HomeMy WebLinkAbout2021 LevysLEVY CERTIFICATION CONTACT LIST 2O2I ASSESSMENT FOR 2022 TAX
RCW 84.52.0202 City and district budgets to be filed with county legislative authority
RCW 84.52.070: Certification of levies to assessor (USE SECOND PAGE)
THTS PAGE FOR IN-OF'F'ICE
USE ONLY-SEE BBLOW
PAGE TO ACCOMPANY
RESOLUTION
District Name and Contact Information
Date Received by BOCC
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CITIBS:
Cle Elum
Ellensburg
Kittitas
Roslyn
S.Cle Elum
SCHOOLS
All
Rob Omans, City Administrator, 674-2262
Jerica Pascoe, Finance Director, 962-7205
Debbie Lee, Clerk, 968-0220
Amber Shallow, Treas, 649-3105
Dora Bannister, Clerk, 674-4322
Dustin Kinley, ESD #105 (Education Service Dist)
509-4s4-3116
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FIRE DISTRICTS:
No.1 Brandon Schmidt, Chief
No.2 John Sinclair, Chief
No.3 Emily Neibuhr, Sec., 509-304-5088
No.4 Bryan Stockdale, Comm, 856-7140
No.51 Jay Wiseman, Chief, 425-434-6333
No.6 Jeannine Lavande, Sec, 509-93 0-6757*
No.7 Eryn Micallef,674-5371
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HOSPITALS:
No.1 Scott Olander, CFO,933-8658
No.2 Scott Olander, CFO, 933-8658
CEMETERY:
No.l Nana Dyk, Sec,964-2195
C:\Users\taylor.crouch\AppData\Local\Microsoft\Windows\lNetcache\Content.Outlook\EG8XXYEWU.District Documents Received List-BOCC
REVISED TL.26.I8
BOARD OF KITTITAS COUNTY COMMISSIONERS CERTIFICATION
OF DISTRICT TAX LEVIES TO ASSESSOR
RCW 84.52.0702 Certification of levies to assessor
BOCC Agenda Date District Name and Contact Information
CITIES:
Cle Elum
Ellensburg
Kittitas
Roslyn
S.Cle Elum
Rob Omans, City Administrator, 674-2262
Jerica Pascoe, Finance Director, 962-1205
Debbie Lee, Clerk, 968-0220
Amber Shallow, Treas, 649-3105
Dora Bannister, Clerk, 674-4322
SCHOOLS
All Dustin Kinley, ESD #105 (Education Service Dist)
509-454-3116
F'IRE DISTRICTS:
No.1 Brandon Schmidt, Chief
No.2 John Sinclair, Chief
No.3 Emily Neibuhr, Sec. 509-304-5088
No.4 Bryan Stockdale, Comm, 856-7140
No.51 Jay Wiseman, Chief, 425-434-6333
No.6 Jeannine Lavande, Sec, 509-930-6757
No.7 Eryn Micallef,674-5371
No.8 & 9 Now Fire #51
HOSPITALS:
No.1 Scott Olander, CFO, 962-7312
No.2 Scott Olander, CFO, 962-7312
CEMETERY:
No.1 Nana Dyk, Sec,964-2195
The Board of Kittitas County Commissioners Certifu to Kittitas County Assessor
Taxing District 2020 Tax Levies were certified on dates shown above.
Signed: County Commissioner Date
C:\Users\taylor.crouch\AppData\Local\Microsoft\Windows\lNetCache\Content.Outlook\EGSXXYEW\l.District Documents Received List-BOCC
REVISED tL-26.T8
Levy Certification
Submit this document, or something similar, to the county legislative
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 g4.52.070.
t in an alternate format,please complete the form dgf,wa"gavlAseesirblily,Bequesl36A-745-6705.Te
ReTtffilEf?
Washington State
Form 64 0100
l!0t/ 2 3 ..
: |j
ln accordancerwith RCW 84'52 .OZO,l JAY MCGOWAN {Name),MAYoR ffitre),;sr crry oF cLE ELUM pistrict name),
do hereby certify to the KlrrlrAs fiame of county) County legislative authority
that the cLE E[uM clw couNcll $ommissioners, council, Board, etc.) al said district requests
that the following levy amounts be colleclq6 in 2022 {Yeor of collection) as provided in the district,s
budget, which was adopted following a public hearing held on Lol25l2a2t (Date of public hearing),
r levies
Excess levies
*Examples other levy types may include EMS,schooldistrict transportation, or construction leyies.
Exarnples of other amounts include levy error correction or adjudicated refund arnount. please include
a description usrng "other" options,
Signatu Date:
To req
or call
u
Total certified levy request
amount, which includes the
amounts below.
$ gzs,ooo.oo
Administrative refund amount
Non-voted bond debt amount
Other*
Levy General levy Other levy*
Total certified levy
request amount,
which includes the
amounts below.
l-i
Administrative refund
amount
Other*
General
(n/a for school
d istricts)
Enrichment
(school
districts only)
OtherBondCap. projectLevy
REV 64 AIOA {8/27la]-l
letype (TTY) users please dial711.
Page 1 of 1
- Deoartment of
ReVenue
\4/oshrngton 5
@ Ordinance / Resolution No.
RCW 84.5s.120
1622tote
WI{EREAS, thE Council of of Cle Elum has met and considered
(Goveming body of the taxing district)(Name of ttre taxing
its budget for the calendar year 2022 ; and,
WIIEREAS, the distuicts actual levy amount from the previous year w&s $ _t26,722.9g ; and,,
(Previous year's levy amount)
WIIEREAS, the population of this district is I more than or
(Check one)
X lpss than 10,000; and now, tlerefore,
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 zazz tax year
(Year of collection)
The dollar amount of the increase over the actual levy amount from the previous year shall be $
which is a percentage increase of 1 % from the previous year. This increase is exclusive of
8.267.23
(Percentage inuease)
additional revenue resulting from new construction, improvements to propertry, newly constructed wind h*bines,solar, biomass, and geothermal facilities, and any increase in the value of ,tutr-urr*ssed propertry, uny u*r"ution,that have occurred and refunds made.
Adopted this 8 day of November 2021
lf additional signatures are necessarr, please attach additional page.
Jhis forrn or itj equivalent must be submitted toyour ??uryy assessor p{or to their calculation of the property taxlevies' A certified UuO,cejijgvl request, separate from this form is to be filed with the Counry Legislative Authorityno later tlran November 30s. As required by RCW 84.52.a2a,that filing certifres the totuf uirrouit to l"l.uirC Uythe regular propelf tax levy. lhe lepry*n-ent of Revenue provides-ttt":'*uy C.ttin*tion" form (REV 64 0100)for this purpose. The form can be found at: htrp:1/dor.wq.g9v/doqs/forr,ns/PropTx o;snevycertfdoo, -
To ask about the availability ofrhis publication in an allernate format, please call l-s00-647-7706. Teletype (TTy) users mayuse the Washington Relay Service by calling 7l I. For tax assistance, catt igOO) 534-140A.
REv 64 0101e (w) (12/9tt4)
e:
1
Raiufftit€z
Woshington Stote
Form 64 0100
NO\/ 7.4
Levy Certification
Submit this document, or something similar, to the county legislative
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 34.52.070.
ln accordance with'RCW 84.52.02A,1 Jerica Pascoe (Name),
Finance Director ffiile),1o, city of Eilensburc pistrict nome),
do hereby certify to the Kittitas county (Name of county) County legislative authority
that the council (Commissioners, Council, Boord, etc.) of said district requests
that the following levy amounts be colleclsi in 2022 (Year of collection) as provided in the district's
budget, which was adopted following a public hearing held on tVoVza2t (Date of pubtic hearing).
ular levies
Excess levies
*Exampl es of other levy types may include EMS, school district transportation, or construction levies.
Examples of other amounts may include levy error correction or adjudicated refund amount. Please include
a descripti using the her" options.
Signatu Date: L I
To re ts d o r.wa.g ovlAccessi b il ityRequestq
ll
uest th
36A-705-6705. Teletype (TTY) users please
document in an alternate format,please complete the form
0r ca
Total certified levy request
amount, which includes the
amounts below.
$ 3,600,000.00
Administrative refund amount
Non-voted bond debt amount
Other*
General levy Other levy*Ievy
Total certified levy
request amount,
which includes the
amounts below.
$ t7s,ooo.oo
Administrative refund
amount
Other*
General
(n/a for school
d istricts)
Enrichment
{school
districts only)
Other I
Bond Cap. projectLevy
REV 54 OLoO (8/27lzLl
dial 71 1,
Page 1 of 1
Levy Certification
subrnit this document, or something similar, to the county legislative
authority on or before November 30 of the year preceding the year in whlch
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.
Nov 7l
.ln accordance with Rcw 84.52.020, I Debble Lee (Nome),cldlk/Treasurer ffitre),1sp citiy of Klttitas pistrict name),
do hereby certify to the Klttltas fiame of county)county legislative authority
that the city of Kitthas council $ommissioners, council, Boord, etc.) ofsaid district requests
that the following levy amounts be collecls6 ln 2022 ffear of collection) as provided in the district,s
budget, which was adopted following a public hearing held on ll'12312o21, {Dote of public hearing).
lar levies
Excess levies
mples er levy types may include E MS, school district transportation, or construction levies.
Examples of other amounts may include levy error correction or adjudicated refund amount. please include
a descri the er" options.
Signature:Date:1[-13-2t
Re'"ffi{e
Washington Store
Form 64 0100
Total certified levy request
amount, which includes the
amounts below.
