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ease Levy Certification <br />Wastungton State <br />NOV 1 4 <br />Submit this document to the county legislative authority on or before November 30 of the year preceding <br />the year in which the levy amounts are to be collected and forward a copy to the assessor. <br />In accordance with RCW 84.52.020,I,John Sinclair , <br />(Name) <br />Fire Chief ,for Kittitas County Fire Protection Dist 2 ,do hereby certify to <br />(Title)(District Name) <br />the Kittitas County legislative authority that the Board of Fire Commissioners <br />(Name of County)(Commissioners,Council,Board,etc.) <br />of said district requests that the following levy amounts be collected in 2018 as provided in the district's <br />(Year of Collection) <br />budget,which was adopted following a public hearing held on 11/13/17 <br />(Date of Public Hearing) <br />Regular Levy:$4,500,000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy:$465,000.00 <br />(State the total dollar amount to be levied) <br />Refund Levy:$0.00 <br />(State the total dollar amount to be levied) <br />Signature:Date:l 1/13/17 <br />For tax assistance or to request this document in an alternate format,visit http://dor.wa.aov/coment/taxestproperty/defauk.asex <br />or call (360)534-1400.Teletype (TTY)users may call (360)705-6718. <br />REV 64 Ol00e (w)(10/12/10)