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2005-203
DR-700218 Application For Revenue Sharing 2005-2006 State Fiscal Year R . 04/05 (Chapter 218, Part II Florida Statutes) rr DEPARTMENT OF REVENUE Application must be received by the Department of Revenue prior to June 30, 2005 Please TYPE or PRINT all entries except those requiring a signature . Part One Name of County Indian River. OR Name of Municipality County Telephone Number ( 772 567 - 8000 Fax Telephone Number ( 772 ) 770 - 5331 Mayor or Chairman of Governing Body Thomas S . Lowther Chief Fiscal Officer Jeffrey K . Barton Official Mailing Address 1840 25th Street Vero Beach , FL 32960 - 3365 Check here if the address represents a change from the previous application . Federal Employer I . D . Number ( required for new participants only) . Part Two To be eligible to participate in Revenue Sharing beyond the minimum entitlement as defined in s . 24 8 . 21 ( 7) 9 F. S . , for any fiscal year, a unit of local government is required to have fulfilled certain requirements set forth in s . 218 . 23 , F. S . , including certification requirements . Signatures by the appropriate official in the signature blocks , where app icable , shall constitute fulfillment of the certification requirements set forth in s . 218 . 23 , F. S . Consistent with the requirements of s . 218 . 23 , F. S . , has the applicant : Note: Question 1 and 2 pertain to financial audit requirements. If a financial auditas required , report on the most recently completed audit period. Fiscal year ending 09/30/03 wit, be sufficient for this purpose. 1 . Reported its finances for its most recently completed fiscal year to the Department of Banking and Finance , pursuant to s . 218 . 32 , F. S . ? 0 Yes 0 No 2 . Made provisions for annual postaudits of its financial accounts in accordance with s . 11L45 , F. S . ? Yes 0 No Febr ary 18 , 2005 MEW AUdit Report f DFi- 700218 R . 04/05 Page 2 3 . Levied , as shown on its most recent financial report , pursuant to s . 218 .32 , F. S . , ad valorem taxes , exclusive of taxes levied for debt service or other special millages authorized by the voters , to produce the revenue equivalent to a millage rate of three (3) mills on the dollar based on the 1973 taxable values as certified by the property appraiser, pursuant to s . 193 . 122 (2) , F. S . , II Yes 0 No OR In order to produce revenue equivalent to that which would otherwise be produced by such a three (3) mill ad valorem tax : (A) to have received a remittance from the county pursuant to s . 125 . 01 (6) ( a) , F. S . ; ( B) collected an occupational license tax ; ( C ) collected a utility tax ; ( D) levied an ad valorem tax ; ( E ) received revenue from any combination of these four sources ? Yes 0 No 4 . Certified that : (A) Law enforcement officers , as defined in s . 943 . 10 ( 1 ) , F. S . , employed by this Unit meet the qualifications for employment as established by the Criminal Justice Standards and Training Commission ? © Yes 0 No ( B) The salary structure and salary plans for law enforcement officers meet the provisions of Chapter 943 , F. S . ? 0 Yes 0 No ( C ) All law enforcement officers , as defined in s . 943 . 10 ( 1 ) 9 F. S . , are compensated at an annual salary rate of six thousand dollars f ($61, 000 ) or more ? ( i^ i Yes 71 No [ If the answer to ( C ) above is ( NO) , please state in an addendum to this application any reason you may have for waiver of such requirement (one of which must be that you are levying ten ( 10) mills of ad valorem taxes) . ] Signed : - Date : Appropriat aw Enforc me er 0 [ If you have no police department , etc . , please check the block to the left side .] I I Moun DR-700218 R . 04/05 Page 3 5 . Certified that persons in its employ as firefighters , as defined in s . 633 . 30 ( 1 ) , F. S . , Meet the qualification for employment as established by the Division of State Fire Marshal pursuant to the provisions of ss . 633 . 34 and 633 . 35 , F. S . , and that the provisions of s . 633 . 382 , F. S . are met ? ® Yes No Additionally, please answer the following : (A) Does the addressed unit of government employ any full-time firefighters which currently possess either a bachelor's degree or associate degree from a college or university which is applicable to fire department duties , provided that degree is not required for their current position ? © Yes 0 No ( B) If so , are these firefighters currently receiving supplemental compensation for those degrees ? 1Z Yes 0 No E:1 Does Not Apply Signed : Date : 5 • L9 A propriate Fire 'cial E [ If you have no fire department or if you have a strictly volunteer fire department, etc. , please check the box to the left side .] 6 . Certified that each dependent special district that is budgeted separately from the general budget of the local governing authority has met the provisions for annual postaudit of its financial accounts in accordance with the provisions of s . 218 . 39( 1 ) , F. S . ? I Yes El No Does Not Apply Signed : Date : Z.-D 3 hief Fi I Officia 7. Certified to the Department of Revenue that the requirements of s . 200 . 065 , F. S . , if applicable , were met? (The certification shall be made annually within 30 days of adoption of an ordinance or resolution establishing a final property tax levy or, if no property tax is levied , not later than November 1 . The portion of revenue sharing funds which , pursuant to this part, would otherwise be distributed to a unit of local government which has not certified compliance or has otherwise failed to meet the requirements of s . 200 . D65 , F. S . , shall be deposited in the General Revenue Fund for the 12 months following a determination of noncompliance by the department. ) Signed : Date : Chief Fi I Official I DR-700218 R . 04/05 Page 4 Part Three I hereby certify that ail of the foregoing information is accurate and true to the best of my knowledge . I further certify that I will promptly report to the Department of Revenue any changes in the above information . I also realize that failure to provide timely information required , pursuant to the administration of this Act shall , by such action , authorize the Department to utilize the best information available or, if no such information is available , to take necessary action including DISQUALIFICATION , EITHER PARTIAL OR ENTIRE , and shall further, by such action , waive any right to challenge the determination of the Department to its share of funds , if any, beyond its minimum entitlement , pursuant to the privilege of receiving shared revenues from the Revenue Sharing Trust Funds . Do you believe that you have complied with ALL eligibility requirements as set forth above ? FV�l Yes F No If the answer to the above question is ( NO) , please provide as an attachment to this form the amount of revenue necessary to meet your obligations as a result of pledges or assignments or trusts entered into which obligated funds received from revenue,shaOog ILI Date : Signed : ---� Chief Fiscal Official Signed : Date : June 14 2005 Mayor or Chairman of Governing Body Mail completed original application to address shown below. FLORIDA DEPARTMENT OF REVENUE REVENUE ACCOUNTING SUBPROCESS PO BOX 6609 TALLAHASSEE FL 32399-6609 I