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Rai?ufriig(? <br />Woshington Stote Ordinance / Resolution No. zt-as <br />RCW 84.55.120 <br />WHEREAS, the Board of Commissioners of Kittitas County Public <br />Hospital DistrictNo. 1 <br />(Goveming body of the taxing district) (Namc of the taxing district) <br />its budget for the calendar year 2022 and, <br />WHEREAS, the districts actual lely amount from the previous year was $ 9,502.66 <br />(Prcvious ycar's lcly arnount) <br />has met and considered <br />i:rnd, <br />WIIEREAS, the population of this district is ffi more than or fJ less than 10,000; and now, therefore, <br />(Chcck one) <br />BE IT RESOLVED by the governing body of the taxing distriet that an increase in the regular property tax levy <br />is hereby authorized for the levy to be collected inthe 2022 tax year. <br />(Year ofcollection) <br />The dollar amount of the increase over the actual levy amount from the previous year shall be $95.08 <br />which is a percentage increase of 1.0 Yo fromthe 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 geothermal facilities, and any increise in the value ofstat'e assesied property, any annexations <br />that have occurred and refunds made. <br />Adopted this 28 day of October 2021 <br />If additional signatures are necessary, please attaeh additional page. <br />this form or its eqlivalent must be submitted to your county assessor prior to their calculation of the property tax <br />levies. A.certified budget/levy request, s€parate from this form is to be filed with the County Legislative Auttrority <br />no later than November 30s. As required by RCW 84.52.A20,that filing certifies the total amount to be levied by- <br />the regular property tax levy. The Department of Revenue provides thel'Levy Certification" form (ngV e4 0lObt <br />for this purpose. The form can be found at: http:/ldor.wa.sov/docs/forms/PropTx/Forms&evyCertf.doc. <br />To ask about the availability of this publication in an alternatc format, pleasc call l-800-647-7706. Tcletypc (TTY) uscn may <br />use the washington Relay service by calling 7l l. For tax assistance, call (360) 53,1-1400. <br />REV64 0l0lc (w) (l2l9lt4)