REDACTED FOR AGENDA ATTACHMENT - PGP TITLE INC #944182.PDF

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

MA R) C Oo PA Cc Oo U N TY Phone: (602) 506-8511
TREASURER’S OFFICE https/hreasuret ison. yo

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

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
PGP Title Inc. 944182 $228.65 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/Check

Affidavit/Claim Form cones’

This application is for: oO Duplicate or Cents (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.
“PG Tit Tac : (1), being first sworn, upon oath deposes and says:
Name/Claimant
On or about b ‘¥. pn (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

eg to him/her in the sum of $ A aA r. 6s” (3)
Signed: SK pirg (4)

U
Print rithege required) — ud: “Bx ery

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

oe sworn to before me this_3O day of Auqost 2023.

NOTARY PUBLIC

DANI SUREK
Notary Public, State of Arizona
Maricopa County
Mommission # 640115
y Commission Expires
October 10, 2026 (seal)

My, commission expires:

Warrant/Check Number

(if known) (6) q 74 (5 2-
Original Date of Issue .

(if known) (7) o é Of Ca o

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

O For Services or Goods furnished
\-Freasurer’s refund/payment

QO 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

PGPTitle”

June 29, 2023

To Whom It May Concern,

Please consider this my instruction and authorization to allow Judi Berry to be an authorized signer
on behalf of PGP Title for replacement of stale dated checks.

If you have any questions please cprifact us.

‘Thank You,
‘Teri Thompson (she/ her)

PGPTitle”
tf in)

Send closing documents to AZDocs@pulte.com

PGP Title License #1038628

PGPTitle”

Teri Thompson
Multi Market Manager
Arizona/California

Maricopa County Treasurer's Office 102-12-048 3 9/11/2023 1:06:15 PM

FB 102-12-048 3 om 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 4M
2023. TAX BILL 2023-08-26 N 12:00:00 4M
2022 TAX PAYMENT 2023-04-25 MO -F579 $237.99 N 2023-04-24 F 9:03:00 PM
2022, TAX PAYMENT 2022-10-25 MO -F579 $237.99 N 2022-10-25 = 1 8:53:00 PM
2022, INFOSTATEMENT = 2022-08-20 Y 12:00:00 4M
2022 TAX BILL 2022-08-20 aa

) 08 S $ N
2021. CTX IMPOUND 2022-04-27 = 055-22935 $226.65
2021 TAX PAYMENT 2022-04-19 MO A289 $228.65 N 2022-04-14 F 6:56:00 PM ¥
«< >
Parcel #: [102-12-048 Activity: [REFUND Act Date(06/08/22
Tax Year: (2021 Tran #[- cA Act Time {i200 AM

Activity Detail | Address Detai |

CP tt oo.) Check Date: [06/08/22
Buyer #: oc.) Check #: [944782
Fund: [260° = | Refund Amount: | $228.65
|
Click icon for Disbursements Inquiry. -----> =

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Maricopa County Treasurer's Office

Refund ID 2022012330 MANUAL

Ey Refund ID 2022012330 MANUAL
File Help

Eley

Refund Amount: [s228.65 a

Requester: |RAMONA. MORAN on 6/7/2022

Refund Reason: o verpayment of property taxes

Status: [DISBURSED on 6/7/2022

Slip iD: {202200408

Address: |PGP TITLE, INC.
16767 PERIMETER DRIVE, STE 100
SCOTTSDALE 42 85260

Impounds | Stub | Comments |

Check Request: [MAIL

Reference #: |

Source Fund | Linked | Amount | Tax Year | Status
064 True $228.65 2021 READ
< >

Impound Total: 1

Impound #1

Parcel/Roll:|10212-048 Dest fund: jo26
CP #: fo Reso #: fo

CP buyer # Jo Phase #: [0

Mortgage code : |
Transaction #: [05522935
Case #: |

9/11/2023 1:06:06 PM