$ tSg,ooo.oo
Administrative refund amount
Non-voted bond debt amount
Other*
Levy General levy Other levy*
Totalcertified levy
request amount,
which includes the
amounts below.
l-J
Administrative refund
amount
Other*
Ge nera I
(n/a for school
d ist rr cts )
Enrichment
(sch ool
clistricts only)
Other IIevyBond
i(
Cap. project
To request thls document in an alternate folmat, F.legry complete the form dor:.wa.gov/AccessibilityRequestor call 36A-7os-O705. Tetetype (TTy) users pteaii liiiTi i.
REV640'.00 lglzzlatl pagetofl
Raiiiffti:;@
Woshington Stote
Form 64 0100
To request this document in an alternate format, please
or call 360-705-6705.Teletype (TTY) users please dial71
REV 64 OI.OO (8/27/2rl
Levy Certification
Submit this document, or something similar, to the county legislative
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 34.52.070.
Date:l\ /lal uratt
coln pl ete the form dor.wa govlAccessi bi I ityRequ est
1.
Page 1 of 1
tn accordance with RCW 84.52 .O2O, tBrent Hals NoV 3 0
(Name),
Mayor ffiile), for, cltY of Roslyn ,, r.. (District nome),
do hereby certify to the Kittitas : i; '',r' lrlorii'i| ci;ounty)County legislative authority
that the City Council (Commissioners, Council, Board, etc.) of said district requests
that the following levy amounts be collecls6 in 2022 (Year of collection) as provided in the district's
budget, which was adopted following a public hearing held on Ll"l0gl202r' @ate of public hearing).
ar levies
Excess levies
*Examples of other levy types may include EMS, school district transportation, or construction levies.
Examples of other amounts may include levy error correction or adjudicated refund amount. Please include
a descripti
Signature:
on hen using r" options
Total certified levy request
amount, which includes the
amounts below.
$ 239,0(l0.oo
Ad ministrative refund amount
Non-voted bond debt amount
Other*
General levy Other levy*Levy
Total certified levy
request amount,
which includes the
amounts below.
$ 30,649.77
L-J
Administrative refund
amount
Other*
General
(n/a for school
d i stricts)
Enrichment
(school
districts only)
Other
Bond Cap. projectLevy
Rai-fftit(e
Woshington Stote
Form 54 0L00
Levy Certification
Submit this document, or something similar, to the county legislative
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,
Date: t t
}l0l/ 22 "ri
ln accordance with RCW 94.52 .OZ0,l James L DeVere (Name),
Mayor ffiile), yo1" Town of South Cle Elum (District name),
do hereby certify to the Kittitas (Name of county)County legislative authority
that the TownCouncil (Commissioners, Council, Boord, etc.) of said district requests
that the following levy amounts be collecls6 ;6 2022 (Year of cottection)as provided in the district's
budget, which was adopted following a public hearing held on tLlL6l2o2L (Date of pubtic heoring).
ular levies
Excess levies
*Examples of other levy types may include EMS, school district transportation, or construction levies
Examples of her amounts may include levy error correction or adjudicated refund amount. Please include
a descripti
Signature:
t ,ro er" options.
To req
or call
u is document in an alternate format, please complete the form dor.wa.gov/AccessibilityRequest
360-705-6705. Teletype (TTY) users please dial 7i 1.
Total certified levy request
amount, which includes the
amounts below.
$ tgo,ooo.oo
Administrative refund amou nt
Non-voted bond debt amount
Other*
General levy Other levy*Levy
Total certified levy
request amount,
which includes the
amounts below,
Administrative refund
amount
Other*
General
(n/a for school
d i stricts)
Enrichment
(school
districts only)
Other levy*IBondCap. projectLevy
REV 64 OIOO (8/27/2t)Page 1 of 1
Superintendent
l(i".'irI (-it,ut.
Board of Directors
Atir,,'l.t Alrr.rrns
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School Districts
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l-i igh la rr r I
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rVl,rLrlorr
Mt. u\i.l;rnrr
Naclrr:s Vallr:y
Roy,rl
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Sil t ttt)isith
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Wesl V,rllr:y
Y;r kilr ra
Z il lah
33 South Second Ave.
Yakima, WA 98902
(509) 575-2885
Fax (509) 575-2918
www.esd105.org
ESD 105 is an Equal
OpportLrnity Employer
TO
Educational Service District
Board of County Commissioners (Kittitas)
FROM:Dustin Kinley
Director of Fiscal Services
SUBJECT: School District Levy Certifications
DATE: November t"t,2021
Enclosed you will find the levy certifications for the school districts in your county.
Please note that the amount certified is the total to be collected in joint counties.
Also note that the amount for each county must be determined by the headquarter
county.
If you have any questions, please do not hesitate to call me at 509-454-3116
Dustin Kinley
cjg
enclosures
County Auditor
County Assessor
OSPI
cc:
DocuSign Envelope I D : E3D7A96+DF 23447 9-90E1 -E76622CA58A1CERTIFICATIONAs secretsary to the Board of Directors of Ellensburg School District School Distsrict No. 401- of Kittitas County, I do hereby certify that the Boardof Directsors, at a public meeting advertised pursuant tso RCW 28A.505.050 and held pursuant to RCW 28A.505.060;(a) established tshe total appropriation expenditure amount for each fund for the fiscal year; and(b) the budgets for each fund represents the budget as adopted by the Board of Directors; and(c) the budget is prepared on the modified accrual basis of accounting pursuants to RCw 28A.505.020; or(d) Ehe Board of Directors and officers of said schooL district are fuIly cognizant of their liability under the provisions of RCw 28A.505.150; and(e) if applicable, pursuant to RCw 28A.1-50.270 and wAC 392-1-21-445, the Board of Directors has executed a resolution as part of the budget hearingrequesting approval for operating transfers from the General Fund to the Debt Service Fund and/or the Capital Projects Fund; and(f) pursuant to RCW 84.52.020, the Board of Directors determined the amount of new fiscal year excess tax levy requirements needed for the General-,Transportation, Capital Projects, and Debt Service Fund budgets.D@usigned by:kil'mv0812s12021813012021Board of DirectorsBudget Adoption Dat.eSigned DateFOR ESD AND OSPI USE OIILYSchool District budget has been reviewed and the total appropriation expenditure amount in each fund is fixed and approved i,n accordance wj-th28A.505 for the period Septeniber a, 2O2a through Augnrst 3I, 2022.Signed Dateor DesigneeDocusiEned by:Docusigned by:lu,L Sbwve0nsf-,^813U2021Signed DateLock and Print Date: 08/27/202INOTE: Ellensburg SD is a first class School District and in accordance with RCW84.52.020 is required to certify their own levies. I have included this as aplaceholder and reminder to expect a levy certification from the District
FY 202t-2022SECTION A: BITDGET SIIUMARYTotal Revenues and Other Financing SourcesTotal Appropriation (Expenditures)other Financing Uses--Transfers Out (G.L. 535)Other Financing Uses (c.L. 535)Excess of Revenues/Other Financing sources over/ (Under)Er<penditures and Otsher Financing UsesBeginning Total Fund BalanceEnding Total zund BalanceSECTION B: EXCESS tEvIES FOR 2022 COLLECTIONExcess lewies approved by voters for 2022 collect.ionRollback mandated by school district Board of DirectorsL/Net excess levy amount for 2022 collection afterrollbackEllensburg School District No.401BUDGET AIiID EXCESS I.EVT SI'UMARYGeneral FundAssociatedstudent BodyFund48, 250, 000789,485Debt ServiceFund9,76s,2249, 700, 0000065,2244,830,0004 ,895 ,2249,900,00031,085,0001, 088, 0000-12,372,99913, 3 00, 000927,000595,000588, 00000-495, 500588, 000I92,500Rur.t L0/6/2021 3:09:48 pM)api-taI Projects Transportationzund Vehicle Fund19,800,000192 ,50052,r29,794U0-3,879,7937, 050, 0003,770,2064 ,859 ,55204 ,859 ,552693,397xxxxxxxxxx95, 088340,952437 ,040xxxxx0000000001/ Rollback of levies needs to be certified pursuant to RCI{ 84-52-020. Please do NOT incl-ude such resolution as part of thj-s documentForm F-195Page 1 of 1Fund Summary: 1 of 1-
DocuSign Envelope lD'. 58791262431 D47AB-A809-1 25023F39CA5CERTIFICATIONAs SecreLary tso the Board of Directors of Naches Va11ey Schoo1 Districts School District No. 003 of Yakima County, I do hereby certify that. theBoard of Directsors, at a public meeting advertised pursuant tso RCW 28A.505.050 and held pursuant to RCw 28A.505.050;(a) established the total appropriation expenditure amount for each fund for the fiscal- year; and(b) the budget for each fund represents the budget as adopted by the Board of Directors,. and(c) the budgets is prepared on the modified accrual basis of accounting pursuant to RCW 28A.505.020, or(d) the Board of Directors and officers of said school- district are fuI1y cognizant of their liabj.lity under the provj-sions of RCw 28A.505.150; and(e) if applicable, pursuant to RCTI 28A.1-50.270 and WAC 392-l-21-445, the Board of Directors has executed a resolution as part of the budget hearingrequesting approval for operating transfers from the General Fund to the Debt Service Fund and/or the Capital Projects Fund; and(f) pursuant to RCw 84.52.020, the Board of Directors determined the amount of new fiscal year excess tax levy requj-rements needed for the General.Transportation, Capital- Projects, and Debt Service Fund budgets.bowuat,7t27/2021Board of DirectsorsBudget Adopt.ion Dat.eby:FOR ESD AND OSPI USE ONLYThe School District budget has been reviewed and the total appropriation expenditure amount in each fund is fixed and approved in accordance withRCw 28A.505 for the period septeEiber f, 2021, through Augusts 3I, 2022.7/271202tor DesigneeIlocusigned by:D@usigned by:(utL SbulDateDateveLock and Print Date, 07/27/202]r
NACHES VALLEY SCHOOL DISTzuCT NO. JT3
YAKIMA AND KITTITAS COUNTIES, WASHINGTON
RESOLUTION NO. 04-202t -2022
CERTIFICATION OF 2022 EXCESS PROPERTY TAXES
A RESOLUTION of the Board of Directors of Naches Valley School District
No. JT3, Yakima and Kittitas Counties, Washington, certiffing to the Board of County
Commissioners of Yakima and Kittitas Counties, Washington and the Superintendent
of Educational Service District 105 the amount of excess property ta(es to be levied in
yeat 2020 and collected in year 2021 for the Dishict's General Fund and Debt Service
Fund; and providing for related matters.
