HomeMy WebLinkAbout2007-174 e f ,
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• DR-70021F ����'
Application For Revenue Sharing 2007-2008 State Fiscal Year R. 04107
(Chapter 218, Part 11 Florida Statutes)
DEPARTMENT
OF REVENUE Application must be received by the Department of Revenue prior to June 30, 2007
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 1 567 - 8000
Fax Telephone Number ( 772 i 770 - 5331
Mayor or Chairman of Governing Body Gary C . Wheeler
Chief Fiscal Officer Jeffrey K . Barton
Official Mailing Address 1840 25th Street
Vero Beach FL 32960 - 3365
0 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 section 218.21 (7) Florida
Statutes, (FS.), 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
applicable, shall constitute fulfillment of the certification requirements set forth in s. 218.23, F. $.
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 audit was required, report
on the most recently completed audit period. Fiscal year ending 09/30/05 will 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.?
X1 Yes No
2. Made provisions for annual postaudits of its financial accounts in accordance with s. 11 .45, F.S. ?
0 Yes No February 9 , 2007
Date of Audit Report
in
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. i
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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. ,
Yes El 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?
E] Yes El No
4. Certified that:
(A) Law enforcement officers, as defined ins. 943 . 10(1), F.S., employed by this Unit meet the qualifications
for employment as established by the Criminal Justice Standards and Training Commission?
X Yes El No
(B) The salary structure and salary plans for law enforcement officers meet the provisions of Chapter 943,
F.S.?
X Yes 0 No
(C) All law enforcement officers, as defined in s. 943. 10(1 ), F.S., are compensated at an annual salary rate of
six thousand dollars ($6,000) or more?
® Yes 0 No
[If the answer to (C) above is (NO), please state in an addendum to this application any reason you
may have for waiver of such requirement (one of which must be that you are levying ten (10) mills of ad
valorem taxes).]
Signed: C=�PkDate: 57 C�
ApprolVate Law Enlrcerhent Officer
0 [If you have no police department, etc. , please check the block to the left side.]
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Page 3
5. Certified that persons in its employ as firefighters, as defined ins. 633.30(1 ), F. S. , meet the qualification for
employment as established by the Division of State Fire Marshal pursuant to the provisions of ss. 633.34
and 633.35, , FSS.,, and that the provisions of s. 633.382, FS. are met?
L✓1 Yes El No
Additionally, please answer the following:
(A) Does the addressed unit of government employ any full-time firefighters which currently possess
either a bachelor's degree or associate degree from a college or university which is applicable to fire
department duties, provided that degree is not required for their current position?
Yes No
(B) If so, are
�these firefighters currently receiving supplemental compensation for those degrees?
{
Yes No E-1DoesNot Apply
Signed: �1to& t Date: S -it - CkT
/Appropriate Fire fficial
[If you have no fire department or if you have a strictly volunteer fire departmenf;.$fc-, 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.?
EK Yes �D No 0 Does Not Apply
Signed: - _ a v —� Date:
Chief Fical Official
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. 200.065 , F.S., shall
be deposited in the General Revenue Fund for the 12 months following a determination of noncompliance by
the department.)
Signed: SLI f Date:
bhi,ef Fiscal Official
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Page 4
Part Three
I hereby certify that all 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?
AI Yes I 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 sharing.
Signed:(;, � o'`� Date: S Z3 O
. . , oghief Fiscal Official
Signed : Date: June 5 , 2007
Mayor or Chairman of Governing Body
I
I, •` Mail .cgmpieted original application to address shown below.
Florida Department of Revenue
Revenue Accounting Subprocess
PO Box 6609
Tallahassee FL 32399-6609