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2. Newton County Board of Equalization Application/Nomination Form
4. Applicant Information:
6. Last Name
7. First
8. M.I.
9. Date
11. Street Address
12. Apartment/Unit #
14. City
15. State
16. Zip Code
18. Phone
19. Email Address
21. Education:
23. High School
24. Address
26. From
27. To
28. Did you graduate?

    1. Yes
    2. No
29. Degree
31. College
32. Address
34. From
35. To
36. Did you graduate?

    1. Yes
    2. No
37. Degree
39. Other
40. Address
42. From
43. To
44. Did you graduate?

    1. Yes
    2. No
45. Degree
47. Other Qualification:
49. List property owned by applicant
51. Address/Legal Description
53. Address/legal Description
55. Elected posts held with terms of office
57. Have you ever been convicted of a felony?
59. Previous Employment/Experience:
61. Company
62. Phone
64. Address
65. Years
67. Company
68. Phone
70. Address
71. Years
73. Other Relevant Experience
75. Disclaimer and Signature:

    After reviewing the qualification and training requirements, please sign below indicating that you meet the qualification and that you agree to comply with the training requirements.

77. Signature
78. Date
80. Print
Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit

* indicates a required field