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SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />Please type or print. If loots space is needed, attach additional sbem, <br />withareSINW. caima be wed in Iku ofan app&witm <br />Application rot: XXEYAttorney Special Magi <br />0 Apprahwerial Mallstriftfor,'.. <br />0eal kapany andior 0 Tangible persomt propwy <br />If appointed. how much time would yw be available to conduct limings and complete yoor recommendiitions?. <br />0 1 to 8 hours per week. 0 1; to 20 hours,per week- E] 21 19 30 hours per week: [3 31 to 40 hours per week. <br />APPLICANT INFOR'': <br />Name: JQ5KPH HAYNES DAVIS._E-_S UIRL <br />HomeAddress, 842 I_ajjAP_YG L.EK' DRIVE ORLANDO. Ftj:)RIDA all 2 <br />Maiting Address; 0750 TAYLOR AV1-,'NLJEnB2G? ORLAL4DO. FLORIDA 3280 <br />RusinessName; 1,AWOFIzICL-S.(-)FjOSI-RtillANESI)AVWA . ........ <br />Business A43dress: 1" B RLAN Q .32806 <br />275Q:jAYLQjK VL14Qj-,.,1- 2070 Q , F1,0RIDA . ...... <br />Phone: JJQW' <br />WA2 1U2 3725 CeIV-107 616 6961 <br />Fax- 4Q2_jj9—RQ-8 <br />E -Mail. -jgK0ALqvJs,_0jhd1nw.com <br />• Copy of license referenced below. <br />vocuu-tentation to support membership In profssioml orpoizations listed below under (XIMizetions. <br />A writing sample. whicit may consist of an opinion letter or ollier business-relawd documentatitm that <br />contains one or more written pages of original material. ?I -tiou W-: w -,:d 1, * rv.,, ' 11;1 , A I <br />11A., WWN I%. lile:k' C %1,1111)i I it N0101MVIdt.-d &V 1'4011 4% Wm' %mlintv Do not submit a crW Of an appraisal <br />as a writing sample. <br />1W Prior to conducting hearings, bit applicants arc required under Fla. Stat. 4 194.UIS to verft completion or <br />the current year training provided by the Department of Revenue. To obtain the training, go online to the <br />Return Your completion <br />certificate to the VAS clerk, <br />LIC&NSILIRE1EXPERIENCE <br />Attorney Magistrate Ap <br />plicant: But Number., ifsM Datcol'Aidmitsion:IQjQ=t <br />Ilow many years of experience do you have in the area of ad valorem UxAloni sing; am <br />Appraiser Magistrate Applicant- Residential Appraiser Lictrise N- Vidid Through: <br />General Appraiser License #- _Vatid"I"brough: . .... . <br />Provide number of years of experience you have in the area of real property valuallow <br />Describe experletice, and number of years you have in the awe of tanvible property valuation: <br />Pavc I <br />%01 13,2(115 <br />-16- <br />