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NUECES COUNTY APPRAISAL DISTRICT

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					                             NUECES COUNTY APPRAISAL DISTRICT
                                 APPRAISAL REVIEW BOARD
                                 MEMBERSHIP APPLICATION
                              (Please complete all pages, front and back sides)

GENERAL ELIGIBILITY INFORMATION: To be eligible to serve on the Appraisal Review Board (ARB), an
individual must be a resident within Nueces County Appraisal District (NCAD) and must have resided in the
district for at least two years. The applicant cannot owe delinquent taxes to a district taxing unit for more
than 60 days unless an installment agreement is in place or taxes have been deferred. An individual is
ineligible to serve: if the person is a member or a former member of the board of directors, an officer, or an
employee of the appraisal district, or an employee of the Comptroller, or a member of the governing body,
officer, or employee of a taxing unit served by the district, or if the person has served as a member of the
governing body or officer of a taxing unit for which the district appraises property, until the fourth
anniversary of the date a person ceased to be a member or officer, or if the person has ever appeared before
the ARB for compensation.

APPLICANT INFORMATION:

Name:______________________________________________________________________________
             Last                               First                       Middle              (Maiden)

Address:____________________________________________________________________________
                  Street Number and Name    Apartment No.             City              State          Zip Code

Phone: (_____)_________________            (_____)____________________               ______________________
                          Home                          Business/Cellular               E-Mail Address


* REQUIRED                                               *REQUIRED
Social Security No. __ __ __ - __ __ - __ __ __ __       Driver’s License No.___________________


List other Languages You Speak, Read or Write:

___________________________________________________________________________________
___________________________________________________________________________________

EDUCATION AND TRAINING:

 High School Diploma from:                               Or [ ] GED Certificate


 City and State                                          Or [ ] Highest Grade Completed __________


 College, University or           Major/Minor                   Credit Hours               Degree Earned
 Vocational School




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PERSONAL SKILLS OR EXPERIENCE: List any specific skills or experience you have, which you
believe might be helpful to your service on the Appraisal Review Board (knowledge of computer
applications, real estate or appraisal experience, dispute resolution, etc.)

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________


ELIGIBILITY AND CONFLICT OF INTEREST DISCLOSURE:

   A “local government” is a government entity that levies taxes, such as a county, city, school district,
    junior college, hospital district, municipal utility district or other special district.
   “Appraisal District” refers to the Nueces County Appraisal District and to any other appraisal district in
    the State of Texas.
   “Governing body,” means the group of officials that oversee a local government, such as city council,
    county commissioners court, school board or board of directors.
   “Officer” means holding an elective or appointive office for a local government, such as governing
    body member, chief executive officer, judge, tax assessor, business manager, superintendent, etc.
    and includes an election judge, alternate election judge and election clerk, who serve in conducting a
    general election.
   “Part-time employee” includes a substitute teacher. “Contract” means an agreement of some sort.
   “Substantial interest” means combined ownership by you and your spouse of at least “10%” of the
    voting stock or shares of a business entity, or that you or your spouse is a partner, limited partner or
    officer of the business entity.


PLEASE READ CAREFULLY AND ANSWER ALL QUESTIONS                                                     YES NO
1.   Has your primary residence been located in Nueces County for at least two years?
2.   Do you currently reside in Nueces County?
3.   Are you currently a member of the governing body or an officer of a local government or
     an appraisal district?
4.   Are you currently employed either full or part-time by a local government or an Appraisal
     District?
5.   Are you currently employed full or part-time by the Texas Comptroller of Public
     Accounts?
6.   Are you a former employee, chief appraiser, or member of the board of directors of the
     Nueces County Appraisal District?
7.   Are you a former member of the governing body or officer of a local government served
     by the Nueces County Appraisal District, and you left office within the last four years?
     (check “No” if you have been our of office more than four years)
8.   Are you currently a member of an appraisal review board of another appraisal district?
9.   Is anyone related to you by blood or marriage employed by the Nueces County Appraisal
     District?
     If “Yes” give name and relationship:
10.  Do you have a spouse, parent, child, son-in-law, daughter-in-law, grandchild, brother or
     sister, spouse of a brother or sister, step child, step parent, father-in-law, mother-in-law,
     or a brother or sister of your spouse who:
10a.
     Is a member of the Board of Directors or an officer of the Nueces County Appraisal


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10b.    District?
        Does Business in the Nueces County Appraisal District as a paid property tax
        consultant?
10c.    Performs appraisals for use in property tax proceedings in the Appraisal District?

