Laserfiche WebLink
Department of <br />Revenue PC <br />WasWngwn Stale <br />Levy Certification <br />NOV 2 6 <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 assessplr. <br />In accordance with RCW 84.52.020, I, Bra - da p -N 5e, <br />(Name) <br />,for 5' E 6�0%. /r; rc 11.5 , do hereby certify to <br />(Title) <br />�/ (District Aiantc) <br />the i� 1 41 County legislative authority that the F1 re- �l�rn <br />(Name of County) <br />(Commissioners, Council, Board, etc.) <br />of said district requests that the following levy amounts be collected in 14 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on ) - a I - J <br />(Date of Public Hearing) <br />Regular Levy: -2 65. o orz) <br />(State the tofid dollar amount to be levied) <br />Excess Levy: <br />(State the total dollar amount to be levied) <br />Refund Levy: <br />(State the total dollar amount to be levied) <br />Signature: <br />Date: /1 -91 -) iS <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) (2/21/12) <br />