BE IT RESOLVED BY THE BOARD OF DIRECTORS OF NACHES VALLEY SCHOOL
DISTRICT NO. JT3, YAKIMA AND KITTITAS COUNTIES WASHINGTON, as follows:
Section I. Findings and Determinations. The Board of Directors (the "Board") of Naches
Valley School District No. JT3, Yakima and Kittitas Counties, Washington (the "District") takes note
of the following facts and makes the following findings and determinations:
(a) By Resolution No. 0l-2021-2022, the Board adopted a budget for Fiscal Year 2021-2022
(the"202l-22 Budget") that included certified General Fund educational programs and operation excess
property taxes in the amount of $2,689,665 to be levied in 2021 and collecte d in 2022. The Board has
determined that the amount of the District's Ceneral Fund educational programs and operation excess
tax levy previously certified in the 2021-22 Budget of $2,689,665 should now be increased to
$2,950,000.
(b) 1"he2021-22 Budget included certified Debt Service Fund excess property taxes to pay
debt service on all of the District's outstanding unlimited tax general obligation bonds in the amount
of $1,650,000 to be levied in202l and collectedin2022.
Section 2. Certification of General Fund Excess Property Tax Levy: Assessor
Authorization. Pursuant to RCW 84.52.020, the Board certifies to the Board of County
Commissioners of Yakima and Kittitas Counties, Washington and the Superintendent of Educational
Service District 105 an excess property tax levy in the amount of $2,950,000 to be levied in calendar
year202l and collected in calendar year2022 for the District's General Fund. The Assessors of Yakima
and Kittitas Counties, Washington, are authorized and directed, without further Board action, to
reduce the General Fund excess property tax levy amount to be extended upon the tax rolls and
collected in calendar year 2022 to be consistent with the limitations imposed by RCW 84.52.0531.
Section 3. Certification of Debt Service Fund Excess Property Tax Levy. Pursuant to
RCW 84.52.020, the Board certifies to the Board of County Commissioners of Yakima and Kittitas
Counties, Washington and the Superintendent of Educational Service District 105 an excess property
tax levy in the amount of $ 1,650,000 to be levied in calendar year 2021 and collected in calendar year
2022for the District's Debt Service Fund.
Section 4. General Authorization and Ratification. The Secretary to the Board, the Chair
of the Board, the District's Director of Business and Operations, and other appropriate officers of the
District are authorized to take all other actions and execute all other documents necessary to effectuate
5il6t97t.2
the provisions of this resolution, and all prior actions taken in furtherance of and not inconsistent with
the provisions of this resolution are ratified and confirmed in all respects.
Section 5. Effective Date. This resolution takes effect from and after its adoption.
ADOPTED by the Board of Directors ofNaches Valley School DistrictNo. JT3, Yakima and
Kittitas Counties, Washington, at a regular open public meeting thereo{, of which due notice was
given as required by law, held this 26th day of October, 202l,the following Directors being present
and voting in favor of the resolution.
NACHES VALLEY SCHOOL DISTRICT NO. JT3
YAKIMA A}ID KITTITAS COI.'NTIES,
WASHINGTON
Chair and Director
Vice Chair and Director
Director
Director
Director
Secretary to the Board of Directors
-2-
Fv 202r-2022SECTION A: BITDGET SItlr[rlARYTotal Revenues and Other Financing sourcesTotal Appropriation (Expenditures)Other Financing Uses--Transfers Out (G.L. 535)other Financing Uses (G.L. 535)Excess of Revenues/other Financing sources over/ (Under)Expendj-tures and Other Financing UsesBeginning Total zund BalanceEnding Total Fund BalanceSECTION B: EXCESS LEVIES EOR 2022 COLLECTIONExcess levies approved by voters foy 2022 collectionRollback mandated by school district Board of Dj.rectorsr/Net excess lerry amount for 2022 collection aNacheE Valley School District No.003BUDGET AIiID EXCESS I,EITY SUI{I{ARYGeneral FundAssociatedStudent BodyFund20 ,483 ,80420 ,932 ,55756,5000- 505 , 2523, 053, 8982 ,548 ,645152,550L42, O5OXXXXXxxxxx10,500l_53, 971-L64,47rxxxxxDebt ServiceFundl_,689,8811, 645, 55s0044 ,325L ,2r4 ,6661,258 ,992r-,650,000)apital ProjectsFundRun: IO/6/2021 3:20:39 PMTransportat. j-onVehicl-e Fundr_5,000L25,500138,48300-t23 ,483L23 ,929445295,00000-158,5001_72 ,44'l3 ,9472,950,000-fn(.,/ *+,-a*-Q#F+F,, , _{ 4,7 s o, ooor(-tNo)t0000000000rollback1/ Rollback of levies needs to be certified pursuant to Rcw 84-52.020Please do NOT include such resoluLion as part of this documentForm F-195Page 1 of l-Fund Summary: 1 of 1
Docusign Envelope lD: 090ED7F7-F14G4D87-9789-E9A61A92859ECERTIFICATTONAs Secretary to the Board of Directors of C1e E1um-Rosllm School District School District. No. 404 of Kittitas Countsy, I do hereby certify that theBoard of Directors, at a public meet.ing adwert.ised pursuant tso RCW 28A.505.050 and hetd pursuant t.o RCW 28A.505.050;(a) established tshe total appropriation e]<penditure amount for each fund for tshe fiscal year; and(b) the budget for each fund representss the budgets as adopted by the Board of Directors; and(c) the budget is prepared on the modj.fied accrual basis of accountsing pursuant to RCw 28A.505.02o; or(d) the Board of Directors and officers of saj.d school dist.rict are fully cognizant of their liability under the provisions of RCW 28A.505.150; and(e) if applicable, pursuant to RC'!'l 28A.150.270 and WAC 392-l-21--445, the Board of Dj-rectors has executed a resolution as part of the budget hearingrequesting approval for operating transfers from the General Fund to the Debt Service Fund and/or the Capital Projects Fund; and(f) pursuant to Rcw 84.52.020, the Board of Directors determined the amount of new fiscal year excess tax levy requirements needed for the General,Transportation, Capital Projects, and Debt Service Fund budgets.Dcusigned by:lkdullL81812021Budget Adoption Dat.eBoard of DirectorsFOR ESD A}ID OSPI USE ONLYSchool Di.strict budget has been reviewed and the totaL appropriation expenditure amoun! in each fund is fixed and approved in accordance Lrith28A.505 for the period September I, 2o2I through Augnrst 3L, 2022.8l18l202tDateDateor DesigneeDocusigned by;?",1Sto,veDocuSigned by:Lock and Print Date: 07/27/2021'
FY 2024-2022SECTION A: BITDGET SI'UIIIARYTotal Revenues and Other Financing SourcesTotal Appropriation (Expenditsures)Other Financing Uses--Transfers Out (G.L. 536)other Financing Uses (G.L. 535)Excess of Revenues/Other Financing Sources Ower/ (under)Expenditures and Other Financing UsesBeginning Tota1 Fund Bal-anceEnding Total Fund BalanceSECTION B: EXCESS LEVIES FOe.2022 COLTECTIONExcess lewies approved by voters for 2022 collectionRollback mandated by school district Board of Directors),/Net excess lewy amount for 2022 collection afterrollbackCIe Elum-Rosllm School Diatrict No.404BUDGET ATilD AXCESS LEUT SUUUARYGeneral FundAssociatedStudent BodyFundL3 ,7 82 , 593Debt. ServiceF-und)apital ProjectsFundRlttrt I0/6/202L 3:05:53 pMTransportat,ionVehicle FundL4 , 695 ,33000- 9L2 , 7373 ,634,5532 ,721 ,91-62,700,000-w)-LL , 7 A5L3-6 , 27 5xxxxxxxxxx-4,489753 ,699749 ,2r076, 00075,948018, 5051,8, 5581, 534, 0001,550,000125, 0000-141,0002 ,958 , A452,827 ,8451, s00, 00005273 ,45320, 00076, 0000-22 ,54772,L7049 ,623-sc. =+c,-7'{;,yaA gdoakr.rp^t0000000001/ Rollback of levies needs to be certsified pursuant to Rcw 84.52.020Please do NOT include such resolutj-on as part of this documentForm F-195Page l- of 1zund Surrunary: 1 of 1
DocuSign Envelope lD: 4D491AF1-3ECA-4AD$83E$6453DD28FDA0CERTIFICATIONAs Secrelary to the Board of Direct.ors of Easton School District School District No. 028 of Kittitas County, I do hereby certify that the Board ofDirectors, at a public meeting advertised pursuant to RCW 28A.505.050 and held pursuant to RCw 28A.505.050;(a) established the total appropriation expenditure amount for each fund for the fiscal year; and(b) the budget for each fund represents the budget as adopted by the Board of Directors; and(c) che budget is prepared on the modified accrual- basis of accounting pursuant to RC'IV 28A.505.020; or(d) the Board of Directors and officers of said schooL dist.rict are fu1ly cognizant of their liability under the provisions of Rcw 28A.505.150; and(e) if applicable, pursuant to Rcw 28A.150.270 and wAc 392-121-445. the Board of Directors has executed a resolut.i.on as part of the budget hearingrequesting approvaf for operating transfers from the General Fund to the Debt Service Fund and/or Lhe Capi.tal- Projects Fund; and(f) pursuant to RCW 84.52-020, the Board of Directors determined the amount. of new fiscal year excess tax levy requj-rements needed for the General,Transportation, Capital Projects, and Debt Service Fund budget.s.by:HBr^*fr7127120218/24/2021Board of DirectorsBudget Adoption DateSigned DateFOR ESD A}ID OSPI USE OIILYThe School District budget has been reviewed and the total appropriation expenditure amount in each fund is fj-xed and approved in accord.ance withRCW 28A.505 for the period September 1,, 2O2t through August. 31-, 2022.Si.gned DateSigned Dateor Desj.gneeDocuSigned by:*L st/,,*ve0ws{-,ruDocusigned by:Lock and Print Datet 08/17/2021-
