANDMARK TITLE ASSURANCE AGENCY

Check Request: |MAIL

Reference #: |

Impounds | Stub | Comments |

Status

Source Fund | Linked | Amount | Tax Year |
064 True $486.14 2021
<

READ

Impound Total : 1

Impound #1
Parcel/Roll :|232-04-296 Dest fund : fo26

CP H: Jo Reso #: fo
CP buyer #0 Phase tt: [0

Mortgage code : |

eae Se

Transaction #: — }05522169
Case #: |

10/18/2023 1:58:03 PM