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RD~panment of (@ evenue <br />Washington State Ordinance/ Resolution No. 11-04-19-02 <br />RCW 84.55.120 ------- <br />WHEREAS, the Board of Commissioners of <br />(Governing body of the taxing district) <br />its budget for the calendar year -----2020 ; and, <br />Kittitas County Public <br />Hospital Dis t 2/Maint <br />(Name of the trucing district) <br />has met and considered <br />WHEREAS, the districts actual levy amount from the previous year waJ $ -----::c--___;.,.68-'-'-3..<;;,5_,;;;.6.;;..;0 • .;;;..l o;.___ __ ; and, <br />(Previous year's levy amount) <br />WHEREAS, the population of this district is [gj more than o r D less than 10,000; and now, therefore, <br />(Check one) <br />BE IT RESOLVED by the governing body of the raxing district that an increase in the regular property tax levy <br />is hereby authorized for the levy to be collected in the 2020 tax year. <br />(Year of collection) <br />The dollar amount of the increase over the actual levy amount from the previous year shall be$ 6,835.60 <br />' <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 geothennal facilities, and any increase in the value of state assessed property, any annexations <br />that have occurred and refunds made. <br />Adopted this +-day of ___.._J_. _o_f ____ , d/t1 / f <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 the 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 30th • As required by RCW 84.52.020, that filing certifies the total amount to be levied by <br />the regular property tax levy. The Department of Revenue provides the "Levy Certification" fonn (REV 64 0100) <br />for this purpose. The form can be found at: http://dor.w agov/doc s/forms/P!'opTx/Forms/LeyyCertf.do~ <br />To ask about the availability of this publication in an alternate format, please call I-800-647-7706. Teletype (TIY) users may <br />use the Washington Relay Service by calling 711. For tax assistance, call (360) 534-1400. <br />REV 64 Ol0le (w) (12/9/14)