FY 2021-2022SECTION A: BUDGET SIruldARYfotal Revenues and Other Financing SourcesTotal Appropriation (Expenditures)Other Financing Uses--Transfers Out (G.L. 536)Other Financing Uses (G.L. 535)Excess of Revenues/Other Financing Sources Over/ (Under)Expenditures and Otsher Financing UsesBeginning Total Fund BalanceEnding Total zund BalanceRoll-back mandated by school district Board of DirectorsL/Net excess levy amount for 2022 coll-ection afterrollbackEagton School Diatrict No.028BI]DGET A}ID EXCESS LEIIY SI]UMARYceneral zundAssociatedStudent BodyFundDebt. ServiceFundRun: L0/6/2027 3:08:25 pMTransportationVehicle Fundlapit.al Pro j ectsFund342, 800340, 00040,0000-37,20071,00033, 8002 ,820 , s092,960,67000-l-40,150525,000384,83962 - 30062 ,3O0XXXXXXXXXX040 ,40240 ,402t8 ,932L7,90000L,03238, 00039 ,0327,80020, 00016 ,9320-29,r3245, 000r-5. 858SECTION B: EXCESS LEVIES FOn 2022 COLLECTIONExcess lewies approved by voters foy 2022 collection495,00024s,344249 ,656XXXXX340, 0001/ Rollback of levies needs to be certified pursuant to RC'!v 84.52.020. Please do NOT j.nclude such resolution as part of this document0000000000Form F-195Page 1 of 1Fund SurTunary: 1, of 1
DocuSign Envelope lD: 22FD8A1 6-86A6-4024-8FEGA5AB41 3D71 89CBRTIFICATIONAs Secretary to the Board of Directors of Kittitas School Dist.rict School District No. 403 of Kittitas County, I do hereby certify that the Boardof Directors, at a public meeting advertised pursuant to RCW 28A.505.050 and held pursuant to RC"hl 28A.505.050;(a) established the tsota1 appropriation expendj.ture amount for each fund for the fiscal year; and(b) the budget. for each fund represents the budget as adopted by the Board of Directors; and(c) the Debt Service Fund budget is prepared on the modj-fied accrual basis of accounting and all other funds are prepared on the cash basis ofaccounting pursuant to RCW 28A.505(d) the Board of Directors and officers of said school district are fully cognizant of their li.ability under the provisions of RC'lt 28A.505.150; and(e) if applicable, pursuant to Rc'!g 28A.150.270 a dwAc 392-12r-445, the Board of Dj-rectors has executed a resolution as part of the budget hearingrequesting approval for operating transfers from the General Fund to the Debt Service Fund and/or the Capital Projects Fund; and(f) pursuant to RCw 84.52.020, the Board of Direct.ors determined the amount of new fiscal year excess tax tevy requirements needed for the ceneral,Transportation, Capital Projects, and Debt Service Fund budgets.-Docusigned by:I| [*!y €ssun 07t28t2021 8tz3t2o2rsecretary to the Board of DirectorsBudget Adoption DateSigned DateFOR ESD AND OSPI I'SE ONLYSchool District budget has been reviewed and the total- appropriation expenditure amount in each fund is fixed and approved in accordance withEsD superintendent or DesigneeOSPI RepresentativeD@usigned by:lurL S[ow,0rd-,t"812412021Signed Date9/8/2021Signed Datefgr tne period Septefiiber L, 202L through August 3a, 2022-Lock and Print Date08/L7 /202].
FY 202]--2022SECTION A: BITDGET SIll{lllARYTotal Revenues and other Financing SourcesTotal Appropriat.ion (Erpenditures)Other Financing Uses--Transfers out (G.L. 536)Other Financing Uses (c.L. 535)Excess of Revenues/Other Financing Sources Ower/ (Under)Expenditures and other Financing UsesBeginning TotsaI zund BalanceEnding Total F\.rnd BalanceSECTION B: EXCBSS LEVIES FOR 2022 COLLECTIONExcess levies approved by voters for 2022 collectionRollback mandated by school district Board of DirectorsL/Net. excess levy amount for 2022 collection afterrollbackKittitas School District No.403BI'DGET AND EXCESS LEITY SI'UMARYGeneral FundAssociatedStudent BodyFundt0 ,97'7 ,969'J.27 ,450rr,059 ,47!52,3580-203 ,859950,000746 , L40L,7 00 ,097r,700,097000000U0115, 850xxxxxXXXXX10, 50079,00089,500xxxxxRlJn: L0/6/2021- 3:16:50 pMTransportat.ionVehicle FundDebt ServiceF.und830,245L, L32 ,60900-302 ,352539,900337,537785, 000lapital ProjectsFund2 ,202 ,493IL,225 , 00000-9,022,5069,O22,700L94342 ,4940055 ,2007r,28200-1s.08215, L5987l-/ Rollback of levies needs to be certj.fied pursuant to RC'!{ 84.52.020. Please do NOT incl-ude such resolution as part of this documentForm F-195Page l- of 1Fund Summary: I of L
DocuSign Envelope lD: 377 98,91 4-A69447 1 8-907 A-SE7E7 425C529CERTIFICATIONAs Secretsary to the Board of Directors of Selah School District School District No. L19 of Yakima County, I do hereby certsify that the Board ofDj.rectors, at a public meeting advertised pursuant to RCW 28A.505.050 and held pursuant to RCW 28A.505.060;(a) established the total appropriation expenditure amount for each fund for the fiscal year; and(b) the budget for each fund represents the budget as adopted by the Board of Directors; and(c) tshe budget is prepared on the modified accrual basis of accountj.ng pursuant to RC'!v 28A.505.020,- or(d) the Board of Directors and officers of said school district are fully cognizant of tsheir liability under the prowisions of RCw 28e,.505-1-50; and(e) if applicable. pursuant to RCW 28A.1-50.270 and wAC 392-l-2L-445, the Board of Directors has executed a resolution as part of the budget hearingrequesting approval for operating transfers from the General Fund to the Debt Service Fund and/or the Capitaf Projects Fund; and(f) pursuant to Rcw 84.52.020, the Board of Directors determined the amount. of new fiscal year excess tax levy requirements needed for the ceneral,Transportation, capital Projects, and Debt Serwice Fund budgets.by:712212021Board of DirectorsBudget Adoption DateFOR ESD ATiID OSPI T'SE ONLYSchool District budget has been reviewed and the t.otal appropriation expenditure amount in each fund is fixed and approved in accordance with28A.505 for the period Septeriber t, 2021- through Augnrst 3a, 2022.7122/2021DateDateor Designeelu,L Sfulveby:by:?wsl-,tnLock and Print Datet o7/22/202J-NOTE: Selah SD is a first class School District and in accordance with RCW84-52.020 is required to certify their own levies. I have included this as aplaceholder and reminder to expect a levy certification from the District
FY 202)--2022SECTION A: BITDGET SIrllllfARYTotal Revenues and Other Financing SourcesTotal Appropriation (Expenditures)Other Financing Uses--Transfers Out (G.L. 536)other Financing Uses (G.L. 535)Excess of Revenues/Other Financing Sources Over/ (Under)Expenditures and other Financing UsesBeginning Total Fund BalanceEnding Total Fund BalanceSECTION B: EXCESS LEVIES ?OR 2022 COLLECTIONExcess lewies approved by voters for 2022 collectionRollback mandated by school district Board of Directors1-/Net excess levy amount for 2022 collection afterrollbackSe1ah School DiEtrict No.119BI'DGET AIiTD EXEESS LEITY SUI{MARYceneral- FundAssociatedStudent BodyFund55, 875, 60557,974,J-I7400, 0000-2,498,5ut2,284,3r99,785,8073, s50, r_87694,3L5808, 8s1xxxxxXXXXX-!r4 ,536385, 78527t,250XXXXX0000000000Run: fa/5/2021 3:23:27 pt{Transportatj-onVehicle FundDebt Servicezund4 ,524 ,8804 ,428 , r000096,780r,407 ,!401,503 ,9204, 550, 000--apital Proj ectsFUnCI1 0,485, 00012 ,734 ,71-000-2,249,7r08,81-7 ,6696 ,56'7 ,959L52, 000275,00000-123, 000156,82033.8203, 550, 18701/ Rollback of levies needs to be certified pursuant to RCw 84.52.020. Please do NOT include such resolution as part of this documentForm F-195Page l- of l-Fund Summary: 1 of 1
