HomeMy WebLinkAbout2010-084 DR-700218
Application for Revenue Sharing 2010 -2011 Stat=Fiscal - . 01 /10
,� ( Chapter 218 , Part II Florida Statutea���
CSEI''\ RTn.•TNT
OF REVENUE
Application deadline is June 30 , 2010
Mail completed original application to :
Department of Revenue
Revenue Accounting Subprocess
P . O . Box 6609
Tallahassee , FL 32314 -6609
( 850 ) 487 - 1150
revenueaccounting@dor. state. fl. us
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 : Peter D . O ' Bryan , Chairman of the Board of County Commissioners
Chief Fiscal Officer : Jeffrey K . Barton , Clerk of the Circuit Court
E - mail Address : ehalsey@clerk . indian - river . org
Official Mailing Address : 1801 27th Street , Bldg . A , Vero Beach , FL 32960
❑ Check here if the address represents a change from the previous applications .
Federal Employer I . D . Number ( required for new participants only ) .
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 /08 to the Department of Financial Services
as required by s . 218 . 32 , F . S . ? Yes ONo
2 . Have you made provisions for annual postaudits of your financial accounts as provided by s . 11 . 45 , F . S . ?
DYes ONo
03/ 12/2010 09/ 30/2009
Date of Audit Report Fiscal Year- End
DR-7002'18
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3 . 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 , F . S .
Yes ONo
4 . If you have a law enforcement department , answer the question 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
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 ?
Yes ONo
B . Does the salary structure and salary plans for law enforcement officers meet the requirements of Chapter 943 F . S . ?
Yes ONo
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 in s . 633 . 34 ,
633 . 35 , and
633 . 382 , F . S . ?
Yes ONo
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 ?
Yes ONo
C . If so , are these firefighters currently receiving supplemental compensation for those degrees ?
Yes ONo
6 . Are dependent special districts budgeted separately from the general budget of your government ? Do you meet the
provisions for annual postaudit of their financial accounts in as provided by s . 11 . 45 ( 3 ) F . S . ?
( Yes ONo ODoes Not Apply
7 . Have you met the requirements of s . 200 . 065 , F . S . , if applicable ? (The 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 . )
DYes ONo
The portion of revenue sharing funds which , according to Part ll , 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 .
v
s �.b
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1 certify that all the 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 ?
Yes ONo
If the answer to question above is ( NO ) , please provide an attachment of the revenue necessary to meet your obligations
because of pledges or assignments or trusts entered into which obligated funds received from revenue sharing .
Signed : Date 1
Chief Fiscal Officer
Signed : • Date 04 / 06 / 10
Mayor or Cha. irmdn of Governi ody
Peter . n- . O '-Brjan , Chairman
r. RNMail' c.ompleted original application to address shown below :
-Th Department of Revenue
wy a • a 0 r n • . . : h \
Revenue Accounting Subprocess
P . O . Box 6609
Tallahassee , FL 32314 - 6609
revenueaccounting@dor. state . fl. us