Laserfiche WebLink
Department of <br />Revenue i <br />OA <br />Washington Scute <br />Farm 64 0100 <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 />In accordance with RCW 84.52,020, 1 William Powers (Name), <br />Board of Commissioners Chairman (Title), for I Snoqualmie Pass Fire & Rescue (District name), <br />do hereby certify to the King and Kittitas (Nome of county) County legislative authority <br />that the Fire Commissioners <br />(Commissioners, Council, Board, etc.) of said district requests <br />that the following levy amounts be collected in 2025 (Year of collection) as provided in the district's <br />budget, which was adopted following a public hearing held on 11/06/2024 7 (Date of public hearing). <br />Regular levies <br />Levy General levy • <br />Total certified levy request 1,400,000.00 <br />amount, which includes the <br />amounts below. <br />Administrative refund amount <br />Non -voted bond debt amount 86,638.00 <br />Other* <br />Excess levies <br />CXd IIIIJreS e1 erner levy types may inclucle EMS, school district transportation, or construction levies. <br />Examples of other amounts may include levy error correction or adjudicated refund amount. Please include <br />a description when usi g th ot�er" opti s. <br />Signature: Date: <br />To request this document in an alternate format, please complete the form . �r.uva. ov Accessibilit Re nest <br />or call 360-705-6705. Teletype (TTY) users please dial 711. <br />REV 64 0100 (8/23/22) Page 1 of 1 <br />