REDACTED FOR AGENDA ATTACHMENT - PGP TITLE INC #944183.PDF

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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 yer

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

Cathy Sanchez Cc

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

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
PGP Title Inc. 944183 $239.61 | Treasurer

Application for a Duplicate or Stale-Dated Warrant/ Check

Affidavit/Claim Form Const

This application is for: O Duplicate or C1 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.

— +s eu Ho (1), being first sworn, upon oath deposes and says:

Name/Claimant

On or about “j -f ‘oo (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

ow be issued to ww. in the sum of $ o SF : Gl .(3)

Signed:
Y
Print nam bee quired) = tcc se Fe “Beegy

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

(4)

Lapin and sworn to before (Suey, this S( ) day of Aug 10) St 20 23.
NOTARY PUBLIC a
Notary puta SuBeEK Arizona
My commission expires: Commissn, county
[O-|0O-ZG y Sommission Exires (seal)
> er 2026
Warrant/Check Number
(if known) (6) BYYe (6
Original Date of Issue
(if known) (7) 6 6:-%x0a-
Reason for original issue of Warrant/Check (8):
0 Payroll

O For Services or Goods furnished

gg Treasurer's refund/payment

O Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc ot 4
Revised 100518 A.R.S. 11-632 & 11-644 ) ¥

veal

yu

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.

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 102-12-074 3 9/11/2023 2:00:09 PM
FRE 102-12-074 3 _ %
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 TAXPAYMENT 2023-03-30 = -075-64811 $249.42 N 2023-03-29 -F 6:41:00 PM

2022 TAXPAYMENT = 2022-10-27 —(075-34926 $249.42 N 2022-10-26 1 4:28:00 PM

2022 TAX BILL 2022-08-20 ha 12:00:00 AM

2021 REFUND : : 1 aN Ay fl

2021 CTXIMPOUND 2022-04-27 = 0155-22934 $239.61 6:33:00 PM

2021 TAXPAYMENT 2022-04-19 MO -4289 $239.61 N 2022-04-14 F 6:56:00 PM

2021 TAX PAYMENT 2021-10-12) MO -A289 $239.61 N 2021-10-11 1 6:35:00 PM

2021 = TAX BILL 2021-08-21 Y 12:00:00 4M ¥

< >

Parcel #: {102-12-074 Activity: REFUND Act Date:}06/08/22
Tax Year: [2021 Tran #:[- | Act Time {12:00 AM
Activity Detail | Address Detail |
cP #: jo Check Date: [06/08/22
Buyer #: Check #: [944783
Fund: (26 Refund Amount: $239.61
Click icon for Disbursements Inquiry. ----->
View Image... Close

Maricopa County Treasurer's Office Refund ID 2022012335 MANUAL 9/11/2023 2:00:39 PM

& Refund ID 2022012335 MANUAL = Oo x
File Help oe
ry
Refund Amount: fezsae1 Requester: |RAMONA. MORAN on 6/7/2022
Refund Reason: [Overpayment of property taxes Status: [DISBURSED on 6/7/2022
Slip ID; |202200408
Address: [PGP TITLE, INC. Check Request, [MAIL
16767 PERIMETER DR, STE 100
SCOTTSDALE AZ 85260 Reference tt: |

Impounds | Stub | Comments |

Impound #1
Source Fund | Linked | Amount | Tax Year_| Status Parcel/Rol [10212074 Dest fund : {028
064 True $239.61 2021 READ] cpy. [0 Reso#: [OD

CP buyer #:/0- Phase #: |0

Mortgage code : ]
s > Transaction # : Joss22934
Impound Total: 1 Casette