Assessor Eligibility Questionnaire Form Page 2

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Assessor Eligibility Questionnaire
Page 2
Have you had two years of full-time employment in the office of a county assessor?
Yes if “yes,” complete Part i; then sign, date, and return this questionnaire to the Department of Revenue.
if “no,” complete Part ii; then sign, date, and return this questionnaire to the Department of Revenue.
No
PArt i
(complete only if you answered “yes” above)
Location of
County Assessor’s Office
Dates of Employment
Your Title
Name of Supervisor
PArt ii
(complete only if you answered “no” above)
Candidates for county assessor who have not had two years of full-time experience in a county assessor’s office must have at least two
years of office and accounting experience, including experience in office management. Please complete the following sections in detail.
Employer’s Name and Address
Dates of Employment
Your Title
Supervisor’s Name
Description of Accounting Duties
Description of Management Duties
150-800-065 (Rev. 07-07)
Use the next page for additional employers. If you need more space, attach additional pages.

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