REDACTED FOR AGENDA ATTACHMENT - PGP TITLE INC #944378.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

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

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

Re: Stale Dated Warrant

Name Warrant Amount | Dept/School
No
PGP Title Inc. 944378 $328.44 | 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)

Name/Claimant TH7TCE

On or about &: (3: Qo o- (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.

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.
. Pan\
=
“rule Ly Le] Ghat, being first sworn, upon oath deposes and says:

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 $ a Af. ey .(3)
Signed: Shek LQ 4 (4)
Print name: (required) JuA\ A - “Beery

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 ZO day of By Va U Sr 20.23,
“Dank Guwk

NOTARY PUBLIC

DANI SUREK
Notary Public, State of Arizona
c Maricopa County
ommission # 64011
My Commission Expires (seal)
October 10, 2026

My commission expires:

10 -[D-2t

Warrant/Check Number
(if known) (6) 54 uU 3 + s
Original Date of Issue .
(if known) (7) L: (3: o0a-0
Reason for original issue of Warrant/Check (8):
O1 Payroll

O) For Services or Goods furnished

4_Treasurer’s refund/payment

O Other:
S:\PROCESSES\Warrants - Duplicate or Stale\02 Forms\Current Claim Form\100518 Warrants Checks notice of claim.doc v\
Revised 100518 A.R.S. 11-632 & 11-644 NS
Veale
a

vi

yi“

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 corfact us.

Thank-you,
Teri Thompson (she/her)

Dirsct tine | Nain tise

PGPTitle”
i)

Send closing documents to AZDocs@pulte.com
PGPTitle License #1038628

PGPTitle”

Teri Thompson
Multi Market Manager
Arizona/California

Maricopa County Treasurer's Office 102-12-162 8 9/11/2023 2:03:44 PM

REFUND

FB 102-12-162 8 _ 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 -F131 $341.87 N 2023-04-24 F 7:28:00 PM
2022. TAX PAYMENT 2022-10-25 MO -F131 $341.87 N 2022-10-25 = 1 7:22:00 PM
2022 INFOSTATEMENT = 2022-08-20 Y 12:00:00 4M
2022 TAX BILL 2022-08-21 v

0
3 N

4
$328.44

055-34886

2021 CTX IMPOUND 2022-05-05 Y
2021 TAX PAYMENT 2022-04-19 MO A289 $328.44 N 2022-04-14 F 6:56:00 PM v
< >
Parcel #: 102-12-162 Activity: [REFUND Act Date:06/13/22
Tax Year: (2021 Tran #[- eal Act Time12:00 AM

Activity Detail | Address Detail |

cP# SS” Check Date: [06/13/22
Buyer#: [0 Check #: [944378
Fund 26 Refund Amount: | $328.44

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

View Image... Close

Maricopa County Treasurer's Office

Refund ID 2022012567 MANUAL

&}. Refund ID 2022012567 MANUAL
File Help

CAI

Refund Amount: [s328.44

Requester, [MARC.LYLES on 6/10/2022

Refund Reason: |Overpayment of property taxes

Status: [DISBURSED on 6/10/2022

Slip iD: |202200419

Address: [PGP TITLE INC

SCOTTSDALE AZ 85260

16767 PERIMETER DR - SUITE 100

Check Request: |MAIL

Reference #: |

Impounds | Stub | Comments |

Source Fund | Linked | Amount | Tax Year | Status
064 True $328.44 2021 READ
< >

Impound Total : 1

Impound #1
Parcel/Roll:/10212-162 Dest fund: [026
CP #: oT Reso #: o
€P bye #0 Phase #: jf
Mortgagecode: [

{05534886

Transaction # :

Case #:

9/11/2023 2:03:34 PM