HomeMy WebLinkAboutHospital District No. 2Departmem of NOV 2 2RevenueLevyCertificationWashingtonStote
Submit this document to the county legislative authority on or before November 30 of the year precedingtheyearinwhichthelevyamountsaretobecollectedandforwardacopytotheassessor.
In accordance with RCW 84.52.020,I,Elizabeth Allgood ,
(Name)
Treasurer ,for Kittitas County Public Hospital ,do hereby certify toDistrictNo.2/MaintenanceLevy
(Title)(District Name)
the Kittitas County legislative authority that the Board of Commissioners
(Name of County)(Commissioners,Council,Board,etc.)
of said district requests that the following levy amounts be collected in 2018 _as provided in the district's
(Year of Collection)
budget,which was adopted following a public hearing held on 11/13/2017 :
(Date of Public Hearing)
Regular Levy:$1.275,000.00
(State the total dollar amount to be levied)
Excess Levy:$0.00
(State the total dollar amount to be levied)
Refund Levy:$0.00
(State the total dollar amount to be levied)
Signature:Date:Ne-M
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Teletype (TTY)users,please call (360)705-6718.For tax assistance,call (360)534-1400.
REV 64 Ol00e (w)(2/21/12)
Department ofRevenue Ordinance /Resolution No.11-13-17-03WashingtonStateRCW84.55.120
WHEREAS,the Board of Commissioners of Kittitas County Public has met and considered
Hospital District No.2/Maint
(Governing body of the taxing district)(Name of the taxing district)
its budget for the calendar year 2018 ;and,
WHEREAS,the districts actual levy amount from the previous year was $631,157.79 ;and,
(Previous year's levy amount)
WHEREAS,the population of this district is more than or Lex than 10,000;and now,therefore,
(Check one)
BE IT RESOLVED by the governing body of the taxing district that an increase in the regular property tax levy
is hereby authorized for the levy to be collected in the 2018 tax year.
(Year of collection)
The dollar amount of the increase over the actual levy amount from the previous year shall be $6,311.58
which is a percentage increase of 1.0 %from the previous year.This increase is exclusive of
(Percentage increase)
additional revenue resulting from new construction,improvementsto property,newly constructed wind turbines,
solar,biomass,and geothermal facilities,and any increase in the value of state assessed property,any annexations
that have occurred and refunds made.
Adopte s vember ,2017
additional signatures are necessary,please attach additional page.
This form or its equivalent must be submitted to your county assessor prior to their calculation of the property tax
levies.A certified budget/levy request,separate from this form is to be filed with the County Legislative Authority
no later than November 30*.As required by RCW 84.52.020,that filing certifies the total amount to be levied by
the regular property tax levy.The Department of Revenue provides the "Levy Certification"form (REV 64 0100)
for this purpose.The form can be found at:http://dor.wa.gov/doc,s/forms/PropTx/Forms/LevvCertEdoc.
To ask about the availability of this publication in an alternate format,please call 1-800-647-7706.Teletype (TTY)users may
use the Washington Relay Service by calling 711.For tax assistance,call (360)534-1400.
REV 64 010le (w)(12/9/14)
Kittitas County Public Hospital District #2
2018 Projected Operating Budget
EMS District Admin Total
Net Operating Revenues $738,839 $324,974 $1,063,813
Operating Expenses $1,582,696 $410,444 $1,993,140
Net from Operations $(843,857)$(85,470)$(929,327)
Non Operating
Levy -EMS $625,257 $-$625,257
Levy -Regular $-$637,469 $637,469
Net Non Operating $625,257 $637,469 $1,262,726
Net Gain/Loss $(218,600)$551,999 $333,399