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R8l'uii"ild (? <br />Woshington State Ordinance / Resolution No. 11-15-21-04 <br />RCW 84.55.120 <br />WHEREAS, the Board of Commissioners of Kittitas Counry Public <br />. Hospital Dist 2Maintenance <br />(Narne of the taxing district)(Goveming body of the taxing district) <br />its budget for tlre calendar year 2AZ2 ; and, <br />WHEREAS, the districts actual levy amount frorn the previous year was $ 808,303.19 <br />(Plevious year's levy amount) <br />IVHEREAS, the population of this district is [l rnore than-or I less than 10,000; and now, therefore, <br />(Check one) <br />BE IT RESOLVED by the goveming body of the taxing district that an increase in the regular properry tax levy <br />is hereby authorized for the levy to be collected in the 2022 tax year. <br />(Year of collection) <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 % from tlre previous year. This increase is exclusive of <br />(Pcrcentage increase) <br />additional revenue resulting from new construction, improvements to property, newly constructed wind turbines, <br />solar, biomass, and geotherrnal facilities, and any increase in the value ofstate assesied property, any annexations <br />that have occurred and refunds made. <br />Adopted this 15 .. day of November <br />has met and considered <br />and <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 requesl, separate from this form is to be filed witlr the County Legislative Autirority <br />no later than November 30rr'. As required by RCW 84.52.020, that filing certifies the total amouit to be levied by'. <br />the regular propelfy tax levy. The Department of Revenue provides thel'Levy Certincation" form lnnV O+ OtOO; <br />for this purpose. The form can be found at: http://dor.wa.gov/docs/forms/PropTx/Forms/Lev.vCertfdgc. <br />To ask about thc availability of this publication in an altemate format, please call l-800-647-7706. Teletype (TTy) users may <br />use the washington Relay service by calling 7l L For tax assistance, "itt lroo; 534-1400. <br />REV 64 0l0le (w) (t2t9^4)48