11.     Have you previously served all or part of three terms as a member of the Appraisal
        Review Board of the Nueces County Appraisal District?
12.     Have you previously appeared before the Nueces County Appraisal Review Board for
        compensation (i.e., as a tax consultant, accountant, appraiser, or representative of a
        property owner?
13.     Do you or your spouse have a contract with a local government or an Appraisal District?
14.     Does a business in which you or your spouse own a substantial interest, have a contract
        with a local government or an Appraisal District?
15.     Are you presently under a criminal charge or indictment or have previously been
        convicted of a felony or a misdemeanor involving moral turpitude?
16.     Are you a U.S. citizen?
16a.
        If you answered “No”, are you eligible to be employed under a visa or entry permit?
17.     Is your driver’s license currently valid?
18.   Can you work full-time Monday through Saturday and occasionally evenings during the
      months of May, June, July and selected days thereafter?
Note: An answer of “No” to Questions 1, 2, 16a or an answer of “Yes” to Questions 3-15 indicates that
you are not legally eligible to serve on the Appraisal Review Board.


DELINQUENT TAXES

In the space below, please render by listing all properties on which you currently pay or owe property
taxes. Include both real property and business personal property. Include community property and
property owned by partnerships or sole proprietorships. Please give the appraisal district account
number or the location address (and business name, if applicable) of the property, the years for which
taxes are owed, and the taxing entities to which the taxes are owed.

Are taxes delinquent on any of these properties?             (Yes)_____     (No)____

Account Number         Location Address       Business Name          Years for which         Entities to
                                                                     taxes are owed          which taxes
                                                                     (if applicable)         are owed
                                                                                             (if applicable)

__________________________________________________________________________________

__________________________________________________________________________________


EMPLOYMENT HISTORY

List below all present and past employment for the last 4 years, beginning with your most recent. Attach
additional sheets, if required. You may include a resume or further background information with this
application if you wish.


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Job Title:                  Employer:

                            Address:

Start Date:                 Reason for Leaving

End Date:                   Supervisor’s Name and Title                             Supervisor’s Phone No.


Job Title:                  Employer:

                            Address:

Start Date:                 Reason for Leaving

End Date:                   Supervisor’s Name and Title                             Supervisor’s Phone No.


Job Title:                  Employer:

                            Address:

Start Date:                 Reason for Leaving

End Date:                   Supervisor’s Name and Title                             Supervisor’s Phone No.


Job Title:                  Employer:

                            Address:

Start Date:                 Reason for Leaving

End Date:                   Supervisor’s Name and Title                             Supervisor’s Phone No.



IMPORTANT - PLEASE READ CAREFULLY - Additional information may be shown on a separate sheet
attached to this form. Should your address or phone number change, notify the Taxpayer Liaison Officer
(361-881-9978 ext. 4159) immediately. Applicants must furnish satisfactory proof of residence, social
security number, and a valid driver’s license.

By submitting this application, I acknowledge and certify that all of the statements made in this application
form are true, complete and correct to the best of my knowledge. Misrepresentation in this application will
be considered just cause for rejection from appointment process consideration or for dismissal from
appointment.


Date_______________________            Signature of Applicant_______________________________________

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PLEASE COMPLETE AND SIGN APPLICATION AND MAIL OR HAND DELIVER TO TAXPAYER LIAISON
                                                                ST
OFFICER AT NUECES COUNTY APPRAISAL DISTRICT, 201 N. CHAPARRAL, 1 FLOOR, CORPUS CHRISTI,
TX 78401. A COPY OF CURRENT DRIVERS LICENSE MUST BE INCLUDED WITH APPLICATION.



                     AUTHORIZATION FOR RELEASE OF INFORMATION


I hereby authorize any investigator or duly accredited representative of Nueces County Appraisal District
bearing this release to obtain any information from schools, residential management agents, employers,
criminal justice agencies, or individuals, relating to my activities. This information may include, but is
not limited to, academic residential, achievement, performance, attendance, personal history, disciplinary,
arrest, and conviction records. I hereby direct you to release such information upon request of the bearer.
I understand that the information released is for official use by Nueces County Appraisal District and may
be disclosed to such third parties as necessary in the fulfillment of official responsibilities.

I hereby release any individual, including record custodians, from any and all liability for damages of
whatever kind or nature, which may at any time result to me on account of compliance, or any attempts to
comply, with this authorization.



_______________________________________
Applicant’s Signature




_______________________________________
Date




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