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Department ofRevenue Ordinance /Resolution No.l1-13-17-02WashingtonStateRCW84.55.120 <br />WHEREAS,the Board of Commissioners of Kittitas County Public has met and considered <br />Hospital District No.2/EMS <br />(Governing body of the taxing district)(Name of the taxing district) <br />its budget for the calendar year 2018 ;and, <br />WHEREAS,the districts actual levy amount from the previous year was $619,066.18 ;and, <br />(Previous year's levy amount) <br />WHEREAS,the population of this district is more than or less than 10,000;and now,therefore, <br />(Check one) <br />BE IT RESOLVED by the governing body of the taxing district that an increase in the regular property tax levy <br />is hereby authorized for the levy to be collected in the 2018 tax year. <br />(Year of collection) <br />The dollar amount of the increase over the actual levy amount from the previous year shall be $6,190.66 <br />which is a percentage increase of 1.0 %from the previous year.This increase is exclusive of <br />(Percentage increase) <br />additional revenueresulting from new construction,improvementsto property,newly constructed wind turbines, <br />solar,biomass,and geothermal facilities,and any increase in the value of state assessed property,any annexations <br />that have occurred and refunds made. <br />A ted thi 13 day of November ,201 <br />If additional signatures are necessary,please attach additional page. <br />This form or its equivalent must be submitted to your county assessor prior to their calculation of the property tax <br />levies.A certified budget/levy request,separate from this form is to be filed with the County Legislative Authority <br />no later than November 30"'.As required by RCW 84.52.020,that filing certifies the total amount to be levied by <br />the regular property tax levy.The Department of Revenueprovides the "Levy Certification"form (REV 64 0100) <br />for this purpose.The form can be found at:http://dor.wa.gov/does/forms/PropTx/Forms/LevvCertf.doc. <br />To ask about the availability of this publication in an alternate format,please call 1-800-647-7706.Teletype (TTY)users may <br />use the Washington Relay Service by calling 711.For tax assistance,call (360)534-1400. <br />REV 64 0101e (w)(12/9/14)