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<a SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />(APPLICANTS NItJS1 MEt'I-QUAI.11--ICA1l'IONS 011"i1.INIiD IN FI_A. S1 Al � 194.035) <br />Please type or print. If more space is needed, attach additional sheets.Applicants nwa , supplement their application <br />with a resume. However, a resetme cannot he used in lieu njan application. <br />Application for: ❑ Attorney Special Magistrate <br />�( Appraiser Special Magistrate for... <br />❑ Real Property and/or2Tangible 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. <br />Name: <br />Nome p <br />Mailing <br />Busines <br />BUSlnes <br />Phone: <br />Fax: _� <br />E -Mail: <br />7 <br />c� <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. I f 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 ht(p://dor.niyflorida.com/dor/proi)eriv/vah/training.lttml. 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 ii: Valid Through: <br />General Appraiser License #: 2 & '0 Valid Through: <br />C C.G lZC� t A - <br />Provide number of years of experience you have in the area of real property valuation: <br />Describe experience, and number of years you have in the area of tangible property valuation: S O <br />Page I <br />v01/13/2015 <br />—97— <br />