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SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />tAPPLICANIi S lvtt ST MEET QUALIFICATIONS OUTLINED 1N t'LA. $---r I�. r 124,911-D <br />2. Of those organizations describe any possible conflict of interest that could occur or the appearance of a conflict <br />of interest that may prevent you from fairly conducting a hearing: <br />Have you ever been disbarred, suspended or received any other disciplinary action from any organized <br />association, or from the State of Florida? t� 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 the county attorney or the value adjustment <br />board of any ofthe counties to whichyouu are applying: <br />NONE <br />5. list any clubs, organizations, associations, or other entities to which you belong or participate in and in which 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 />Quail Valley, however it would not create a conflict If 1 personally know the petitioner I would <br />withdraw. <br />Pursuant to r1a. Stat. § 194,035, a person cannot serve as a special magistrate if hefshe is an elected or appointed <br />official of a county, a taxing jurisdiction, or the state; is an employee of a county, a taxing jurisdiction, or the state; or <br />in the same tax year that he/she services the Board as a special magistrate, represents a party before the Board in any <br />administrative review of property taxes. <br />Are you an elected or appointed official or employee of a county, a taxing jurisdiction, or the state? ❑ Yes 0 No <br />If yes, please provide details: _ _... <br />The undersigned certifies, under penalty of disqualification front consideration, that each iter contained in this <br />application, or any other document f urnished by or on behalf of the applicant is true and complete as of the date it <br />bears. The undersigned authorizes lite Value. Adjustment Board to obtain infbrmalion from other sources to verify <br />each item contained herein. The undersigned acknowledges that, if selected, helshe will follow> all requirements and <br />mandates of law in fu?filling the duties ofspecial magistrate. <br />Si nater of Arc „lidnt __._� <br />Date: 6/25/21321 <br />g PP <br />tgphen J. Bovle __....... _-_ <br />Printed Name of Applicant <br />Page 3 <br />0111312015 <br />-67- <br />