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 2
Georgia Real Estate Commission
Georgia Real Estate Appraisers Board
www.grec.state.ga.us
Hearing Officer - Disqualification Questionnaire
Before any appeal is heard by a Hearing Officer, said Hearing Officer shall certify in writing under oath no later
than two days following his or her receipt of the appeal, that he or she is not disqualified from hearing the
appeal by virtue of the requirements as provided in O.C.G.A. §48-5-311(j).
(1) Which of the following are you?
State Certified General Real Property Appraiser
State Certified Residential Property Appraiser
(2) Do you have experience or expertise in hearing or appraising the type of property subject to appeal in this case?
(3) Is there any bias or prejudice resting on your mind either for or against either the appellant taxpayer or the appellee
board of assessors, its staff, or any contractor(s) hired by the appellee?
(4) Is your mind affected by any partiality, to any degree whatever, in favor of either the appellant taxpayer or
the appellee board of assessors, its staff, or any contractor(s) hired by appellee, in the matter of this appeal?
(5) Are you related by blood or marriage to the appellant taxpayer or to any member of the appellee board of assessors,
its staff, or any contractor (s) hired by the Appellee?
(6) Are you employed, or is any member of your immediate family employed, by the appellant taxpayer or by any member
of the appellee board of assessors, its staff, or any contractor (s) hired by Appellee?
(7) Are you employed, or have you been employed , by any other county board of assessors, its staff, or any contractors
hired by the board of assessors?
(8) Do you have any financial or legal interest in the property subject to the appeal in this case?
Yes No
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
Print Form
Reset Form
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 2
Georgia Real Estate Commission
Georgia Real Estate Appraisers Board
www.grec.state.ga.us
Hearing Officer - Disqualification Questionnaire
(9) Have you formed any opinion that precludes you from setting a valuation on the property in question in
accordance with Georgia law, which requires all property to be appraised at its fair market value as defined
by O.C. G. A. §48-5-2 (3) et.seq., or from equalizing the assessments at 40% of fair market value?
(10) Have you formed any opinion that precludes you from setting a valuation on the property in question in
accordance with Georgia law, which requires all property to be uniformly appraised according to Article
VII, Section I, Paragraph III (a) of the Georgia Constitution of 1983?
(11) Have you discussed the facts of this appeal with either of the parties outside of the presence of the other party?
(12) Do you know of any other reason that you cannot render a fair and just decision regarding the property in
question?
Pursuant to O.C.G.A. §48-5-311 (j), either party to the appeal may ask the Hearing Officer to answer additional
questions which may be adopted and allowed by the Revenue Commissioner pursuant to subparagraph
(e)(1) (D)of O.C.G.A. §48-5-311.
Personally appearing before the undersigned officer duly authorized to administer this oath, comes the
undersigned who on oath deposes and says that I have answered the above to the best of my knowledge
and belief after being duly sworn this ________________ day of _______________ 20____________ that I
am not disqualified from hearing the appeal pursuant to O.C.G.A. §48-5-311(j).
______________________________
Sworn to & Subscribed Before me this
_____________________ day of __________________ 20______
_____________________________________________________
NoYes
NoYes
NoYes
NoYes
Print Form
Reset Form