Laserfiche WebLink
RaT.fili[(e <br />Wdshlngton Sldre <br />Form 54 0100 <br />KD5olnn on m' LT <br />Levy Certification <br />submit this document, or something similal 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 />ln accordance with RCW 84.52.O20,1 <br />Fire Chief <br />Sinclair (Nome), <br />(District nome), <br />(Name of county)County legislative authority <br />(Title), for €ounty Fire Protection District 2 <br />do hereby certify to the Kittitas Fire District 2 <br />that the (Commissioners, Council, Board, etc') of said district requests <br />2025that the following levy amounts be collected in (Year of cottection)as provided in the district's <br />budget, which was adopted following a public hearing held on t1.lL4l2O24 (Date of public hearing) <br />Excess levies <br />x Examples of other <br />Examples of other a <br />a description when <br />levy types may include EMS, school district transport ation, or construction levies <br />mou include levy error correction or adjudicate d refund amount. Please include <br />other" options <br />/"/-/1-7/Signature <br />To req <br />or call <br />u is document in an alternate format, please complete the form dor.wa.gov/Accessi bi I ityRequest <br />705-6705.Teletype (TTY) users please dial 711. <br />of Fire Commissioners <br />la eslevf <br />g,50o,o00.ooTotal certified levy request <br />amount, which includes the <br />amounts below. <br />79.1rAdministrative refund amount <br />Non-voted bond debt amount <br />Other* <br />General levy Other levy*Levy <br />-J490,000.00Total certified levy <br />request amount, <br />which includes the <br />amounts below. <br />59.76Administrative refund <br />amount <br />Other* <br />General <br />(n/a for school <br />districts) <br />Enrichment <br />(school <br />districts only) <br />Other <br />Cap. project <br />* <br />BondLevy <br />REV 64 OTOO (8/23122],Page 1 of 1