Correction Of Misapplied Payments {502}

C L E R K O F T H E C O U R T S U P E R I O R C O U R T O F A R I Z O N A M A R I C O P A C O U N T Y 201 WEST JEFFERSON PHOENIX, ARIZONA 85003 MICHAEL K. JEANES (602)506-3676 CLERK FAX (602)506-7684 TDD (602)506-3211 CORRECTION OF MISAPPLIED PAYMENTS In order to correct misapplied payments through the Clerks Office; it is mandatory that the following items be verified: Correct CR# Amt Date Applied Receipt# Defendant Name: Incorrect CR# Amt Date Applied Receipt# Defendant Name: Please attach copies of back up information (checks or receipts). Brief Summary: I, ____________________, duly depose and say: To the best of my knowledge this/these payment(s) have been misapplied and I will be responsible if the information given above is incorrect. I have/will notify the Adult Probation Officer of incorrect cause number of this discrepancy. When completed please return to: Clerk of the Court Financial Services, R.F.R. Section Fax # 602-506-5127 ______________________________________ (Signature of Adult Probation Officer) nmd 022499 Form 502 Clerk of Superior Court of Arizona in Maricopa County September 10, 1999 ALL RIGHTS RESERVED