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9/30/2015 8:51:05 PM
Official Document Type
Agenda Item Number
Department of Revenue
Application for Revenue Sharing 2005-2006 Fiscal Year
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DR-700218 <br /> Application For Revenue Sharing 2005-2006 State Fiscal Year R . 04/05 <br /> (Chapter 218, Part II Florida Statutes) <br /> rr <br /> DEPARTMENT <br /> OF REVENUE Application must be received by the Department of Revenue prior to June 30, 2005 <br /> Please TYPE or PRINT all entries except those requiring a signature . <br /> Part One <br /> Name of County Indian River. <br /> OR <br /> Name of Municipality County <br /> Telephone Number ( 772 567 - 8000 <br /> Fax Telephone Number ( 772 ) 770 - 5331 <br /> Mayor or Chairman of Governing Body Thomas S . Lowther <br /> Chief Fiscal Officer Jeffrey K . Barton <br /> Official Mailing Address 1840 25th Street <br /> Vero Beach , FL 32960 - 3365 <br /> Check here if the address represents a change from the previous application . <br /> Federal Employer I . D . Number ( required for new participants only) . <br /> Part Two <br /> To be eligible to participate in Revenue Sharing beyond the minimum entitlement as defined in s . 24 8 . 21 ( 7) 9 F. S . , for <br /> any <br /> fiscal year, a unit of local government is required to have fulfilled certain requirements set forth in s . 218 . 23 , F. S . , including <br /> certification requirements . Signatures by the appropriate official in the signature blocks , where app icable , shall constitute <br /> fulfillment of the certification requirements set forth in s . 218 . 23 , F. S . <br /> Consistent with the requirements of s . 218 . 23 , F. S . , has the applicant : <br /> Note: Question 1 and 2 pertain to financial audit requirements. If a financial auditas required , report <br /> on the most recently completed audit period. Fiscal year ending 09/30/03 wit, be sufficient for this <br /> purpose. <br /> 1 . Reported its finances for its most recently completed fiscal year to the Department of Banking and Finance , <br /> pursuant to s . 218 . 32 , F. S . ? <br /> 0 Yes 0 No <br /> 2 . Made provisions for annual postaudits of its financial accounts in accordance with s . 11L45 , F. S . ? <br /> Yes 0 No Febr ary 18 , 2005 <br /> MEW AUdit Report <br />
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