Laserfiche WebLink
RDep;'Itl llIenl or ~ evenue ~ <br />Washington State <br />Levy Certification <br />Submit this document to the county lellslatlve authority on or before November 30 of the year preceding <br />the year In which the levy amounts are to be colleded and forward a copy to the assessor, <br />In accordance with RCW 84.52.020, I, ....z.Sh:.:.:a:..:;w;;..:;n~a:....;:G::..:r'-=a::..::ha=m:.:.-___________ _ <br />(Name) <br />_______ T~r~e~as~u~re~r-------,for <br />(Title) <br />___ ---"'-th:..:;e.,..:C:.:.ity=--.:o~f_=_R=o~sl ... yn:..:...._ __ ___J, do hereby certify to <br />(District Name) <br />the __ ~~..:.;K::..:.it=:::ti::..:ta==s~ ___ County legislative authority that the _C_i;.;.,ty~C=ou;;;;;;n:;.;;c;.;.;i1,--~_~_~~_ <br />(Name of County) (CommissIoners, Council, Board, etc.) <br />of said district requests that the following levy amounts be collected in 1018 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 11/28/17 <br />Regular Levy: $215,000.00 <br />(State the totlll dollar amount to be levied) <br />Excess Levy: ...;$~O;.;..O;;.;O:....-_______ _ <br />(State the total dollar amount to be Icvied) <br />Refund Levy: .....;$:;..;;00.;.;;.0;..::0 __________ _ <br />(State the total dollar amount to be levIed) <br />Signature : ~ ~ <br />(Date of Public Hearing) <br />DEC 28 <br />Date: 17-1'ZU / t 1 <br />I I <br />To ask about the availability of this publication in an alternate format for the visually impaired, please call (360) 705-6715 . <br />Teletype (TTY) users, please call (360) 705-6718 . For tax assistance, call (360) 534-1400. <br />REV 64 0100e (w) (2121/12)