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RBitufi"ii E@ <br />Woshington Stote <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 Lee <br />(Name) <br />ClerVTreasurer for Citv of Kittitas .do hereby certify to <br />the <br />(Title) <br />Kittitas <br />(District Name) <br />County legislative authority that the Citv Council <br />(Name of County)(Commissioners, Council, Board, etc.) <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 tt/24/20 <br />(Date of Public Hearing) <br />Regular Levy:$182.000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: <br />(State the total dollar amount to be levied) <br />Refund Levy:$596.85 <br />(State the total dollar amount to be levied) <br />Signature:Date: ll124/20 <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) 705-6718. For tax assistance, call (360) 534-1400. <br />REV 64 0100e (w) (2/2t/12)