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R&rdfr"iH te <br />Woshington State Ordinance / Resolution No. <br />RCW 84.55.120 <br />I 1-09-20-05 <br />WIIEREAS, the Board of Commissioners of <br />(Governing body ofthe taxing disrrict) <br />its budget for the calendar year 2021 ; and, <br />Kittitas County Public <br />Hospital Dist 2/Maintenance <br />(Name of the taxing district) <br />has met and considered <br />; and,WHEREAS, the dishicts actual levy amount from the previous year was $ 764,013.65 <br />(Previous year's levy amount) <br />WHEREAS, the population of this district is fi morp than or f, less than 10,000; and now, therefore, <br />(Check one) <br />BE IT RXSOLVED 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 inthe _ 2021 tax year. <br />1V&--rtecrionl <br />The dollar amount of the increase over the actual levy amount from the previous year shall be $ 7,640.14 <br />which is a percentage increase of L0 % from the previous year.. This increase is exclusive of <br />(Percentage increase) <br />additional revenue resulting from new construction, improvements to propefty, newly construsted wind turbines, <br />solar, biomass, and geothennal facilities, and any increise in the value oflstat-e assesied properry, any annexations <br />that have occurred and refunds made. <br />Adopted this 9 day of November 2020 <br />signatures are trecessary, please attach additional page.If <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 budgeVlevy request, separate from this fonn is to be filed with the County Legislative Rutfiority <br />no later than November 30tr', As required by RCW 84.52.020, that filing certifies the tgtal ainouii to be levied by- <br />the regular property tax levy. The Department of Revenue provides thel'Levy Certification" form (lifW'+ O t OOy <br />for this purpos€. The form can be found at; http://do-r.wa.gov/docs/forms/PropTx/FormsllevlrCerf,doc. <br />To ask about the availability of this publication in an alternate format, please call 1-S00-647-77A6. Teletype (TTy) users may <br />use the washington Relay service by calling 7l L For tax assistance, call (360) 534-1400. <br />REV 64 0lole (w) (l2l9tl4')