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Depallment of <br />Revenue TA- <br />Ordinance / Resolution No. <br />Washington State RCW 84.55.120 <br />18-09 <br />WHEREAS, the Board of Commissioners of Kittitas County Public has met and considered <br />Hospital District No.I <br />(Governing body of tttc taxing district) (Namc of the taxing district) <br />its budget for the calendar year 2019 ; and, <br />WHEREAS, the districts actual levy amount from the previous year was $ 8,730.17 ; and, <br />(Previous year's levy amount) <br />WHEREAS, the population of this district is ❑ Lss tIiaca 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 2019 tax year. <br />(Year of collection) <br />The dollar amount of the increase over the actual levy amount from the previous year shall be $ 87.30 <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 propcity, any aerations <br />that have occurred and refunds made. <br />Adopted th- 25 day of October 2018 <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 tate 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'h. As required by RCW 84.52.020, that fibril; certifies the total amount to be levied 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://dar.wa.goy/ciocstforms/P_mpTx/forms/LevyCerif.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 0101c (w) (12/9/14) <br />