As Seclerary Eo the Board of Oirecrors of Dairnan School Distrlct School Oiscrict No. OO? of Kiftrtas CounEy. I do he:eby carij.fy lhaE Ehe Board ofOilectors, at a public roeeting adverrtsed pursuanc Co RCtr 28A.S05.OSO ana frefa-pursuanE go RCI{ ZEA.SO5.0EO;(al establrshed the total aPpropriacion exp€ndicure anounc fos each fund for rhe fiscal year; .nd(b) the budg€c for erch fund rePresenEs the budgot as adopt.ad by the Bolrd of DilecGors, aodj::":l!rff":r-il::".:"#-1r"i:!ris prepared on the modif:'cd accrual basis or accouniins and arr ochcr funds are prepared on rhe cash basrs of(dl Ehe Board of Directors and officers of said school district are furly cognr.zanr of their liabilicy r:nder lhc provrslons of Rc,zEA.jos.l5o; and(e) if appricable' pursuaaE Lo Rctl 28A'r5o'2?0 and tlAc 392-12r-445, rhe Board of Directors has execueed a.resoluE,ron as parE o( rhe budgel hea:rngreguesting approval for operarrng transfers frorr che G€neral Fund to the DebE servj,ce Fund and/or che capj.tal project3 Funct; ancr;::"$::::::":: ffi,::lti;3il;.ll""l3"fol'r::::::"il":";:il:$: ctre amo'rni-or-ii" riscar vear exeess cai revy ,.cur,"".ni. needed ror rhe General./ 2021-2022rBoard of DiorsLock and Princ DaEe: 09/08/2027Dr.! lcbsf D,.ltalct fo.OO?r-19t EtcBtttcrttdron DateRun: 9/8/202I l0:56:5t Alrte1Srtril,:s lD o3P: UC d.rand the colal approprtacion erpenditure anounr rn etch fuad rs fixed and approved in accorclanc€ a-!hthrough August 37, Z02Z-2.2Srgned Oltclentatrve0u.aPIa-School Drst,ricc budger has been rev.ietecl28A.505 for rhe perlod Seproriber 1, ZO2l'n F-195Page I of 1F-195Budger CerE:'fication: I of I
FY 202L-2022SECTION A: BITDGET SII!{IIIARYfotal Revenues and other Financing SourcesTotal Appropriation (Expenditures)other Financing Uses--Transfers out (G-L. 536)Other Financing Uses (G.L. 535)Excess of Revenues/other Financing Sources over/ (Under)Expenditures and Other Financing UsesBeginning Total F\rnd BalanceEnding Total Fund BalanceSECTTON B: EXCESS LEVIES FOR.2022 COLLBCTIONExcess l-evies approved by voters for 2022 colfectionRol-lback mandated by school district Board of Directors7/Net excess levy amount for 2022 collection afterrollbackDalEran School District No.007BI]DGET AI{D EXCESS LEUT SUUIiARYGeneral FundAssociatedStsudent BodyFund602,289815,8400Debt ServiceFund)apital ProjectsFundRu]]: 70/6/2021, 3:06:35 pMTransportationVehicle Fund0000xxxxxxxxxx0xxxxx0000000000000-213 ,557500,300386,74985, 00085, 0000000000000000000000t-/ Rollback of lewies needs to be certified pursuant to RCw 84.52.020. Please do NOT include such resolution as parts of this documentForm F-195Page l- of 1Fund Summary: 1- of 1
DocuSign Envelope lD: 94CBBDCE-E3E948DA-8A80-EDA3790042F3CERTIFICATIONAs Secretary to the Board of Directors of Thorp School District School District No. 400 of Kittitas County, I do hereby certify that the Board ofDirectors, at a public meeting advertised pursuant to RCw 28A.505.050 and held pursuant to RC"!v 28A.505.050;(a) established the total appropriation expenditure amount for each fund for the fiscal year; and(b) the budget for each fund represents the budget as adopted by the Board of Di-rectors,' and(c) the Debt Service Fund budget is prepared on the modified accrual basis of accounting and all other funds are prepared on the cash basis ofaccounting pursuant to RChf 28A.505(d) the Board of Directsors and officers of said school district are ful1y cognizant of their liability under tshe prowisions of RCI'I 28A.505.150,- and(e) if applicable, pursuant to RCw 28A.150.270 and wAC 392-121-445, the Board of Directors has executed a resolution as part of the budget hearingrequesting approval for operating transfers from the General Fund to the Debt Service Fund and/or the Capital Projects Fund; and(f) pursuant to RC'W 84.52.020, the Board of Directors determined the amount of new fiscal year excess tax levy requirements needed for the ceneral,Transportation, capital Projects, and Debt service Fund budgets.-Dsusigned by:| [yl* fi,t". luhws 7/27t202t 8tz0t20zlSecretary to the Board of DirectorsBudget Adoption DateSigned DateFOR ESD AND OSPI USE ONLYSchool District budget has been reviewed and the total appropriation expenditure amount in each fund is fixed and approwed in accordance wit.hSuperintendents or DesigneePI RepresentativelatL Sbu*by:0,^s{it8123/202rSigned Date91912021Signed Dateufgr tne period september I, 2o2I through Augnrst 3t, 2022Lock and Print Datse08/L9/202]-
FY 202L-2022SECTION A: BITDGET SIIU}IARYTotal Revenues and other Financing SourcesTotal Appropriation (Expenditures)Other Financing Uses--Transfers out (G.L. 535)Other Financing Uses (G.L. 535)Excess of Revenues/other Financing sources over/ (Under)Expenditures and Other Financing UsesBeginning Total Fund BalanceEnding Total Fund BalanceSECTION B: EXCESS LEVIES FOR 2022 COLLECTIONExcess levies approved by voters for 2022 collectsionRollback mandated by school districts Board of Directors7/Net excess levy amount for 2022 collection afterrollbackThorp school DiEtrict No.400BITDGET A}ID EXCESS I,E\NT SI'IdMARYceneral FundAssociatedStudent BodyFund5,073 ,646Debt. ServiceFundRutlt L0 / 6 / 202! 3 :2G :36 pl4)apital Projects TransportationFund Vehicle Fund3,524,27428, 0005, 080, 98400-7,337600,000592,56277 5 ,867r.80, 081596,74639 ,29839 ,298xxxxxXXXXX038 ,1523A , ]-52000003, 196, 00000332,274400, 000732,2744'7 7 ,7 8212,2L60015,74452, 00067,784353500000XXXXX000001/ Rollback of levies needs to be certified pursuant to RCw 84.52.020. Please do NOT include such resolution as part of this documentForm F-195Page 1 of 1Fund Sumrnary: 1 of L
i!0V I I iiiitl
i , ,1 ".. .. ...-
,llI ,. l. t.,i;:i..
SEI.AH SCHOOL DISTRICT NO. 119
YAKIMA AND KITTITAS COUNTIES, WASHINGTON
RESOLUTION NO.35.21
CERTIFICATION OF 2O2?EXCESS PROPERTY TMES
A RESOLUTION of the Board of Directors of Selah School District No. 119, Yakima and
Kittitas Counties, Washington, certifling to the Boards of Yakima and Kittitas County
Commissioners of Yakima and Kiftitras Counties, Washington and the Superintendent of
ESD 105, the amount of excess property taxes to be levied in year 202'l and collected
in year 2O22lor the District's General Fund and Debt Service Fund; and providing for
related matters.
BE IT RESOLVED BY THE BOARD OF DIRECTORS OF SELAH SCHOOL
DISTRICT NO. 119, YAKIMAAND KITTITAS COUNTIES, WASHINGTON, as follows:
Section 1 Findings and Determinations. The Board of Directors (the
"Board') of Selah School District No. 119, Yakima and Kittitas Counties, Washington
(the "District") takes note of the following facts and makes the following findings and
determinations:
(a) By Resolution No. 20-21, the Board adopted a budget for Fiscal Year
2021-22 (the "2021-22 Budget") that included certified General Fund Replacement
Educational Programs and Operation Levy excess property taxes in the amount of
$3,550,187 to be levied in2021and collectedin2022.
(b) The 2021-22 Budget included certified Debt Service Fund excess property
taxes to pay debt service on all of the District's outstanding unlimited tax general
obfigation bonds in the amount of $4,550,000 to be levied in2O21and collectedin2022.
Section 2 Certification of General Fund Excess ProperV Tax Levy.
Pursuant to RCW 84.52.020, the Board certifies to the Boards of Coun$
Commissioners of Yakima and Kittitas Counties, Washington and the Superintendent of
ESD 105, an excess property tax levy in the amount of $3,550,187 to be levied in
calendar year 2021 and collected in calendar year 2022lor the District's General Fund.
Ser:tion 3 Certification of Debt Service Fund Excess Properly Tax
Lew. Pursuant to RCW 84.52.020, the Board certifies to the Boards of County
Commissioners of Yakima and Kittitas Counties, Washington and the Superintendent of
ESD 105, an excess propefi tax levy in the amount of $4,550,000 to be levied in
3$21
Page 1
calendar year 2021 and collected in calendar year 2022 for the District's Debt Service
Fund.
General Authorization and Ratification. The Secretary to the Board, the
President of the Board, the District's Associate Superintendent for District Operations
and other appropriate officers of the District are severally authorized to take all other
actions and execute all other documents necessary to effectuate the provisions of this
resolution, and all prior actions taken in furtherance of and not inconsistent with the
provisions of this resolution are ratified and confirmed in all respects.
Section 4 Effective Date. This resolution takes effect from and after its
adoption.
ADOPTED by the Board of Directors of Selah School District No. 119, Yakima
and Kittitas Counties, Washington, at a regular open public meeting thereof, of which
due notice was given as required by law, held this 9'h day of November,2A2l,the
following Directors being present and voting in favor of the resolution.
