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SPECIAL MAGISTRA'T'E APPLICATION <br />• IN.DIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />(:APPLICANTS MUST MEET QUALIF.1CATIONS OUT LINED IN FLA. STAT:. 1:94.035) <br />3. Have you ever been disbarred, suspended or received any other disciplinary action front .any organized. <br />association, or from the. State of I°loridal Q No ❑ Yes (please explain) <br />4. List any personal or business relationship you have ever had with any officer, or employee of the office of the <br />property appraiser, office of the clerk of the circuit court, office of thc.county attorney or the value adjustment <br />board of any of the counties to which you are applying: <br />Business relationships through the VAB process. <br />5. Listany clubs, organizations, associations, or.other.entities to which you belong or partici pate: in and in vAich a <br />.possible conflict: of interest could occur or the appearance of a conflict of interest might arise that:would prevent <br />you from fairly conducting the hearing between the property appraiser and the property owner and taxpayer. <br />CERTI['ICAT1©N a <br />Pursuant to Fla. Stat. § 104.035, a person cannot serve as a special magistrate if he/she is an elected or appointed <br />official of a county, a taxing jurisdiction, or the state; is an employee ofa county; ataxing-jurisdiction, or the state,; <br />or in the same tax year that helshe services the Board as a. special magistrate, represents a party before the, Board iti <br />any administrative review of property taxes. <br />Are youanelected or appointed official or employee of a county, a taxing jurisdiction, or the state:? ❑ Yes -19 into <br />If yes, please provide details: <br />,The undersigned cerlifres, under penalty of disqualification fr-om consideration, that each item contained in this <br />application; or any other' docunrcntfirr�nished by or on behalfof the applicant istrueand compleu! as of the date it <br />bears. .Tbe undersi red authorizes the Vatue Agjustrne» t Board to obtain information f Coni other sources to yerifj! <br />each itcanr contain d hercairr. The undcrsi�,rrcd acknow/edges that, fsc:licteci; !re%she will,'Tollow. all requirements and <br />mandates, of'1mv nr; ,idling the duties ofs}rec-ial magistrate. <br />6/15/21 <br />Applicant <br />Stephen G. Neill <br />Printed Name of Applicant <br />Page 3 <br />v0 t 113/2015 <br />-38- <br />