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Rffl,dHtit@ <br />Woshington Stote <br />Form 64 0100 <br />(-n-e.tolL; I24 <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 84.52.929, I MATTHEW IUNDH (Name), <br />MAYoR (Titte),;6p clwoFctE EtuM (District nome), <br />do hereby certify to the KITTITAS (Name of county) County legislative authority <br />that the CtE EIUM CITY COUNCII (Commissioners, Coltncil, Board, etc.) of said district requests <br />that the following levy amounts be collecls6 1n 2025 (eor of collection)as provided in the district's <br />budget, which was adopted following a public hearing held on ':ol22l2o24 @ate of public hearing)- <br />r levies <br />Excess levies <br />*Examples of other levy types may include EMS, sc hool district transportation, or construction levies- <br />Examples of her amounts may include levy error correction or adjudicated refund amount. Please include <br />a descriptio 6b <br />Date:lb-2"111Signature <br />To request this document in an alternate format, ple9ry complete the form dor.wa"gov/Acc.essibilityRequest <br />or cali 360-705-6705. Teletype (TTY) users please dial 71 1. <br />REV 64 OuOO (8/27l2rl Page 1 of 1 <br />( <br />s 985,ooo.ooTotal certified levy request <br />amount, which includes the <br />amounts below. <br />Administrative refund amount <br />Non-voted bond debt amount <br />Other* <br />Other levy*General levyLevy <br />t-J <br />Totalcertified levy <br />request amount, <br />which includes the <br />amounts below. <br />Administrative refund <br />amount <br />Other* <br />General <br />(n/a for school <br />d istricts) <br />Enrichment <br />(school <br />districts only) <br />Other <br />Cap. projectBondLevy