REDACTED - FOR AGENDA ATTACHMENT - STEWART TITLE GUARANTY COMPANY.PDF

l
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

Maria Quitangon

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

Cathy Sanchez ( 9?
cathy.sanchez@maricopa.gov
602-506-7881

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
Stewart Title Guaranty Company 944909 $515.19 | Treasurer

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

This application is for: O Duplicate or Pl sinlo-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.

Coury Creech | Stawert Tite (1), being first sworn, upon oath deposes and says:
Name/Claintant U

On or about il L| !20] DOOR (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 ¢__51S- 4 (3)

Signed: Couatus, CraN (4)

Print name: (required) Coux bret Cnreceh

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

th
(5) Subscribed and sworn to before me this_.4¢ ~ day of A rw ~~ f° 20.3.3.
Qa ff Cy

NOTARY PUBLIC

; S&, _ CAROLF. COX
My commission expires: Oo) Notary ID # 124814987
dw-ed- 2d aael Xe My Commission Expires (seal)

February 04, 2024

Warrant/Check Number

(if known) (6) G44 404
Original Date of Issue :
(if known) (7) U IES / 2O3-2
Reason for original issue of Warrant/Check (8):
O1 Payroll

C1 /For Services or Goods furnished

Treasurer’s refund/payment
Other: Ovev pau ment yf 2°at +yred

S:\PROCESSES\Warrants - Duplicate or stie\o2 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc
Revised 100518 A.R.S. 11-632 & 11-644

ye

aL

eels

Ww

MA stewart

To whom it may concern,

|, McKinney Whetstone hereby authorized Courtney Creech to file this claim and Maricopa
County to reissue Check # 944909 in the amount of $515.19 to Stewart Title Guaranty Company.
Please send it to my attention at the following address listed below signature. If you require any
further information, please feel free to contact me.

Best regards,

MCKINNEY K. WHETSTONE
Operations Sr. Manager
Funding & Escrow Services

Maricopa County

Treasurer's Office

148-26-254 7

9/8/2023 8:51:34 AM

REFUND
2021 =CTXIMPOU

<
Parcel #: [148-26
Tax Year: (2027

2021 TAX PAYMENT

254

2022-05-03
2022-04-28

055-32189

$515.19 Y
MO F310 951519 N
Activity: [REFUND
Tran#:[

Activity Detail | Addre:

s Detail |

CP #: jo
Buyer #: jo
Fund: [26

F 7:59:00 PM

>

Act Date}06/20/22
Act Time}12:00 AM

FR 148-26-254 7 = x
File Help
Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Act Time | a
2023. INFOSTATEMENT = 2023-08-26 N 12:00:00 AM
2023) TAX BILL 2023-08-26 N 12:00:00 AM
2022 TAX PAYMENT 2023-04-25 MO -FO24 $479.93 N F 7:14:00 PM
2022. TAX PAYMENT 2022-10-25 MO -FO24 $479.93 N 1 7:09:00 PM
2022 INFOSTATEMENT 2022-08-20 v 12:00:00 4M
2022 TAX BILL 2022-08-20 Y

v

Check Date: [06/20/22
Check #: | 944909
Refund Amount: | $515.19

Click icon for Disbursements Inquiry. ----~

View Image...

Close

Maricopa County

Treasurer's Office

Refund ID 2022013205 MANUAL

File Help

JIE)

| Refund Amount: [ss
i

5.19

Ey Refund ID 2022013205 MANUAL

Requester: [MARIA QUITANGON on 6/17/20

efund Reason: [Overpayment of property taxes

Status: [DISBURSED on 6/17/2022

Slip ID; {202200441

Impounds | Stub | Comments |

Address: [STEWART TITLE GUARANTY COMPANY
ESCROW ACCOUNTS

Source Fund | Linked | Amount | Tax Year | Status
064 True $515.19 2021 READ
1 a< >

Impound Total : 1

Check Request: [MAIL

Reference #: |

Impound #1
Parcel/Roll ;/148-26-254 Dest fund ; 026
a Reso: |

CP#:

CP buyer #:|0 Phase #: |0 ~

Mortgage code: |
{055321 89

Transaction # :

Case #:

9/8/2023 8:51:50 AM