229 Peachtree Street NE
Atlanta, GA 30303-1605
Phone: 404-656-3916
Fax: 404-656-6650
Suite 1000 - International Tower
GREAB Hearing Officer (02-2011)
Page 1 of 3
Georgia Real Estate Commission
Georgia Real Estate Appraisers Board
www.grec.state.ga.us
This form can be filled out on-line Print TWO copies: one to submit to the Board and one for your records.
Complete sections A and B of this application. There is not a fee due for this application.
There will be a fee for the cost of the Training Course. The fee will be determined by and paid to the Georgia Department of Revenue.
Please submit the following to us with this application:
FOR OFFICE USE ONLY
Section A
Appraiser Information
Full Name
Application to Become a Hearing Officer
Classification Number
Business
Phone
Classification#
Rec By
Rec Dt
Classification Type
Please Note: The business phone number will be published on the Commission's website so that the counties can contact you to serve as a
Hearing Officer
Your Resume and/ or Biography
You must be classified in Georgia by the Georgia Real Estate Appraisers Board as a State Certified Residential or State Certified
General Real Property Appraiser in order to serve as a Hearing Officer.
Once we have received this application, we will notify the Georgia Department of Revenue, pursuant to O.C.G.A.
48-5-311, that you are eligible to take the required Training Course to Become a Hearing Officer.
The Department of Revenue will notify us when you have completed the course and we will post your information, including
counties you can serve, on our website and the counties will then be able to contact you to serve as a Hearing Officer.
The " Hearing Officer Disqualification" Questionnaire" will need to be completed and provided to the county each time that you
serve as a Hearing Officer. The " Hearing Officer Disqualification" Questionnaire" is available separately on our web site.
Approved Date
Approved By
E-mail
Signature
§
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229 Peachtree Street NE
Atlanta, GA 30303-1605
Phone: 404-656-3916
Fax: 404-656-6650
Suite 1000 - International Tower
GREAB Hearing Officer (02-2011)
Page 2 of 3
Georgia Real Estate Commission
Georgia Real Estate Appraisers Board
www.grec.state.ga.us
Circle the Georgia Counties you would be willing to serve:
Section B (1)
Appling Dade Jefferson Richmond
Atkinson Dawson Jenkins Rockdale
Bacon Decatur Johnson Schley
Baker Dekalb Jones Screven
Baldwin Dodge Lamar Seminole
Banks Dooly Lanier Spalding
Barrow Dougherty Laurens Stephens
Bartow Douglas Lee Stewart
Ben Hill Early Liberty Sumter
Berrien Echols Lincoln Talbot
Bibb Effingham Long Taliaferro
Bleckley Elbert Lowndes Tattnall
Brantley Emanuel Lumpkin Taylor
Brooks Evans Macon Telfair
Bryan Fannin Madison Terrell
Bulloch Fayette Marion Thomas
Burke Floyd McDuffie Tift
Butts Forsyth McIntosh Toombs
Calhoun Franklin Meriwether Towns
Camden Fulton Miller Treutlen
Candler Gilmer Mitchell Troup
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229 Peachtree Street NE
Atlanta, GA 30303-1605
Phone: 404-656-3916
Fax: 404-656-6650
Suite 1000 - International Tower
GREAB Hearing Officer (02-2011)
Page 3 of 3
Georgia Real Estate Commission
Georgia Real Estate Appraisers Board
www.grec.state.ga.us
Carroll Glascock Monroe Turner
Catoosa Glynn Montgomery Twiggs
Charlton Gordon Morgan Union
Chatham Grady Murray Upson
Chattahoochee Greene Muscogee Walker
Chattooga Gwinnett Newton Walton
Cherokee Habersham Oconee Ware
Clarke Hall Oglethorpe Warren
Clay Hancock Paulding Washington
Clayton Haralson Peach Wayne
Clinch Harris Pickens Webster
Cobb Hart Pierce Wheeler
Coffee Heard Pike White
Colquitt Henry Polk Whitfield
Columbia Houston Pulaski Wilcox
Cook Irwin Putnam Wilkes
Coweta Jackson Quitman Wilkinson
Crawford Jasper Rabun Worth
Crisp Jeff Davis Randolph
Circle the Georgia Counties you would be willing to serve:
Section B (2)
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