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I ThD,) pcpfi v rz - <br /> .......= ,....., ko <br /> -- 1 <br /> p Levy Certification 2 <br /> Department of r� rvr o. g 2021 <br /> Revenue` Submit this document, or somethingsimilar, to t e ¢le islative <br /> Washington State , � � <br /> authority on or before November 30 of the year preceding )Y `1'eh <br /> the levy amounts are to be collected. -k- ,,, <br /> Form 64 0100 <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, I Sharon Fuller (Name), <br /> City Clerk (Title), for the City of Everett (District name), <br /> do hereby certify to the Snohomish County (Name of county) County legislative authority <br /> that the City Council (Commissioners, Council, Board, etc.) of said district requests <br /> that the following levy amounts be collected in 2022 (Year of collection) as provided in the district's <br /> budget, which was adopted following a public.hearing held on 11-10-2021 (Date of public hearing). <br /> Regular levies <br /> Levy General levy Other levy* EMS <br /> Total certified levy request $ 39,840,000.00 $9,830,000.00 <br /> amount, which includes the <br /> amounts below. <br /> Administrative refund amount $ 218,564.25 $49,889.85 <br /> Non-voted bond debt amount <br /> Other* <br /> Excess levies <br /> General Enrichment Other levy* <br /> Levy (n/a for school Bond (school Cap. project <br /> districts) districts only) <br /> Total certified levy <br /> request amount, <br /> which includes the <br /> amounts below. <br /> Administrative refund <br /> amount <br /> Other* -■ <br /> *Examples of oth: levy types may include EMS, school district transportation, or construction levies. <br /> Examples of ot, - :mounts may,nclude levy error correction or adjudicated refund amount. Please include <br /> a description, - using the "o' er" • : • S.Signatu ;e: /„/ L. Date: _ fr-.7-4-2-6_24 <br /> To request this document in an alternate format, please complete the form dor.wa.gov/AccessibilityRequest <br /> or call 360-705-6705.Teletype (TTY) users please dial 711. <br /> REV 64 0100 (8/27/21) Page 1 of 1 <br />