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RDepartmen t of ~ evenue ~ Ordinance / Resolution No. 11-13-17-02 <br />Washington State ReW 84.55.120 -------- <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 _...,;2::..;0:....:1~8 __ ; and , <br />WHEREAS, the districts actual levy amount from the previous year was $ _=---:--6_19:.....1 • ...:...06;:....;0_.1_8 ___ ; and, <br />(Previous year's levy amount) <br />WHEREAS, the population of this district is I2l more tban or D Jess tha n 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 co llected in the 2018 tax year. <br />(Y"ear 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 revenue reSUlting from new construction, improvements to 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 />Adopted this 13 day of November 2017 ----------------------- <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 ofthe property tax <br />levies. A certified bud get/levy request, separate from this form is to be filed with the County Legislative Authority <br />no later t han N o ve mbe r 3 01h • As req u ired by RCW 84.52.020 , that filing certifies the t ota l am ount to be le v ie d by <br />the regular property tax levy. The Department of Revenue provides the "Levy Certification" form (REV 64 0100) <br />for this purpose. The form can be found at: http;//dor.wa.govt do cslfonn . f Pr op &lF orm sfL evyCertf.do c. <br />To ask about the availability ofthis 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 OIOle (w) (12/9/14)