Laserfiche WebLink
Re"fiifflii@ <br />Woshington State <br />Fonm 64 0X00 <br />Levy Certification <br />Submit this document, or something similar, to the county legislative <br />authority on or before November 30 of the year preceding the year in which <br />the levy amounts are to be collected. <br />Courtesy copy may be provided to the county assessor. <br />This form is not designed for the certification of levies under RCW 84.52.070. <br />ln accordance with RCW 94.52,629, I JAyMCGOWAN (Name), <br />MAyoR ffiile),;o1. ctW oF ctE ELUM @istrict name), <br />do hereby certify to the KITTITAS (Name of county)County legislative authority <br />that the ctE EtuM clwcouNclL (Commissioners, Council, Boord, etc.) of said district requests <br />that the following levy amounts be collects6 ;n 2023 (Year of collection) as provided in the district's <br />budget, which was adopted following a public hearing held on Lolrclzozz @ate of publichearing). <br />lar levies <br />Excess levies <br />Examples of other levy types may include EMS, school district transportation, or construction levies. <br />Examples of other amounts m include levy error correction or adjudicated refund amount. Please include <br />a description ng th options. <br />Signature:c Date:,i- <br />To request <br />or call360;7 A5-6705.Teletype (TTY) users please <br />ment in an alternate format,please complete the form dor.w-a.govlAgcessibilityRggUest <br />dial 71 1. <br />s <br />Total certified levy request <br />amount, which includes the <br />amounts below. <br />S 93o,ooo.oo <br />Administrative refund amount <br />Non-voted bond debt amount <br />Other* <br />General levy Other levy*Levy <br />Total certified levy <br />request amount, <br />which includes the <br />amounts below. <br />L- <br />Administrative refund <br />amount <br />Other* <br />General <br />(n/a for school <br />d i stricts ) <br />Enrichment <br />(school <br />districts only) <br />Other <br />Ievy Bond Cap. project <br />REV 64 OTOO (8/2712L',1 Page 1 of 1