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SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />(APPLICANTS MUST MEET QUALIFICATIONS OUTLINED IN R.A. STAT, & 194.035 <br />Please type or print. If more space is needed, attach additional sheets. Applicants may supplement their application <br />with a resume. Hoxvever, a resume cannot be used in lieu ojan application. <br />Application for: Attorney Special Magistrate <br />AppraiserSial Magistrate for... <br />U Real Property and/or ❑ Tangible Personal Property <br />If appointed, how much time would you be available to conduct hearings and complete your recommendations`' <br />El to 6 hours per week. 9 to 20 hours per week: ❑ 21 to 30 hours per week; ❑ 31 to 40 hours per week. <br />Name: <L' Z—I-q U .P e�77E <br />Horne Address: /` <br />Mailing Address: <br />Business Name: <br />Business Address: <br />Phone: Home/ Business/ Cell/ <br />Fax: _ <br />E -Mail: <br />• Copy of license referenced below. <br />E <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. 11' you have sened as a special magistrate <br />prcviousl}•, please submit a recommended decision as) our 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 certiR, 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 hapa/dor.myflori da. eom/dor/property/vab/trainin raining. un . Return your completion <br />certificate to the VAB clerk. <br />Attorney Magistrate Applicant: Bar Number:/ --54,- Z�Date of Admission: Z') ` <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 nnmber 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: <br />Page I <br />v01 / 13/2015 <br />-7- <br />