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SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUN'T'Y VALUE ADJUSTMENT BOARD <br />(Al'I' ;ICANTS MUST MV:I I' QljAl-IFICA'I'IONS OtJ71.,INI' .) IN i'1_::1. STA--. j 194,035) <br />Please type or print. .1 f store space is needed, attach additional sheets. I)l7lic ants umy stipl*lnent their application <br />vviih ti resume, However, aTBsume cannot be ifsetl in hen t1f an application. <br />Application fur: ❑ Attorney Special Nlagistrate <br />Appraiser Special Magistrate liar.. <br />❑ Real Property and/ot•._„�'Pangible Personal Property <br />If appointed, how much time would you be available to -conduct hearings and complete.your recommendations? <br />❑ 1 to 3 hours per week; 9 to 20 hours per week, ❑ 21 to 30 hours per week; ❑ 31 to 40 hours per week.. <br />e e <br />Name: <br />hlomc <br />Mailine <br />Busines <br />Busines <br />Phone: <br />Fax: <br />..7 <br />a Documentation to support membership in proressional organizations listed below under Organizations. <br />• A writing sample, which mays consist of an opinion letter or other business-related documentation that. <br />contains one or mor written pages of original material. If 1'ou have served .iii a )pedal magistrate <br />previously, please submit .t rQoritmended decision as your s,annple. :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. § 194.03.5 to eerki'ry 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 atcom=='"dorinro23jrtv.yablirainii2 .litml. Return your completion <br />certificate to the VA13 clerk. <br />Page 1 <br />v0`171312015 <br />-104- <br />