Form 51-123 Application for Examination for City/County Assessor or Deputy Assessor - Iowa

Form 51-123 is a Iowa Department of Revenue form also known as the "Application For Examination For City/county Assessor Or Deputy Assessor". The latest edition of the form was released in June 21, 2018 and is available for digital filing.

Download an up-to-date Form 51-123 in PDF-format down below or look it up on the Iowa Department of Revenue Forms website.

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IOWA DEPARTMENT OF REVENUE
Clear Form
Hoover State Office Building
Des Moines, Iowa 50319
A fillable form can be found on the Iowa Department of Revenue website
(If not using the fillable form this is to be prepared in ink or on typewriter)
APPLICATION FOR EXAMINATION FOR POSITION OF
ASSESSOR - CITY OR COUNTY
DEPUTY ASSESSOR -
CITY OR COUNTY
When completed, return to Administrator, Property Tax Division, Iowa Department of Revenue, PO Box 10469, Des
Moines, Iowa 50306-0469. Application must be received by the Department of Revenue at least 3 days prior to the
date of the examination. It is the responsibility of each applicant to see to it that the application is timely received.
A. PERSONAL DATA
Telephone No.
E-mail Address
1.
(First Name)
(Middle)
(Last)
2.
Street Number or PO Box
City
State
Zip Code
B. EDUCATIONAL DATA
Last grade completed:
Name of school:
3. HIGH SCHOOL:
Location:
Did you graduate from high school?
Yes
No
If yes, year graduated:
Dates of attendance: From:
To:
If you plan to graduate prior to the date of the examination, please indicate anticipated date:
High school equivalency certificate (G.E.D.)?
Yes
No
If yes, give date certificate issued:
Certificate issued by:
4.
PRELIMINARY EDUCATION REQUIREMENTS to take the assessor and deputy assessor exam: Please refer to
Administrative Code section 701 – 72.3 which explains how the preliminary education requirements can be met. A copy
can be found on the Iowa Department of Revenue website under exam preparation material (Iowa Code chapter 72).
You must complete the prelimary education form that is part of the application
5. VOCATIONAL TRAINING (BUSINESS, TRADES, TECHNICAL, MILITARY SERVICE)
From
To
Number of
Credits
Date of Diploma
Subject or
Hours Attended
Earned
or Certificate
Course Title
Name and Location
Mo
Yr
Mo
Yr
per Week
Name
Location
Name
Location
6. UNIVERSITY AND COLLEGE (UNDERGRADUATE, GRADUATE, DOCTORATE)
To
Date of Graduation
Total
From
Total
No.
degree award
Sem.
Qtr.
of
Name and Location
Mo
Yr
Mo
Yr
hrs
hrs
Fields of Study
hrs
Mo
Yr
Degree
Name
Major
Location
Minor
Mo
Yr
Degree
Name
Major
Location
Minor
Do you need special accommodations to take an exam?  Yes  No
If yes, please explain what type of
accommodations you need ____________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
ND
NOTE: COMPLETE 2
Page
51-123a (06/21/18)
IOWA DEPARTMENT OF REVENUE
Clear Form
Hoover State Office Building
Des Moines, Iowa 50319
A fillable form can be found on the Iowa Department of Revenue website
(If not using the fillable form this is to be prepared in ink or on typewriter)
APPLICATION FOR EXAMINATION FOR POSITION OF
ASSESSOR - CITY OR COUNTY
DEPUTY ASSESSOR -
CITY OR COUNTY
When completed, return to Administrator, Property Tax Division, Iowa Department of Revenue, PO Box 10469, Des
Moines, Iowa 50306-0469. Application must be received by the Department of Revenue at least 3 days prior to the
date of the examination. It is the responsibility of each applicant to see to it that the application is timely received.
A. PERSONAL DATA
Telephone No.
E-mail Address
1.
(First Name)
(Middle)
(Last)
2.
Street Number or PO Box
City
State
Zip Code
B. EDUCATIONAL DATA
Last grade completed:
Name of school:
3. HIGH SCHOOL:
Location:
Did you graduate from high school?
Yes
No
If yes, year graduated:
Dates of attendance: From:
To:
If you plan to graduate prior to the date of the examination, please indicate anticipated date:
High school equivalency certificate (G.E.D.)?
Yes
No
If yes, give date certificate issued:
Certificate issued by:
4.
PRELIMINARY EDUCATION REQUIREMENTS to take the assessor and deputy assessor exam: Please refer to
Administrative Code section 701 – 72.3 which explains how the preliminary education requirements can be met. A copy
can be found on the Iowa Department of Revenue website under exam preparation material (Iowa Code chapter 72).
You must complete the prelimary education form that is part of the application
5. VOCATIONAL TRAINING (BUSINESS, TRADES, TECHNICAL, MILITARY SERVICE)
From
To
Number of
Credits
Date of Diploma
Subject or
Hours Attended
Earned
or Certificate
Course Title
Name and Location
Mo
Yr
Mo
Yr
per Week
Name
Location
Name
Location
6. UNIVERSITY AND COLLEGE (UNDERGRADUATE, GRADUATE, DOCTORATE)
To
Date of Graduation
Total
From
Total
No.
degree award
Sem.
Qtr.
of
Name and Location
Mo
Yr
Mo
Yr
hrs
hrs
Fields of Study
hrs
Mo
Yr
Degree
Name
Major
Location
Minor
Mo
Yr
Degree
Name
Major
Location
Minor
Do you need special accommodations to take an exam?  Yes  No
If yes, please explain what type of
accommodations you need ____________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
ND
NOTE: COMPLETE 2
Page
51-123a (06/21/18)
C. APPRAISAL EXPERIENCE
701 - 72.4(441) Appraisal-related experience shall include only such experiences as may have been obtained through full
time paid employment consisting of the actual appraisal and valuation of property. The experience shall include the
