HomeMy WebLinkAboutFire Dist 51 Levy Certification(Name),
Chairman of the Board (Title), for Snoqualmie Pass Fire & Resscue (District name),
do hereby certify to the King and Kittitas (Name of county) County legislative authority
that the 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 11/08/2023 (Date of public hearing).
lar levies
Total certified levy request
amount, which includes the
amounts below.
Administrative refund amount
Non -voted bond debt amount
Other*
Excess levies
$1,200,000.00
$87,118
Total certified levy
FD 51:
request amount,
$64,044.00
which includes the
FD8:
amounts below.
$41,336.50
Administrative refund
amount
Other*
*ExamD
Department of
Revenuee (-
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 RCW 84.52.070.
In accordance with RCW 84.52.020, 1 William Powers
types may include EMS, school district transportation, or construction
Examples of other amounts may include levy error correction or adjudicated refund amount. Please include
a description when using the "otl er" options.
Signature: //��_ rDate: —
To request this document in an alternate format, please complete the form dor.wa.gov/AccessibilityRequuest
or call 360-705-6705. Teletype (TTY) users please dial 711.
REV 64 0100 (8/27/21) Page 1 of 1