Laserfiche WebLink
eev'7r;W%;7- <br />Washmsw State <br />Form 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, 11 Brandy Harris I (Name), <br />ClerWTreasurer I (Title), for CRY Of I(lttitas I (District name), <br />do hereby certify to the 10ttitas (Name of county) County legislative authority <br />that the City of Kit tas Council {[ammissioners, Council, Board, etc.) of said district requests <br />that the following levy amounts be collected In 20Z4 (Year of collection) as provided In the district's <br />budget, which was adopted following a public hearing held on I 1112812023 (pate of public hearing). <br />Regular levies <br />Total cerdfied levy request <br />198,000.00 <br />amount, which includes the <br />amounts below. <br />Administrative refund amount <br />Non -voted bond debt amount <br />Other* <br />Excess levies <br />Examples of other amounts may Include levy error correction or adjudicated refund amount. Please include <br />a descriptiorwhen usirs tXnhptions. <br />Signature: IDate:04 <br />To request this document ° a alternate format, please complete the form liar.wa.gmdAcc+essJbll11yR+e� uest <br />or call 360-705-6705. Teletype (TTY) users please dial 711. <br />REV 64 0100 (8/23/22) Page i of 1 <br />