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SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />(APPLICANTS MUST MEET QUALIFICATIONS OUTLINED IN FLA. STAT. & 194.035) <br />Please type or print. If more space is needed, attach additional sheets. Applicants may supplement their application <br />with a resume. However, a resume cannot be used in lieu of an application. <br />Application for: ❑ Attorney Special Magistrate <br />❑✓ Appraiser Special Magistrate for... <br />❑✓ Real Property. and/or ❑ Tangible Personal Property <br />If appointed, how much time would you be available to conduct hearings and complete your recommendations? <br />❑ 1 to 8 hours per week; ❑ 9 to 20 hours per week; ❑ 21 to 30 hours per week; ❑✓ 31 to 40 hours per week. <br />APPLICANT •R • <br />Name: Terrie Peltier <br />Home Address' 6854 SW 114 Place, #F, Miami, Fl. 33173 <br />Mailing Address: 6854 SW 114 Place, #F, Miami, Fl. 33173 <br />Business Name: N/A <br />Business Address: N/A <br />Phone: Home/ 305-772-6062 Business/ 305-772-6062 Cell/ 305-772-6062 <br />Fax: 305-328-5146 <br />E -Mail: Terrie201@bellsouth.net <br />• Copy of license referenced below. <br />• Documentation to support membership in professional organizations listed below under Organizations. <br />• <br />A. writing sample, which may consist of an opinion letter or other business-related documentation that <br />contains one or more written pages of original material. If you have served as a special magistrate <br />previously, please submit a recommended decision as your sample. Do not submit a copy of an appraisal <br />as a writing sample. <br />• Prior to conducting hearings, all applicants are required under Fla. Stat. § 194:035 to certify completion of <br />the current year training provided by the Department of Revenue. To obtain the training, go online to the <br />Department's website at hap://dor.iiiyflor-ida.com/dor/pi-opertv/vab/training.litinl. Return your completion <br />certificate to the VAB clerk. <br />Attorney Magistrate Applicant: Bar Number: Date of Admission: <br />How many years of experience do you have in the area of ad valorem taxation: <br />Appraiser Magistrate Applicant: Residential Appraiser License #: RD6210 Valid Through: 11/30/18 <br />General Appraiser License #: Valid Through: <br />Provide number of years of experience you have in the area of real property valuation: 24+ Years <br />Describe experience, and number of years you have in the area of tangible property valuation: None <br />Page 1 <br />v01/13/2015 <br />-55- <br />