HomeMy WebLinkAbout2008-166Application for Revenue Sharing 2008-2009 State Fiscal Year
(Chapter 218, Part II Florida Statutes)
DEPARTMENT
OF REVENUE
Application deadline is June 30, 2008
Mail completed original application to:
Department of Revenue
Revenue Accounting Subprocess
P.O. Box 6609
Tallahassee, FL 32399-6609
(850) 487-1150
Please TYPE or PRINT
Name of County INDIAN RIVER
OR
Name of Municipality County
Telephone Number (772) 226-1206
Fax Telephone Number (772) 770-5331
Mayor or Chairman of Governing Body Sandra L. Bowden
Chief Fiscal Officer Jeffrey K. Barton, Clerk of the Circuit Court
E-mail Address jbarton@indian-river.org
Official Mailing Address 1801 27th Street, Vero Beach, FL 32960
W1Check here if the address represents a change from the previous application.
Federal Employer I.D. Number
(required for new participants only).
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i
Please
complete the
questions below to determine your eligibility to
participate in Revenue Sharing for this fiscal
year.
1. Have you submitted your financial statements for fiscal year ending 09/30/06 to the Department of Financial Services
as required by s. 218.32, F.S.?
OYes O No
2. Have you made provisions for annual postaudits of your financial accounts as provided by
s. 11.45, F.S.?
()Yes ONo
03/05/2008
Date of Audit Report
09/30/2007
Fiscal Year -End
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Have you reported on your most recent financial statement revenues equivalent to three mills calculated based on
your 1973 taxable values? This revenue should be net of debt service or special millages approved by the voters.
The revenue can be generated by a combination of ad valorem tax, utility tax, occupational license tax, or a payment
from the county as allowed by s. 125.01, Florida Statutes.
()Yes
O No
4. If you have a law enforcement department, answer the questions below: (If you have a contracted or strictly
volunteer department, skip to question 5)
(A)
Have your law
enforcement
officers, as defined by s. 943.10(1), F.S., met
the
qualifications for employment as
Chapter 943 F.S.?
established by
the Criminal
Justice Standards and Training Commission,
and
do you compensate them at an
annual salary rate of six thousand dollars ($6,000) or more?
OYes
O No
(B)
Does the salary
structure
and salary
plans for law enforcement officers meet the requirements of
Chapter 943 F.S.?
O Yes
O No
5. If you have a fire department, answer the questions below: (If you have a contracted or strictly volunteer
department, skip to question 6)
(A) Have your firefighters, as defined by s. 633.30(1), F.S., met the requirements stated ins. 633.34, 633.35, and
633.382 F.S.
O Yes
O No
(B) Does your fire department employ any full-time firefighters, who currently have either a bachelor's degree or
associate degree from a college or university which is applicable to fire department duties, if the degree is not a
requirement for their current position?
O Yes
ONo
(C) If so, are these firefighters currently receiving supplemental compensation for those degrees?
*Yes O No
6. Are dependent special districts budgeted separately from the general budget of your government? Do they meet the
provisions for annual postaudit of their financial accounts in as provided by s. 11.45(3), F.S.?
*Yes O No O Does Not Apply
7. Have you met the requirements of s. 200.065, F.S., if applicable? (rhe annual certification must be 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
* Yes
ONo
The portion of revenue sharing funds which, according to Part II, Chapter 218, F.S., 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.)
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I certify that all 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, allows the Department to utilize the best information available. If no such information is available,
the Department will take necessary action including disqualification, either partial or entire, and you will waive your
right to challenge the determination of the Department to your share of funds, if any, beyond your minimum entitlement,
according 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 listed above?
OYes O No
If the answer to question above is (NO), please provide an attachment of the revenue necessary to meet your obligations
because of pledges or. apsignments or trusts entered into which obligated funds received from revenue sharing.
Signed: ^ Date: 05/14/2008
Chief Fiscal Official
Signed Adt4 Date: �• Q�
Mayor or Chairman of Governing Body
IVlail completed original application to address shown below.
Florida Department of Revenue
Revenue Accounting Subprocess
PO Box 6609
Tallahassee FL 32399-6609