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Prinf Fdr)1Z. ,; WASHINGTON COUNTY Fill in form online!
Payable Year 2013 PROPOSED Property Tax Levy Certification ) Complete page 2 for bond levies.
Complete page 1 for non -bond levies.
DUE: September 15 , 2012 ) Print (form cannot be saved)
Municipality: City of Oak Park Heights Sign and FAX/Mail to county.
Expenditure Budget StatOther
Category Requirement Aid (LGA) Resources (D=A-B-C)
a
Debt -Gen Obligation (fill in on pg 2) 0^
Debt -Other fill in on 5
General Revenue 4,538,193 4,538,193
Library 0
Road and Bridge 0
MISC -Must select valid desc: 0
I MISC-Must select valid desc: 0
MISC -Must select valid desc: 0
MISC -Must select valid desc: 0
I MISC-Must select valid desc: 0
TOTAL NET TAX
CAPACITY LEVY 4,538,193 0 0 4,538,193
Referenda Market Value Levy Ctls aEtount (Y)1l unle ±ot1 hatfhfd 8 rfefendum,:
TOTAL LEVY et Tax:Cacl Le Rcf�ft 1111arfetl�tue t TtalLe , 1. 5 4,538,193
'Provide breakdown of certified levy by individual bond on the attached debt service schedule.
NOTE: If a levy is entered into a MISC category, you must select a description from the drop down box.
A- Budget Requirement .......................Amount needed to fund services. Round to the nearest WHOLE DOLLAR.
B -State Aid (LGA) ....... .......................Certified to the taxing district by the Department of Revenue. The aid can be used to reduce any individual budget
requirement item or a combination of items; or may be deducted proportionally from all budget requirement items.
C -Other Resources ........................... All other resources that will be used to finance your taxing district budget - including but not limited to other aids,
interest income, prior year reserves, grants, etc.
D- Certified Levy . ............................... Levy certified to the county auditor. Round to the nearest WHOLE DOLLAR.
The county will deduct Fiscal Disparities from all certified levies.
CITIES OF 500 OR LESS POPULATION ONLY:
Check this box if you stipulate that your final property tax levy will be the same as the proposed levy certified on this form.
F
If you check this box, no further certification of your levy will be required. This does not apply to townships whose budgets
are set in March or September.
Before signing, please verify the following:
MAKE SURE THAT ALL LINES ADD ACROSS AND ALL COLUMNS ADD UP TO THE TOTAL LINE.
BREAKDOWN OF DEBT SERVICE LEVY BY INDIVIDUAL BOND HAS BEEN PROVIDED - Page 2.
AMOUNTS REPORTED MATCH ANY OTHER SUPPORTING DOCUMENTATION INCLUDED (i.e. Resolution, etc.)
1, the authorized representative of the above indicated taxing district, certify that the foregoing information is accurate to the best of my knowledge.'
� " t cl 9/13/12 651- 439 -4439
ri
Signature of auth d representative Date one
Betty Caruso, Finance Director bcaruso @cityofoakparkheights.com
Print Name/Title E -mail
AN ORIGINAL SIGNED FORM MUST BE MAILED TO WASHINGTON COUNTY TAXATION DIVISION BY 09/15/2012
You may FAX an advance copy to: 651 - 430 -6178
Please mail the original signed form to:
Washington County - Taxation Division
14949 62nd St N, PO Box 6, Stillwater MN 55082 -0006
Questions? Call 651 - 430 -6175 and ask for the Taxation Division
WASHINGTON COUNTY
Payable Year 2013 PROPOSED Property Tax Levy Certification
DEBT SERVICE SCHEDULE
MUNICIPALITY: j City of Oak Park Heights
Bond Explanation of Differences
Additional Bon A _
Lesc _ De scription Schedule Requirement Actual Levy Amounts
DEBT- GENERAL OBLIGATION:
GO Cap Impr Plan Bds Series 2008A 1607 410,000 0 Other Resources - General Fund Expenditure
GO Cap Imp Plan Bds Series 2009A 1651 138,000 0 Other Resources - General Fund Expenditure
TOTAL DEBT - GENERAL OBLIGATION 548,000 0
OTHER DEBT:
TOTAL DEBT -OTHER 0 0
TOTAL DEBT 548,000 0