HomeMy WebLinkAboutFire Dist 2 Levy Certification onlyDepartment of
Revenue C
OA
Washington State
Form 64 0100
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 Rd EIVE]
In accordance with RCW 84.52.020, 1 John Sinclair
NUV 16 2023
MIKE HOUGARDY
(Name), 1',ITTITAS COUNTY ASSESSOR
Fire Chief (Title), for Kittitas County Fire District 2 (District name),
do hereby certify to the Kittitas (Name of county) County legislative authority
that the Board of Fire Commissioners (Commissioners, Council, Board, etc.) of said district requests
that the following levy amounts be collected in 2024 (Year of collection) as provided in the district's
budget, which was adopted following a public hearing held on 11/09/2023 (Date of public hearing).
Regular levies
Levy General levy Otherlevy*
Total certified levy request $ 8,200,000.00
amount, which includes the
amounts below.
Administrative refund amount $7,034.52
Non -voted bond debt amount
Other*
Excess levies
Total certified levy
request amount,
which includes the
amounts below.
Administrative refund
amount
Other*
*Examples of one, levy
Examples of other imou
a description w
Signature:
$ 47S,000.00
$ 2,365.00
lay include EMS, school district transportation, or construction levies.
inclu ,levy error correction or adjudicated refund amount. Please include
Date: /< ! r 27,-),
To rellues s document in an alternate format, please complete the form dor.wa. ov/Accessibilit Re nest
or call 3 05-6705. Teletype (TTY) users please dial 711.
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