physical inspection of property as part of the appraisal process and the setting of values for parcels of property.
7. List all appraisal-related experience you have had. If applying for the Assessor Exam you MUST also complete the
appraisal experience record form that is part of the application.
Employer
Position
Location
Dates of Employment
to
to
to
to
D. EMPLOYMENT RECORD
8. In the space below, describe every position you have held for the past 10 years. Start with your present position, if any,
and work back, accounting for all periods of unemployment.
(a)
Present Position
Dates of employment:
Title of your position:
From
to present time
Beginning salary or wages:
$
Present salary or wages:
$
Name and address of employer:
Description of your duties (MUST be completed)
Type of business or organization:
Name and title of immediate supervisor:
(b)
Position
Dates of employment:
Title of your position:
From
to
Beginning salary or wages:
$
Ending salary or wages:
$
Name and address of employer:
Description of your duties (MUST be completed)
Type of business or organization:
Name and title of immediate supervisor:
Reason for leaving:
IF MORE SPACE IS NEEDED, USE A SEPARATE SHEET OF PAPER AND ATTACH
I certify that the statements made by me on this application and any documentation submitted with it are true, complete,
and correct to the best of my knowledge and belief, and are made in good faith.
I understand that false statements on this application will disqualify me from taking the examination applied for, or
appointment as Assessor or Deputy Assessor in the State of Iowa if I pass the examination, and that I must achieve a
grade of at least 70 percent to be eligible for appointment.
Date
Signature of Applicant
51-123b (06/21/18)
Preliminary Education Requirement
4.
Administrative Code section 701 – 72.3
Name of applicant
Address
Phone number
E-mail address
The following is a list of Department approved courses/designations. Please check the course(s)/designation you are submitting
to fulfill your preliminary education requirement. You MUST provide proof of passing the course exam.
Course(s) must be completed and exam passed within five years prior to taking the assessor or deputy assessor exam.
Designations must be received/renewed within five years prior to taking the assessor or deputy assessor exam.
Date Course began
Approved course/Designation
Sponsoring
Check course or
Check proof of
Organization
or designation
Designation you
passing exam is
received/renewed
are submitting ()
attached ()
EXAMPLE:
ICA Designation
IICA
3/15/18
Iowa Assessment & Taxation Review
IICA
1/9-12/2017
3 ways (1 or 2 or 3) to qualify to take
exams
Institute of Iowa
1. Iowa Assessment and Taxation
Certified Assessors
Review
OR
Iowa Department of
2. Iowa Laws Course
Revenue
AND a or b or c or d
International
a. Course 101-Fundamentals of
Association of
Real Property Appraisal
Assessing Officers
OR
IAAO International
a. Course 300- Fundamentals of
Association of
Mass Appraisal
Assessing Officers
b. Basic Appraisal Principles
Appraisal Institute
AND
Appraisal Institute
b. Basic Appraisal Procedures
c. Basic Appraisal Principles
American Society
of Farm Managers
& Rural Appraisers
AND
American Society
c. Basic Appraisal Procedures
of Farm Managers
& Rural Appraisers
Iowa Department of
d. Basic Appraisal Practices &
Revenue
Procedures
OR
3. Current designation
IICA
a. ICA
IAAO
b. CAE
IAAO
c. RES
Appraisal Institute
d. MAI
Appraisal Institute
e. RES
American Society
f.
Accredited Rural Appraiser
of Farm Managers
& Rural Appraisers
AND one of the following
Iowa Department of
Iowa Laws Course
Revenue
OR
Iowa Assessment and Taxation
Institute of Iowa
Certified Assessors
Review
51-123c (06/21/18)
7. Appraisal Experience Record form
If you are applying to take the assessor exam you MUST complete this form.
If you are applying to take the deputy assessor exam you do not need to complete this form.
Instructions: Starting with your most current position, complete the form (complete as many as you need to
verify 2 full years of appraisal experience) for the positions you have held where you physically inspected
properties and set the values for those properties. If your position or duties with an employer changed, list
positions separately and describe specific duties of each. Your experience must be attested to by an
assessor/employer familiar with your appraisal experience in the space provided. Use more than one sheet if
needed.
Name of applicant:
Jurisdiction/Employer & state employed in:
Title:
To
From
Dates of Employment:
Full-time or part-time (if part-time, list %):
Percentage of work time devoted to appraisal, assessment or mapping:
Staff Appraiser
%
Review Appraiser
%
Administration
%
Cadastral Mapping
%
Mass Appraisal
%
Specific Duties:
Remarks:
I certify that the information provided on this appraisal experience record form is true, correct and
complete.
Signature of exam applicant ______________________________ Date ________________
To be completed and signed by employer:
I certify that the information provided by the applicant regarding appraisal experience is true,
correct and complete.
Name of employer ____________________________Title______________________________
Signature ___________________________________ Date________________
51-123d (06/21/18)

Download Form 51-123 Application for Examination for City/County Assessor or Deputy Assessor - Iowa

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