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10k. <br />SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />(APPLICANTS MUST MEET QUALIFICATIONS OUTLINED IN FLA. STAT. S 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 />EPI to 8 hours per week; $ to 20 hours per week; [] 21 to 30 hours per week; ❑ 31 to 40 hours per week. <br />Name: <br />Home Address: <br />Mailing Address: 5 NVA%Z <br />Business Name: t1 Yn j --- <br />Business Address: <br />Phone: Home/ <br />Fax: <br />E -Mail: <br />• Copy of license referenced below. <br />Pi <br />S, <br />—2 G 7--142-3 <br />• Documentation to support membership in professional organizations listed below under Organizations. <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 htip://dor.mytiorida.com/dor/property/vab/huiningkmL 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 #: �� 511 Valid Through: (( 3 D + Z-0 l <br />General Appraiser License #: Valid Through: <br />Provide number of years of experience you have in the area of real property valuation: 15-, <br />Describe experience, and number of years you have in the area of tangible property valuation: tJ 00 C - <br />Page 1 <br />v01/13/2015 <br />-33- <br />