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RSi'uh"iig (? <br />Washingon Stote Ordinance / Resolution No. 1l-15-21-03 <br />RCW 84.5s.120 <br />WHEREAS, the Board of Commissioners of Kittitas County Public <br />Hospital Dist 2/EMS <br />body ofthc taxing (Namc of thc taxing district) <br />its budget for the calendar year 2022 ; and, <br />WHERBAS, the districts actual levy amount from the previous year was $ 7ss,6zz.3z and, <br />(Previous year's levy amount) <br />WHEREAS, the population of this district is fi more than o-t f] less than 10,000; and now, therefore, <br />(Check one) <br />BE IT IIESOLVED by the governing body of the taxing district that an increase in the regular property tax levy <br />is hereby authorized for tlre levy to be collected in the 2022 tax year. <br />(Year ofcollection) <br />The dollar alnount of the increase over the actual levy amount from the previous year shall be $7,556.22 <br />which is a percentage increase of 1.0 % from tlre previous year. This increase is exclusive of <br />(Percentage increase) <br />additional revenue resulting from new construction, irnprovements to property, newly constructed wind turbines, <br />solar, biomass, and geothermal 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 Novernber 30rr'. As required by RCW 84.52.A20, that filing certifies the iotal amount to be levled by <br />the regular property tax levy. The Department of Revenue provides tlre "Levy Certification" form (REV 64 0t00) <br />for this purpose. The form can be found at: http:/ldor.wa.gov/docs/forms/PropTx/Forms/Lev.vCertf.doc, <br />To ask about the availability of this publication in an altcrnate format, please call l-800-647-?706. 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) (t2t9tt4) <br />lras met and considered <br />47