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HomeMy WebLinkAbout2000-165i 7timt4� t]FPARTMENT Application For Revenue Sharing 2000-2001 State Fiscal Year (Chapter 218, Part Il Florida Statutes) OF REVENUE Applfcatlon must be received by the Department of Revenue prior to June 30 preceding the beginning of the state fiscal year 2000.2001 Please TYPE= or PRINT all entries except those requiring a signature. - ; i 6 Mi NameofCounty Indian River OR Name of Municipality _ County Telephone Number { 5611 567-13000 Fax Telephone Number f 561} 770-5331 Mayor or Chairman of Governing Body Honorrhle Fran Adams Chief Fiscal Officer Jeffrey K. 13sart n Official Mailing Address 1840 25th r2troot Vero Bea^Yi L 379611 Check here if the address represents a change from the previous application. Federal Employer I.D. Number (required for new participants only). �-�_6,,) Ute—lfin', DR -700218 R ©3100 To be eligible to participate in Revenue Sharing beyond the minimum entitlement as defined in s. 218.21(7), 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 applicable, shall constitute fulfillment of the certification requirements set forth in s. 218.23. FS. Consistent with the requirements of s. 218.23, F.S., has the applicant: t. Reported its finances for its most recently completed fiscal year to the Department of Banking and Finance, pursuant to s. 21€3.32, FS.? Yes � No 0 2. Made provisions for annual postaudits of its financial accounts in accordance with s. 11.45, FS.? Yes J� No 0 6 M_ 25 61 Date of Audit R part 001 DR -700219 R. 03100 Page 2 1 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 tos. 1193.122(2), F.S., ❑ Yes X 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)(3),FS.; A collected an occupational license tax: (C) collected a utility tax; (0) levied an ad valorem tax; (E) received revenue from any combination of these four sources? Yes ElNo F7 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 � No ❑ (B) The salary structure and salary plans for law enforcement officers meet the provisions of Chapter 943, F.S.? K71 Yes kni No ❑ (C) All law enforcement officers, as defined in s. 943.10(1), F.S., are compensated at an annual salary rate of six t�hotusand dollars ($6,000) or more? Yes 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-, rr `�„^--� Darw. o is Appr riate Law Enforcement Officer [If you have n,- �iol ce department, etc., please check the block to the left side.] 410 4W C-1 EDR•700218 ' R 43.00 Pago A 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, it 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? Yes t No F7 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: =� hate: , - (C h)ef-F local Officer) Signed: �� [y., l l� L �� Date: (Mayor or Chairman of Governing Body) Fran S. Adams, Chairman June G, 2004 Mail completed original anntication to address spawn below Department of Revenue Revenue Accounting Section P.O. Box 6609 Tallahassee, Florida 32399-6609