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SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />(APPUCANTS MUST MEET QUALIFICAMNS QL►WNF.D IN 2 ) <br />of interest that tntty prevent you from fairly conducting a lasering: <br />Have you ever been disbarred, suspended or received any other disciplinary action from any <br />association, or from the State of Florida? M No [] Yes (please explain) <br />4. List any personal or business relationship you leave enter had with any officer or employee of the office, of the <br />property appraiser, office of the clerk- of the circuit court, offte of the county attntrtey or the value adjustment <br />board of any of the coturties to which you an 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 propertyapprsiser and the property owner and taxpayer. <br />Quail Valiev however it would not create a conflict In addition if I wnwally,1tnov, the petitioner. 1 would <br />wi1.hdgw from the hearing <br />CERTIFICATION <br />Pursuant to Fla. Stat. § 194.035, a person cannot server as a special magistrate if hc1sho is an cle W or appointed <br />official of county. a taxing jurisdiction, or the state; is an employee ofa 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 tie hoard in any <br />administrative review of property taxes. <br />Are you an elected or appointed official or employee ofa county, n'taxing jurisdiction, or the statti? (j Yes Z No <br />1f yes, please provide dits: <br />Me undersigned certffles, under penalty of d*uafift'catinn frac» consideration that eat ftem contained in this <br />application or any outer doc'rrnaent furnished by or on behWof the applicant is true and complete its of the date it <br />hears. The undetxigned authorizes the Mahle Ag#vstmetrt Aoard to obtain hormallo r from other sounvs its vodfv <br />each Reiff contained herein. The uwksigned ackowfedges Nhat, Vadected, ho she Wil fffow all requirements and <br />mandates of law infir#711ing the Mies of rf ecial t quirale <br />_ [9i�t.Gyr, f �l3Nyls .:.9 date; 71(023 <br />Signature of Applicant <br />Stephen J. Boyle, ASA <br />Printed Name of Applicant <br />-40- <br />Parc 3 <br />v01/11=15 <br />