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SPECIAL MAGISTRATE APPLICATION <br />" s INDIAN RIVER COUNTY VALUE ADJUSTMENT BOARD <br />'20Rt04' <br />(APPLICANTS MUST MEET QUALIFICATIONS OUTLINED IN FLA. STAT. 4 194.035) <br />Please type or print. If more space is needed, attach additional sheets. Applicants may supplement their application <br />with a resume. However, a resume cannot be used in lieu o f an application. <br />Application for: Attorney Special Magistrate <br />❑ Appraiser Special Magistrate for... <br />❑ 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 />❑ 1 to 8 hours per week; ❑ 9 to 20 hours per week; [:121 to 30 hours per week -,X 31 to 40 hours per week. <br />Name: <br />Home <br />Mailing <br />APPLICANT INFORMATION <br />rsusmess name: <br />Business Address: <br />Phone: Home/ Business/ Cell/ %. - If I <br />Fax: _ <br />E -Mail: <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. If you have served as a special magistrate previously, <br />please submit a recommended decision as your sample. Do not submit a copy of an appraisal as a writing <br />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 http://dor.inyflorida.comJdoLpropegy/vab/training.litml. Return your completion <br />certificate to the VAB clerk. <br />Attorney Magistrate Applicant: Bar Number: /�-1 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 #: Valid Through: <br />General Appraiser License #: Valid Through: <br />Provide number of years of experience you have in the area of real property valuation: <br />Describe experience, and mmnber of years you have in the area of tangible property valuation: <br />Page 1 <br />-12- v01/13/2015 <br />