HomeMy WebLinkAbout2011-104 Rei DR-700218
Application for Revenue Sharing 2011 =2012 State Fiscal Year R. 01 /11
( Chapter 218 , Part II Florida Statutes ),
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or REVENUE
Application deadline is June 30 , 2011 C
Mail completed original application to :
Department of Revenue
Revenue Accounting Subprocess
P . O. Box 6609
Tallahassee , FL 32314-6609
850 -617 -8586
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 Bob Solari , 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 application .
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 09/30/09 to the Department of Financial Services
as required by s . 218 . 32 , F . S . ?
a Yes No
2 . Have you made provisions for annual postaudits of your financial accounts as provided by
s . 11 . 45 , F . S . ?
❑X Yes F-1 No
03/ 11 /2011 09/30/2010
Date of Audit Report Fiscal Year-End
DR-700218
R. 01 /11
3 . Have you reported on your most recent financial statement revenues equivalent to three mills calculated based on Page 2
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 .
ayes F1No
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
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 ?
X Yes F No
( B) Does the salary structure and salary plans for law enforcement officers meet the requirements of
Chapter 943 F . S . ?
lyes F No
5 . If you have afire 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 ❑ 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 ?
FX Yes F1 No
(C ) If so , are these firefighters currently receiving supplemental compensation for those degrees ?
FXyes F 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 . ?
lyes No Does 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 .
lyes ❑ No
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. )
DR-700218
R. 01 /11
I certify that all information is accurate and true to the best of my knowledge . I further certify that I will promptly Page
3
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 ?
F7 Yes 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 assignments or trusts entered into which obligated funds received from revenue sharing .
Signed : Date :
Chief Fiscal Official
o p moi,.
Signed : ' pate : May 3 , 2011
a e Yk
Bob Solari , Chairman
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Mail completed original appliress shown below.
Florida Department of Revenue
Revenue Accounting Subprocess
PO Box 6609
Tallahassee , FL 32314-6609
850 -617 -8586
REVENUEACCOUNTING@dor. state .fl . us