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SPECIAL MAGISTRATE APPLICATION <br />INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />gTpLtC'AM-S Muse MUT QUAL F1CA'fIONS 017F1:.i "IN _ 4 <br />t'leaw type or print. if mom space is needed, attach additional stets. AppUcanar may sfupp/ement their ngplieatian <br />with a resume- However, a resume cannot be wed in lieu of urn application <br />Application for: 0 Attorney Special Magistrate <br />0 Appraiser<'i I Magistrate for... <br />( Real Property aid/or.[] Tangible Personal Property <br />If appointed, haw much time would you be available to conduct bearings and Complete your recomtnncndatas►ns`l <br />0 1 to 8 hours per week; C19 to 20 hours per week; ❑ 21 to 30 hours per week; ® 31 to 40 hours per week. <br />Name: 'ferric RoUier_. <br />Home Address: 88N "W nt J-10& Miulh Fl. 33126_._.. <br />Mailing Address: 8834 SW 123 Gomm unit wo8 MiamL F-1.- 3186 J <br />Business Name- <br />Business <br />ame Business Address: 9 SW 40 atim,09,ftimi-1 <br />Phone: CeIVIO,'S 7/2.6062 <br />Fax: N!t±__ <br />E -Mail: jq�&201ilsout>t <br />+ Copy of license referenced d below. <br />• mcurnentatian to support membership in professiouai 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 mator i, ll'you have served as a special magistrate <br />previously, please submit a recommended decision as your %ample. Do not submits copy of an appraisal <br />as a writing rumple. <br />r Prior to conducting hearings, all applicants am required under Fla. Stat. § 194.033 to cel' fy Completion of <br />the current yea training provided by the Department of Revenue. To obtain the training„ go online to the <br />Departmenes website at h 11 y r g coM1r t a !trai n# lin!. Return your completion <br />certificate to the VAB clerk. <br />Attorney Magistrate Applicant: Bar Number, __ Date of Admission: <br />l low many years of egpet iotc a do you have in the area of ad valorem taxation: <br />Appraiser Magistrate Applkaat: Residential Appraiser License #r RDfiZf0 Valid Through; I.I.1 x 4 <br />(kne ml A4plimiser License #: Vend Through: <br />Provide number of years of experience you have in the arca of read pr6petty valuatim 30+ <br />Describe experience, and number or years you have in the: area of tangible property valuation: Nanu <br />Pine i <br />v01113/2015 <br />-48- <br />