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Item M1NOTICE Pursuant to the provision of Chapter 194.015 of the Florida Statutes, the Clerk of the Value Adjustment Board is now accepting applications from any citizen, owning a homesteaded 2roperty within Monroe C unty, wishing to participate a; —a citizen member on the Value Adjustmen oar . The citizen may not be a member or an emalovee of -any- taxing authori ,and may not be a Rerson who represents property owners in an a ministrative or judicial review of property taxes. By statute, the Board of County Commissioners is limited to appointment of only one citizen member to the Vain Iustment Board. The application is available at 500 Whitehead Street, Suite 101, Key West FL or on our website www.clerk-of-the-court.com. Please forward resume to: Danny L. Kolhage Clerk to the Value Adjustment Board PO Box 1980 Key West FL 33041-1980 *Deadline for submission is July 25, 2008 CLERK OF THE CIRCUIT COURT, FLORIDA APPLICATION FOR APPOINTMENT MONROE COUNTY VALUE ADJUSTMENT BOARD Section 194.015, Florida Statutes, requires the Monroe County Board of County Commissioners to appoint a citizen member who owns a homesteaded property within the county. Additionally, the citizen member cannot be a member or employee of any taxing authority, and cannot be a person who represents property owners in any administrative or judicial review of property taxes. Any person interested in being considered for appointment to the Value Adjustment Board, and who meets the statutory requirements, must complete the following form and submit it to the Clerk of the Circuit Court no later than 4:00 P.M.,July 25, 2008. CITIZEN MEMBER APPLICATION: HOMESTEAD PROPERTY OWNER NAME: WORK ADDRESS: HOME ADDRESS: WORK PHONE: HOME PHONE: FAX NUMBER: E-MAIL: Employment History: .F Y'/ ..{! off ,r'.E' ✓ .j ._I1.,7_, 'f :. _ d�,' ,, __ .. ._ f l/�t'�i' j .._r a lI`.. tf J � Please attach evidence that you have a qualified homestead exemption in Monroe County. By signing and submitting this application, I am certifying that (a) I am a citizen of the United States; (b) I own a qualified homesteaded.exemption property in Monroe County. I further certify that I am not a member or employee of any taxing authority, and cannot be a person who represents property owners in any administrative or judicial review of property taxes. Signature: Date: Note: Application must be received by July 25,2008, 4:00 p.m. All information provided in this Application is subject to verification by the Clerk's Office.