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diruii"iH(? <br />Woshing{on Stote Ordinance / Resolution No. 1l-15-2I-04 <br />RCW 84.55.120 <br />WHEREAS, the Board of Commissioners of Kittitas Counry Public <br />Hospital Dist 2/Maintenance <br />(Narne of the taxing district)(Coverning body ofthe taxing district) <br />its budget for tlre calendar year 2A22 ; and, <br />WHEREAS, the districts actual levy amount frorn the previous year was $ 808,303.19 ; and, <br />(Previous year's levy arnount) <br />WHEREAS, the population of this district is [l rnore tl]an or fl less than 10,000; and now, therefore, <br />(Check one) <br />BE IT RESOLVED by tlre governing body of the taxing district that an increase in the regular properry tax levy <br />is hereby autlrorized for the levy to be collected in the 2022 tax year. <br />ffiffi'F6iiffiny <br />The dollar amount of the increase over the actual levy amount from the previous year shall be g 8,083.03 <br />wlrich is a percentage increase of 1.0 o/o from tlre previous year. This increase is exclusive of <br />(Pcrcentage increase) <br />additional revenue resulting from new construction, improvements to propefty, newly constructed wind turbines, <br />solar, biomass, and geothennal facilities, and any increase in the value ofstate assessed property, any annexations <br />that have occurred and refunds made. <br />Adopted this 15 day of November <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 Autirority <br />no later than November 30rr'. As lequired by RCW 84.52.020, that filing certifies the total amount to be levied by <br />-' <br />the regular prope{y tax levy. The Department of Revenue provides the "Levy Certification" form lnfV e+ OiOOI <br />for this purpose. The form can be found at: lrttp://dor.wa.gov/docs/forms/PropTx/Forms/LewCertf.doc. <br />To ask about thc availability of this publication in an alternate format, please call l-800-647-7706. Telerype (TTY) users may <br />use the washington Relay sewice by calling 7l L For tax assistance, call (360) 534-1400. <br />REV 64 0lole (w) (l2l9lt4\ <br />has met and considered <br />48