BOARD OF DIRECTORS
SELAH SCHOOL NO 119
Di
and
Di
Director
Director
ATTEST
Shane lu
Secretary to the Board of Directors
35-21
P
P:\Board\Resolutions\35-2 1 -Certifi cation ol 2022 Levy
Page2
w 202L
SBCIIION A! BITDOBT Sl,lOllBY
Total nevonuas and Oeher FiHcLng gorces
Toeal Approprleltan (Ar.!E!diCEes)
Other Flnmcing Uaes--fransf,els Out (c.L. 535)
Other Firmclng UEee (c.L, 535)
Bxceaa of Revenues/Other Flnuclrg gources Over/(Itnder)
E qmdlfres &d Other Flnilclng Ua6a
Begirming Total Frnd Ealance
Bndl,ng Total Fud Baldce
gEClIOll B: EtrCBgg &AVIES FOR 20?2 COLIICIION
Excesa levieg approved by votera Eor 2022 @llecblon
Rollback ffidated by achool distriqt, Board of Directora
L/
Net exceaa levy anout fo! 2022 collecClon after
rollback
gslab School Dlscrlat No.Ug
BI'DOBI AI{D EXCEgg I,El'l St'lAn T
Ru: ?/7 I11!29135 Ett
:apltal ltrojeci8
Fund
ttmstD!tsatlon
vehlcle hmd
4, 524, 860 10,485,000 152, O0!
Canoral nrnd Asaociatedgtudent Body
Flnd
55, 8?s, 50s 594, 315
Debt genlce
hud
s1,974.LL7
.100,000
808.051
xxlm(
zl,42a,1oo
0
L2,734 | 7LO
0
27S,OOO
0
0
-2.498,511
,oooo(
-114, 536
0
95, ?80
0
-2,249 .1LO
0
-123, 000
t2,244,1L9
9, ?85,807
385, ?86
27L,250
1,40?, 140
1, 503, 920
8,817,669
5,567,9s9
155, 820
33, 820
3,550r 167
0
3, sso,187
000
o
0
o
XXIo(x 4.550, 000
l/ Rollback of levieB needs to be cert,lfLed Xrorauut to Rctl 8{.52.020. pleaae do NcT lnclude auch r€golution aa puE of thls docunenc,
Forll F-195 Page 4 of 158 FuDd gmryr 1 of 1
Reffifffit@
Woshington State
Forn'r 6q.0100
NOV l8 i
Levy Certification
submit this document, or something simirar, to the county regisrativeauthority on or before November 3b of the year preceding the year in whichthe levy amounts are to be collected.
courtesy copy may be provided to the county assessor.
This form is not designed for the certification of revies under Rcw g4.52.070.
y/;::(;e w*h Rcw 84's2 o2o' I (Name),
do hereby certify to the K; ll;la.S
s h,,,tl1 l=. r. D;;{ | (Distict name),
ln
that the Bnartrl
{Nqme of county)County legislative authority
(Commissioners, Council, Board, etc.) ofsaid district requeststhat the following levy amounts be collected i aCI?a (Year of collection) as provided in the district,s
/rarV
(ritte),t( K i\l;
n
budget, which was adopted following a public hearing hel don It -17 - }0 ) I (Date of public hearins)
lar levies
Excess levies
*Exam ples of other levy may include EMS,school district transportation, or const ruction levies.
types
Examples of other amou nts may include levy eror correction o r adjudicated refund amount. please includea description en using the options.
Signature:Date: ll-17,^erll
To request this
or call 360-705
inana Iternate format,please complete the form der,Wq.gevl'Acc.qUe$ir*gsggej:-67A5.Teletype
I certified levy request
amount, which includes the
Tota
amounts below
toq dE D4
m inistrative refund amountAd
Non-voted bond debt amount
Other*
Totalcertified levy
request amount,
which includes the
amounts below.
L-J
Administrative refund
amount
Other*
REV64 OTOO (8/27/2Ll
(rw)users please dial71 I
Page L of 1
Kittitas Fire District #t
10700 N. Thorp Huy. po Box 34 ,Thorp, WA 98946
Phone: $A9'p64.M35 . Foc (SOg\SAq-ZaZZ
RESOLUTION to Approve 20llBudget
WHEREAS, the Board of Commissioners ofKittitas County Fire District #l hashad multiple, open public rneetings and discussed the proposed Zl}zbudget in detail.
WHEREAS, the Board of Commissioners of Kititas County Fire District #l has
deemed the expenditures on the proposed z}2zbudgot necessary.
WHEREAS, the Board of Commissioners ofKittitas Cormty Fire District #1 hasagreed on the potential income for the dishict including properry taxes, sale of burnpermits, etc.
NOW TI{EREFORE, BE IT RESOLVED by the Board of Commissioners ofKittitas County Fire Disbict #1 hereby approves ti, ZOZZBudget with the operating
budget of $421,124 andtotal expenditures possible of $5g4,12i.
DATED this day the lTth day of Novemb w 2021
Olive, SecretarSr
Ed Foster, Commissioner
R3iffitit(e
Form 64 0100
Signature:
To re is document in an alternate format,
or cal 7 05-67 0S.Teletype (TTY) users please
Levy Certification
submit this document, or something similar, to the county legislative
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 g4.52.070.
oate: ^r@ ./Zt ZeZ
p.l.e?le co m p I ete the form dor.wa.gov/Accessi bi I itvReq u est
dial 71 1.
Washington Stote
iEov 16 i5?11
ln accordance wilh RCW 84.52 .O2O, t John Sinclair (Name),
Fire chief ffitle), ger. Kiftitas county Fire District z (District name),
do hereby certify to the Kittitas (Nome of county)county legislative authority
that the Board of Fire commissioners $ommissioners, council, Board, etc.) of said district requests
that the following levy amounts be colleclsd in 2022 (Year of collection)as provided in the district,s
budget, which was adopted following a public hearing held on tLlt6l202l (Date of public hearing).
lar levies
Excess levies
xExamples of other I evy types may include EMS, school d istrict transportation, or construction levies
Examples of other amounts lude levy error correction or adjudicated refund amount. please include
a description er"options.
Total certified levy request
amount, which includes the
amounts below.
S 5,7oo,ooo.oo
Administrative refund amount
Non-voted bond debt amount
Other*
General levy Other levy*Levy
Total certified levy
request amount,
which includes the
amounts below.
$ 465,000.00
Administrative refund
amount
Other*
General
(nla for school
d istricts)
Enrichment
(school
districts only)
Other levy*rBondCap. projectLevy
REV 64 01,00 (8/27 /2t)Page 1 of 1
Refrfffit@ Levy Certification
Submit this document, or something similar; to the county legislative
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 qert!fication of levies under RCW 84.52.070.
Woshington Stote
Form 64 SL00
ll0v 3 0 /i]?l
ln accordance with RCW 94.52.020, I Chris Helgeson (Name),
Fire chief ffitte), for Ki$$3t.9.puntv Fire Di?:li.t t |District name),
do hereby certify to the Kittitas i(lij[]i';i'i (Node"b!"countySCounty legislative authority
that the Commissioners (Cammissioners, Council, Board, etc.)of said district requests
that the following levy amounts be collecls6 ;p 2022 (Year of collection)as provided in the district's
budget, which was adopted following a public hearing held on 11-08'2021 Qote af public hearing).
r levies
Excess levies
rExamples of other levy types may include EMS, school district transportation, or construction levies.
Examples of other amounts may'include levy error correction or adjudicated refund amount. Please include
a description he "other"options.
Signature:oaterM
To request this document in an alternate format, please complete the form dor.wa.g.ovlAccessibilityReque.st
or cali 36A-705-6705.Teletype (TTY) users please dial711.
REV 64 ALOA (Sl27l2!t Page 1 of 1
s 209,990.00Total certified levy request
amount, which includes the
amounts below.
Administrative refund a mount
Non-voted bond debt amount
Other*
General levy Other levy*Levy
t-.,l
Totalcertified levy
request amount,
which includes the
amounts below.
Administrative refund
amount
Other*
General
(n/a for school
districtsi
Enrichment
ischool
districts only)
Other
Bond Cap. projectLevy
Raffifriliil@
Woshington Stote
Form 64 01.CI0
DIC -3
Levy Certification
Submit this document, or something sirnilar, to the county legislative
authority on or before l{ovember 30 of the year preceding the year in which
the levy amounts are to be collected.
Courtesy copy may be provided to the county assessot.
This form is not designed for the certification of levies under RCW g4.5?.070.
.1 ): ,,ajj!.,, -,
ln accordance with RCW 84.52,020, I Lhar loth- Qo"r zalas, (Nome),
S**re**.tJ ffitle),1o, KiltitascountyFireOistrict#4 pistrict nome),
do hereby certify to the lfittitas (Name of county)County legislative authority
that the Commissioners (commissioners, council, Baard,etc.) of said district requests
that the following levy amounts be collected in 2022 $eor af collectionl as provided in the district,s
budget, which was adopted following a public hearing held on l2 - | - 2 | (Dote of public heoring).
ar levies
Excess levies
*Examples of other I eW types may include EMS, school district transportation, or construction levies.
Examples of other amounts may include levy error correstion or adjudicated refund amount. please include
a description when using r"a ptions
sig Date:lL-A-L I
To regqe_s^t this document in an alternate format, please complete the form ctor,wa,gp-vlAe.gs_Ssjbilityne$l_est
or call 350-705{705. Teletype (TTY} users please dial Zt t.
REV64ota0 l8l27l2Ll pagelofl
Total certified levy request
amount, which includes the
amounts below.
$ 41,000.00
Administrative refund amount
Non-voted bond debt amount
Other*
Levy General levy Other levy+
Total certified levy
request amount,
which includes the
amounts below.
t
Admlnistrative refund
amount
Other*
General
{n/a for school
di stri cts)
Enrichment
(scl-rool
districts onlyi
Other
Bond Cap. projectLevv
Rl;:fiffiii[(?
i&"j{r:;rrt{1l, 1;,r{r
Form tr 0100
Levy Certification
Subrnit this document, or Sornething sirni{at to the county legiclatlvc
authorlty en or beforu Novnmber 30 sf the yeer preceding the Vear ln whlch
the levy arflounts are to be collected.
Couttery copY nnaY be provided to the eounty a55e5ssr.
