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DEPARTMENT <br />OFREvENUE <br />WASHINGTON STATE <br />Levy Certification <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 assessor. <br />In accordance with RCW 84.52.020, I, Debbie L. Lee ---------------------(Name) <br />CJerk/Trea u r r , for City of Kittitas , do hereby certify to ----------------------------------(Title) (District Name) <br />the _____ Ki_._tt_it_a_s _____ County legislative authority that the _C_it.,._y_C_o_u_n_c_il ________ _ <br />(Name of County) (Commissioners, Council, Board, etc.) <br />of said district requests that the following levy amounts be collected in 2019 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on \ l -:l 1 -l i <br />(Date of Public Hearing) <br />Regular Levy: $180 000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: <br />(State the total dollar amount to be levied) <br />Signature: Date: // /:2.7)} er-.. . <br />or tax assi tance visit-http:/!d • r.wa.gov or call 1-800-647-7706 . To inquire abottt the availability of this document in an <br />a lternat e format for the vi tially impaired, please call (360) 705-6715. Teletype (TTY) user may call!~ 00-45 1-7985 . <br />REV 64 0l00e (w) (10/26/05)