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SPECIAL MAGISTRATE APPLICATION <br />A • INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />(APPLICANTS MUST MEET QUALIFICATIONS OUTLINED IN FLA. STAT. § 194.0: <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 />{ <br />Application for: ❑ Attorney Special Magistrate <br />�-Appraiser Special Magistrate for... <br />❑ Real Property, and/or M,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 -,S kee w <br />Name: vi <br />Home Address: <br />Mailing Address: <br />Business Name: ' <br />Business Address: ACa <br />Phone: Home d 00' <br />Fax: 0! If t r—el <br />E-Mail:~�C-� <br />QTS%d= <br />• Copy of license referenced below. <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 htq2://dor.Myflorida.com/dgr/property/vab/training.html. Return your completion <br />certificate to the VAB clerk. <br />i <br />J <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 />r <br />Appraiser Magistrate Applicant: Residential Appraiser License #: Valid Through: <br />General Appraiser License #: Valid Through: <br />i <br />Provide number of years of experience you have in the area of real property valuation: <br />Describe experience, and number of years you haven the area of tangible property valuation: 19 <br />Page 1 <br />v01/13/2015 <br />-47- <br />