Thls forrp is nat de:ig*ed for lhe certlfiration ol levier under RCW 84.5e^070,
NOV 23
ffi aecsrdance with Bcw 84.5r.0?0, I wllli*m Fowerc tUarr'e],
Chrirrran cf thc goani {Tittt},fsr ltlrE and {ittltas (olntie: Flre Oirfilst 31 f0lsfricf narne),
do h*reby ce rtify t* the Kint and Kittitlr fffeirre *f r*urtty] County legirlarivr auth*rity
lhat th* Flre Comnrirsioners {f,srnrnisri*neri, tsurtif E*srd, rfr.i af laid dilrrirt requests
that the foltowing levy anrcr*pf* be collerls6 in l02l {Ye*r o! r*l{ertirzn} as prouided in the dlstrict'r
budger, whieh ws* adopted iottowing a public ilsarrng held on fV10/20?1 {*sl* sf p*hlir he*rinq!.
tar levies
Excess leuies
'lxamples a{ other levy typet may lnclud*M5, rchc*l digtnct iransp*rtattsn, *f ccnstruclion leviel.
Exarnples uf *ther smountc rnay include ltvy error tsf r€chsa ur adludicated re{und arFount. Pleare lncl*de
a descriptto*w the " opfi c . r"-l 4lfl*tt --- j I l-F-
$ignature:Det€:
Ts request thir dqcurnent in En alternate format, phalq complete the form d-gg.rnia,6l+vrAsg€5sibllltdt€su*lt
or cali36S705-6705. Teletype (TTY) urcrr pl€ase disl 7l I'
nev 64 o1*s {Sf?7/?r} Fage I ol I
n
$ 7ffi,0o9.0oTntal certllicd levy requ*st
flrnoilnt. which inelude* the
smfluntl' bEl*$d,
Adrninhtr*qive r*fu nd rrrtount
I88,368"0$Itlon-vcted b*nd efebt arrtqunt
Slh*r*
Gerer;rlfuvy Other lr:vy'Luvy
jeo'u rxnru I
-
$ 16,67t.$o3 &t,gsl.goTolalcedlled lavy
reque*t afficunt,
*rltich inelude* ?he
amou*tl brlEw,
Admlnistrafiv* refunrJ
affiount
$ther"
Gerreral
{ r r,"'..i lu: "r-i lrn.rl
{Ni',i I r{ l''i
Enrie hntcnl
{,,rll*t:1
rjl ,! r tL !.' otriy]
Cap. prajectEorrdLevy
Otlrer
Dr,.prtrltlcnt ttf
Revenue @ Levy Certification
Submit this document, or something similar, to the county legislative
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 34.52,070.
V'/.i sh n i:ta t] :;t.ote
Fonrn 64 010S
lq0v :i $
ln accordance with RCW 84.52.020, 1 leannine Lavande (Name),
SecretarylFinancialMgr. (Title), go; Kittilgs Qo. Fire Protection District a lDistrict name),
do hereby certify to the Kittitas i '; 'r! (Name of countylCounty legislative authority
that the Board of Fire Commissioners (Commissioners, Council, Boord, etc.) of said district requests
that the following levy amounts be colleclgd 1n 2022 (Year of collection)as provided in the district's
budget, which was adopted following a public hearing held on LU23/21 (Date of public hearing).
R ular levies
Excess levies
*Examples of other levy types may include EMS, school district transportation, or construclion levies.
Examples of other amounts may include levy error correction or adjudicated refund amount, Please include
a description n using the "oth opfions
Signature:1.'5 ,)o J
To request
or call 360-
document in an alternate format, please complete the form dor,wa,govlAcc.essibilityRequest
705. Teletype (TTY) users please dial 71 1
ll
Total certified levy request
amount, which includes the
amounts below.
$ 34o,ooo.oo
Admin istrative refund amount $213.27
Non-voted bond debt amount $ o.oo
$ o.ooOther*
General levy Other levy*[evy
L-J
Total certified levy
request amount,
which includes the
amounts below.
S o.oo
Administrative refund
amount
S o.oo
Other*$ o.oo
General
(n/a far school
districts)
Enrichment
(school
distr:icts only)
Cap. projectBondLevy
REV 64 ArcO 8/27/2L'Page L of L
RBv6fr"ti S@
Woshrngton Stote
Ordinance / Resolution No. zo2r-s
RCW 84.55.120
WHEREAS, thE Commissioners@ of Kittitas CounW Fire District 7 has met and considered
(Name of the taxing district)
its budget for the calendar year 2022 and,
WHEREAS, the dishicts actual levy amount from the previous year was $2.733"225.23 ; and,
year's levy amount)
WIIEREAS, the population of this district is ! more than or I less 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 2022 tax year.
(Year of collection)
The dollar amount of the increase over the actual levy amount from the previous year shall be $
which is a percentage increase of I Y, from the previous year. This increase is exclusive of
27 "332.25
(Percentage increase)
additional revenue resulting from new construction, improvements to property, newly constructed wind turbines,
solar, biomass, and geothermal facilities, and any increise in the value of statl assesied property, any annexations
that have occurred and refunds made.
Adopted this 10 day of November 2021
[!0V 1 5 irij
If additional signatures are necessary, please attach additionar page.
]hp form or its equivalent must be submitted to your county assessor prior to their calculation of the property tax
levies. A certified budget/lewy request, separate from this form is to be filed with the County Legislative Autfiority
no later than November 30tr. As required by RCW 84.52.020,that filing certifies the total amouit to be levied by"theregularprope1|taxlevy.TheDepartmentofRevenueprovidesthe-..Levycertin@ob;
for this purpose. The form can be found at: http://dor.wa.eov/docs/formsiPropTx/Forms/Lev.vCerti.doc.
To ask about the availability of this publication in an alternate format, please call l-800-647-7706. Teletype (TTy) users may
use the Washington Relay Service by calling 7l I . For tax assistance, call (360) 534-1400.
REV 64 0l0le (w) (12/9/14)
Rafffiilt@ Levy Certification
Submit this document, or something similar, to the county legislative
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.
o
Woshington Stote
ln accordance with RCW 84.52.020,1 Eryn A Micallef @ame),
District Secretary ffiile),1or Kittitas County Fire Protection District No. 7 (District nome),
do hereby certify to the Kittitas (Name of county) County legislative authority
that the commissioners Pommissioners, Council, Board, etc.) of said district requests
that the following levy amounts be collecls6 ;n 2022 (Yeor of collection) as provided in the district's
budget, which was adopted following a public hearing held on tlltol2Ozl pote of public hearing).
lar levies
Excess levies
*Examples of other levy types may include EMS, school district transportation, or construction levies.
Examples of amounts may include levy error correction or adjudicated refund amount. Please include
a descri
Signatu
To req
or call
t
re:
uest this ument in a Iternate
360-705-6705. Teletype (TTY) users please dial 71 1.
Date:
at, please complete the form clor.wa.qov/Accessi hi I ityReq uest
n JrD luzt
Total certified levy request
amount, which includes the
amounts below.
s 3,250,000.00
Administrative refund a mount
Non-voted bond debt amount
Other*
General levy Other levy*Levy
Totalcertified levy
request amount,
which includes the
amounts below.
!--
Administrative refund
amount
Other*
General
(n/a for school
d istricts)
Enrichment
(school
districts only)
Other
Bond Cap. projectLevy
REV 64 0700 (8/27/2L)Page 1 of 1
-E: V,L�v� I�'l_�
Ra'"fffit@
Woshington Stote
Forrsr 64 0X.00
NOV 27
Levy Certification
Submit this document, or something similar, to the county legislative
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.
lt1,g..1991dance with'RCW 84.52.020, I Dale scott olander (Name),
chief Financial officer ffiile) ,;ol. Kittitas county Public Hospital District No. 1 pistrict name),
do hereby certify to the Kittitas $ame of county) County legislative authority
that the Board of commissioners $ommissioners, council, Board, etc.) of said district requests
that the following levy amounts be colleclg6 in 2022 ffeor of collection) as provided in the district's
budget, which was adopted following a public hearing held on Lal28l2o2l (Date of pubtic hearing).
lar levies
Excess levies
*Examples of other levy types may include EMS, school district transportation, or construction levies.
Examples of other amounts may include levy error correction or adjudicated refund amount. Please include
"other" o ptions.
J.^Date:
To regqgs_t !!ti: {gqqrnent in an alternate format, please complete the form dor.wa.gov/AccessibilityRequest
or call 36A-705-6705.Teletype (TTY) users please dial 71 l.
REV 54 OLAI $lT7lztl Page 1 of 1
Total certified levy request
amount, which includes the
amounts below.
$ z5,ooo.oo
Administrative refund amount $ 4.zo
Non-voted bond debt amount
Other*
General levy Other levy'FLevy
Total certified levy
request amount,
which includes the
amounts below.
L-J
Administrative refund
amount $ a,gor.ag
Other*
General
(n/a for school
d i str rcts )
Enrichment
(school
distrrcts only)
Other
Levy Bond Cap. project
*
KITTITAS VALLEY HEALTHCARE
RESOLUTION NO. 2I-04
A resolution adopting the budget for Kittitas County Public Hospital District No.
1, dba Kittitas Valley Healthcare, for the calendar year2022.
WHEREAS the Board of Commissioners of Public Hospital District No. 1,
Kittitas County, is responsible for adopting an appropriate operating budget for District
for the year 2022.
THEREFORE, BE IT RESOLVED, by the Board of Commissioners of Public
Hospital District No. 1, Kittitas County, to adopt the2A22 operating budget (Exhibit A)
APPROVED at a regular meeting of the Commission this 28th day of October,
2021
Vice-President
)
*/
Bob
L6^
ard, Commissioner
Teny Commissioner
Rai?ufriig(?
