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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 0 Tangible Personal Property <br />If appointed, how much time would you be available to conduct hearings and complete your recommendations? &,40([:] I to 8 hours per week; ❑ 9 to 20 hours per week; El 21 to 30 hours per week; El 31 to 40 hours per week. <br />Name: a <br />Ct ! <br />l ud r eo— <br />Home Address: <br />SIS <br />rt <br />Mailing Address: <br />Business Name: <br />' 1 d D✓ <br />Business Address: <br />0-100 <br />Phone: Home <br />- <br />Business/ <br />Cell/ -$ <br />Fax: 0allr% <br />E -Mail: <br />a, CV <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 bearings, all applicants are required under Fla. Stat. § 1.94.035 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 http://dor..myflorida.com/dor/property/vab/training.html. 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 #: Valid Through: <br />General Appraiser License #: Valid Through: <br />Provide number of years of experience you have in the area of real property valuation: �7y� <br />Describe experience, and number of years you have in the area of tangible property valuation: 9 Yf?l� oCv <br />Page I <br />v01/13/2015 <br />-86- <br />