REDACTED - FOR AGENDA ATTACHMENT - TITLE ALLIANCE PLATINUM AGENCY LLC.PDF

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

V Phoenix, Arizona 85003
M A R) C '@) PA C oO U fia T Y Phone: (602) 506-8511

TREASURER’S OFFICE

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 ‘aa
Maria Quitangon

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

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

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
Title Alliance Platinum Agency LLC 943779 $398.94 | 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.
Brad Straub (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about May 26, 2022 (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 ; in pret in the sum of ¢ 398.94 (3)

Signed: Ze,

Print name: (required) Brad Straub

(4)

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 ON day of Rugus © 2033.

NOTARY PUBLIC

TAMIE VARGO

4 ane: i?
@ sy Notary Public - Arizona
we Maricopa County
Commission # 645292

My commission expires:

21K\ doa

©) My Coftim. Expires Feb 8, 2027 (seal)

Warrant/Check Number
(if known) (6) 943779

Original Date of Issue
(if known) (7) May 26, 2022

Reason for original issue of Warrant/Check (8):
O1 Payroll

1 For Services or Goods furnished
Treasurer's refund/payment 2921 Taxes

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

wor
y wale Iv

AN ACRISURE PARTNER

6 TITLE Providing

ALLIANCE

Her and Exceptional! Home-Buying Experiences
Building Businesses. Growing Profits.

September 21, 2023

To Whom It May Concern:

By way of this letter, please know that Brad Straub of Title Alliance has authority to sign for the company
in order to receive a replacement check for the state dated check that we did not cash.

Should you have any further questions, please contact me directly. RECEIVED

SEP 26 2023

MARICOPA COUNTY
TREASURER

Lindsay Smith
Chief Strategy Officer

Title Alliance, Ltd.

Maricopa County Treasurer's Office 173-54-500 6 10/3/2023 1:23:18 PM
FB 173-54-500 6 - x
File Help

Year | Description | Act Date | Tran Num | Amount | Images | Pmt Date | Half Code | Act Time Aa

2023 INFO STATEMENT 2023-08-26 N 12:00:00 AM

2023 TAX BILL 2023-08-26 v 12:00:00 4M

2022 TAX PAYMENT 2023-04-19 MO-Al?71 $375.49 N 2023-04-17 =F 6:48:00 PM

2022 = TAX PAYMENT 2022-10-28 MO A171 $375.49 N 2022-10-27 1 6:47:00 PM

2022 INFO STATEMENT 2022-08-20 ¥ 12:00:00 4M

2022) TAX BILL 2022-08-20 ¥

2021 REFUND 2 5 : 44

2021 CTX IMPOUND 2022-04-21 055-1699 $398.94 ¥

2021 TAX PAYMENT 2022-03-02 = 071-64317 $398.94 N 2022-02-27 =F 6:34:00PM v

< >

Parcel #: [173-54-500 Activity: [REFUND Act Date:05/26/22
Tax Year: [2021 Tran #:[- fe! Act Time {12:00 AM
Activity Detail | Address Detail |
CP #: jo Check Date: Jo5726/22
Buyer #: fo Check #: | 943779
Fund: (26 Refund Amount: $398.94
Click icon for Disbursements Inquiry. ----->
|
View Image... Close

Maricopa County Treasurer's Office Refund ID 2022011713 MANUAL

& Refund ID 2022011713 MANUAL = Oo
File Help

EaIey

Refund Amount: fe39e.94

Requester: |RAMONA MORAN on 5/25/2022

Refund Reason: [Overpayment of property taxes Status: [DISBURSED on 5/25/2022

Slip 1D; [202200375

Address: Check Request: |MAIL

Reference #: |

Impounds | Stub | Comments |

Impound #1
Source Fund | Linked | Amount | Tax Year | Status Parcel/Roll :|173-54-500 Dest fund : fo
064 True $398.94 2021 READ CPH: jf Reso tf: bo
cp byert[0 Phase # : oO
Mortgage code : |
£ > Transaction # : jossiess8——C—<“Ct:*ti‘:S

|
Impound Total: 1 Case #: |

10/3/2023 1:24:21 PM