Woshington Stote Ordinance / Resolution No. zt-as
RCW 84.55.120
WHEREAS, the Board of Commissioners of Kittitas County Public
Hospital DistrictNo. 1
(Goveming body of the taxing district) (Namc of the taxing district)
its budget for the calendar year 2022 and,
WHEREAS, the districts actual lely amount from the previous year was $ 9,502.66
(Prcvious ycar's lcly arnount)
has met and considered
i:rnd,
WIIEREAS, the population of this district is ffi more than or fJ less than 10,000; and now, therefore,
(Chcck one)
BE IT RESOLVED by the governing body of the taxing distriet that an increase in the regular property tax levy
is hereby authorized for the levy to be collected inthe 2022 tax year.
(Year ofcollection)
The dollar amount of the increase over the actual levy amount from the previous year shall be $95.08
which is a percentage increase of 1.0 Yo fromthe previous year. This increase is exclusive of
(Percentage increase)
additional revenue resulting from new construction, improvements to property, newly constructed wind turbines,
solar, biomass, and geothermal facilities, and any increise in the value ofstat'e assesied property, any annexations
that have occurred and refunds made.
Adopted this 28 day of October 2021
If additional signatures are necessary, please attaeh additional page.
this form or its eqlivalent must be submitted to your county assessor prior to their calculation of the property tax
levies. A.certified budget/levy request, s€parate from this form is to be filed with the County Legislative Auttrority
no later than November 30s. As required by RCW 84.52.A20,that filing certifies the total amount to be levied by-
the regular property tax levy. The Department of Revenue provides thel'Levy Certification" form (ngV e4 0lObt
for this purpose. The form can be found at: http:/ldor.wa.sov/docs/forms/PropTx/Forms&evyCertf.doc.
To ask about the availability of this publication in an alternatc format, pleasc call l-800-647-7706. Tcletypc (TTY) uscn may
use the washington Relay service by calling 7l l. For tax assistance, call (360) 53,1-1400.
REV64 0l0lc (w) (l2l9lt4)
Exhibit A
Kittitas County Public Hospital District 1, dba
Kittitas Valley Hea lthcare
2022 Projected Operating Budget
Net Operating Revenue
Operating Expense
Net from Operations
Non-Operating
Levy-Regular
Other Non-Operating
Net Non-Operating
Net Gain/Loss
2022 Budeet
110,000,000
105,000,000
$
s
$5,000,000
9,509
300,000
$
s
s
s
309,280
5,309,290
2
Ra*ffil1@
Woshington Stote
Form 64 0L00
Levy Certification
Submit this document, or something similar, to the county legislative
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.s2.070.i77 )i
ln accordance with RCW 84.52.020, 1 Dale Scott Olander Wame),Treasurer ffiile),fol. Kittitas county Public Hospital District No. 2 pistrict name),
' do hereby certify to the Kittitas @ame of county)County legislative authority
that the Board of commissioners $ommissioners, council, Boord, etc.) ofsaid district requests
that the following levy amounts be colteclg6 1n 2022 (Year of cotlection) as provided in the districtt
budget, which was adopted following a public hearing held on 11'1s'2021 @ate of public heartng).
lar levies
Excess levies
*Examples of other levy types rnay i EMS, school district transportation, or construction levies.
Examples of other amounts may include levy error correction or adjudicated refund amount. Please include
a description when the'bther"options
Signature:Date:
To regqgsJ !ti: {q_.,ltent in an alternate format, please complete the form dor.wa.govlAccessibilityRequest
or call 360-705-6705. Teletype (TTY) users please dial 71 1.
REV540709 (8/27l2tl pagelofl
EMS
Total certified levy request
amount, which includes the
amounts below.
S goo,ooo.oo $ gso,ooo.oo
Administrative refund amount $ 13.e7
Non-voted bond debt amount
Other*
Levy General levy Other levy$
Totalcertified levy
request amount,
which includes the
amounts below
I
-Administrative refund
amount
Other*
General
ft/a for :chool
clistrrcts)
Inrichment
( school
drstricts only)
Other I
Levy Bond Cap. project
.i(
diruii"iH(?
Woshing{on Stote Ordinance / Resolution No. 1l-15-2I-04
RCW 84.55.120
WHEREAS, the Board of Commissioners of Kittitas Counry Public
Hospital Dist 2/Maintenance
(Narne of the taxing district)(Coverning body ofthe taxing district)
its budget for tlre calendar year 2A22 ; and,
WHEREAS, the districts actual levy amount frorn the previous year was $ 808,303.19 ; and,
(Previous year's levy arnount)
WHEREAS, the population of this district is [l rnore tl]an or fl less than 10,000; and now, therefore,
(Check one)
BE IT RESOLVED by tlre governing body of the taxing district that an increase in the regular properry tax levy
is hereby autlrorized for the levy to be collected in the 2022 tax year.
ffiffi'F6iiffiny
The dollar amount of the increase over the actual levy amount from the previous year shall be g 8,083.03
wlrich is a percentage increase of 1.0 o/o from tlre previous year. This increase is exclusive of
(Pcrcentage increase)
additional revenue resulting from new construction, improvements to propefty, newly constructed wind turbines,
solar, biomass, and geothennal facilities, and any increase in the value ofstate assessed property, any annexations
that have occurred and refunds made.
Adopted this 15 day of November
If 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 Autirority
no later than November 30rr'. As lequired by RCW 84.52.020, that filing certifies the total amount to be levied by
-'
the regular prope{y tax levy. The Department of Revenue provides the "Levy Certification" form lnfV e+ OiOOI
for this purpose. The form can be found at: lrttp://dor.wa.gov/docs/forms/PropTx/Forms/LewCertf.doc.
To ask about thc availability of this publication in an alternate format, please call l-800-647-7706. Telerype (TTY) users may
use the washington Relay sewice by calling 7l L For tax assistance, call (360) 534-1400.
REV 64 0lole (w) (l2l9lt4\
has met and considered
48
RSi'uh"iig (?
Washingon Stote Ordinance / Resolution No. 1l-15-21-03
RCW 84.5s.120
WHEREAS, the Board of Commissioners of Kittitas County Public
Hospital Dist 2/EMS
body ofthc taxing (Namc of thc taxing district)
its budget for the calendar year 2022 ; and,
WHERBAS, the districts actual levy amount from the previous year was $ 7ss,6zz.3z and,
(Previous year's levy amount)
WHEREAS, the population of this district is fi more than o-t f] less than 10,000; and now, therefore,
(Check one)
BE IT IIESOLVED by the governing body of the taxing district that an increase in the regular property tax levy
is hereby authorized for tlre levy to be collected in the 2022 tax year.
(Year ofcollection)
The dollar alnount of the increase over the actual levy amount from the previous year shall be $7,556.22
which is a percentage increase of 1.0 % from tlre previous year. This increase is exclusive of
(Percentage increase)
additional revenue resulting from new construction, irnprovements to property, newly constructed wind turbines,
solar, biomass, and geothermal facilities, and any increase in the value ofstate assessed property, any annexations
that have occurred and refunds made.
Adopted this 15 day of November
If 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 Autirority
no later than Novernber 30rr'. As required by RCW 84.52.A20, that filing certifies the iotal amount to be levled by
the regular property tax levy. The Department of Revenue provides tlre "Levy Certification" form (REV 64 0t00)
for this purpose. The form can be found at: http:/ldor.wa.gov/docs/forms/PropTx/Forms/Lev.vCertf.doc,
To ask about the availability of this publication in an altcrnate format, please call l-800-647-?706. Teletype (TTY) users may
use the washington Relay Service by calling 7l l. For tax assistance, call (360) 534-1400.
REV 64 0lOle (w) (t2t9tt4)
lras met and considered
47
Kittitus County Public Hospital District No. 2
2022 Projected Operating Budget
Net Operating Revenues
Operating Expenses
Non Operating
5 z,g:t,sso.oo 5 ooo,zso.oo S z,gs2,aoo.oo
s
Netfromoperations s (1,039,550.00) s (378,250.00)s (1,417,800.00)
EMS District Amin Total
S ggz,ooo.oo S 282,500.00 s 1,274500.00
s
793,000.00 s-s $ 793,000.00
S zgs,ooo.oo S eag,ooo.oo 1,642,000.00
s (246,550.00) $ q1o,750.00 S 224,200.00
Levy - EMS
levy - Regular
Net Non Operating
5
Net Gain/Loss
46
Rafiifflit@ levy Certification
Submit this document, or something similar, to the county legislative
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.
Washington Stote
Form 54 0100
ln accordance with RCW 94.52 .OZO,l Tracey Epenesa (Name),
Clerk ffitle),1or Kittitas County Cemetery Dist 1 @istrict name),
do hereby certify to the Kittitas (Name of county) County legislative authority
that the Commissioners (Commissioners, Council, Board, etc.) of said district requests
that the following levy amounts be collecls6 1n 2022 (Year of coltection) as provided in the district's
budget, which was adopted following a public hearing held on L210912021 @ote of public hearing).
ular levies
Excess levies
*Examples of other levy types may include EMS, school district transportation, or construction levies.
Examples of other amounts may include levy error correction or adjudicated refund amount. Please include
a description w en using the "other" options
Signature:Date: Ll-J1'-el
To request this document in an alternate format, please complete the form dor.wa.gov/AccessibilityRequest
or call 360-705-6705. Teletype (TTY) users please dial 71 1.
REV 64 0Lo0 (8/27/2t) Page 1 of 1
Total certified levy request
amount, which includes the
amounts below.
s17000.00
Administrative refund amount s10.8e
Non-voted bond debt amount I)UY J U
Other*
General levy Other levy*Levy
Totalcertified levy
request amount,
which includes the
amounts below.
L-l
Administrative refund
amount
Other*
General
(nla f or school
d i stri cts )
Enrichment
(school
districts only)
Other I
Levy Bond Cap. project
*