RES 2022-237 (2) - Laserfiche WebLink

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Re*fffit@ Levy Certification Submit this document, or something sirnilar, to the county leglslative authority on or before November 30 of the year preceding the year in which the levy amounts are to be collected. Courtesy copy may be provided to the county assessor. This form is not designed for the certification of levies under Rcw 84.52.070. 1,"1*r* Ulcshi*gton 5tcte Form 64 0100 Signature: To or ca ln accordance with RCW 94.52.020, t James f, OeVere (Name), Mayor (Title)t 1oi. The Town of South cle llum {District name}, do hereby certify to the Kittitas {Name af county}County legislative authority that the Town council f commissianers, council, Board, etc.) af said district requests that the following levy amounts be collecg*4;n 1023 {Year of collection)as provided in the district's budget, which was adopted foilowing a public hearing hetd cn ,"tl1,1l?:a2z (Date of public hearing). r levies Excess levies *Examples af other levy types may include EMS, school di stri ct tra nsportation, or constru ctio n levi es Examples of amounts may include levy error correction or adjudicated refund amount. Please include a descriptio en srn "othe o ns Date: l, document ln an alternate format,please com l- {- plete the form dor.wa.govlAc,cessiloilit[Request Total certified levy request amount, which includes the amounts below. $ t3E,ooo.oo Adrn inistrative refund a mount Non-voted bond debt amount Other* General levy Other levy*levy Totalcertified levy request amount, which includes the amounts below. L-J Administrative refund amount Other* 6eneral ln/:' lttr :.clrrr,l rlritr:tt:.i I nrichment I ',r.. iir;oi ttrsirrtt, Lrllyj Other Eond Cap, projectLevy Rrv 64 0100 (8/27/21) Teletype (TTY) users please dial 711 Page 1 of 1