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hrnmfud" qs r"-t <br />rr lgo lyp <br />Derrarlrrrerrt of <br />ReVenue <br />Woshington 5 <br />@ Amended Levy Certification <br />role <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 fonvard a copy to the assessor. <br />In accordance with RCW 84.52.020,1,Sarah Christensen <br />Treasurer <br />(Name) <br />Ciw of Roslvnfor do hereby certifu to <br />the <br />(Title) <br />Kittitas <br />(District Name) <br />County legislative authority that the Council <br />(Commissioners, Council, Board, etc.)(Name of County) <br />of said district requests that the following levy amounts be collected in 2021 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on tu2412020 <br />(Date of Public Hearing) <br />Regular Levy $245,000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy:690 <br />(State the total dollar amount to be levied) <br />Refund Levy: <br />(State the total dollar amount to be levied) <br />Signatu <br />To ask about the availability of this publication in an altemate format for the visually impaired, please call (360) 705-6715. <br />Teletype (TTY) users, please call (360)'105-6718. For tax assistance, call (360) 534-1400. <br />REV 64 0100e (w) (212t/t2)