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WASHINGTON COUNTY <br />OFFICE OF THE AUDITOR -TREASURER <br />PAYABLE 1994 TRUTH IN TAXATION <br />PROPOSED LEVY CERTIFICATION FORM <br />FORM B <br />Taxing District: CITY Or LAKE ELmo <br />Expenditure Category <br />Budget <br />Requirement <br />Property Tax Aids <br />Other <br />Resources <br />Certified <br />Levy <br />LGA <br />HA A <br />(Not Twps) <br />A <br />B <br />0 <br />D <br />E <br />(E=A-B-C-D) <br />General Revenue Levy <br />1,007,100 <br />4,101 <br />167,100 <br />835,899 <br />Debt Service Levy *** <br />Excess Referenda Levy <br />Other Levies: (Identify) <br />E ui Certificat <br />84 <br />386 <br />15,720 <br />78A78 <br />Total <br />1,101,884 <br />4,487 <br />182,820 <br />914.577 <br />Market Value Based Referendum Levy <br />Notes: <br />Please round certified levies to the nearest whole dollar. Do not certify pennies. <br />Local Govt Aid (LGA) will be certified to taxing district by Dept of Revenue. <br />Hmstd and Ag Credit Aid (HACA) will be certified to all taxing districts (except Townships) by Department of Revenue. <br />The Auditor -Treasurer's office will deduct Fiscal Disparities from all certified levies. <br />*** Debt Levy: Please provide detail of debt levy by Individual bond on an additional sheet. <br />Signature of person <br />completing this form: <br />Title: <br />Phone number: <br />777-5510 <br />Date: S Pntemhes_9_. 1g 9'1 <br />