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COUNTY, CITY AND SPECIAL TAXING DISTRICT LEVY CERTIFICATION <br />PROPOSED TAXES PAYABLE IN. 2018 <br />FOR -city of Gem Lake <br />(Governmental Agency) <br />LEVY PURPOSE <br />CERTIFIED <br />PROPOSED LEVY <br />NET TAX CAPACITY BASED LEVIES: <br />1) General <br />$42%622.0.0 <br />2) Debt <br />84,399.00 <br />3) Other (Please Specify) <br />4) <br />5) <br />6) <br />7) <br />8) <br />10) Total Net Tax Capacity Based Levies <br />(Total 1 through 9) <br />$514,021,00 <br />MARKET VALUE BASED LEVIES <br />11.) <br />$ 0.00 <br />12) <br />13)Total Market Value Based Referendum Levies <br />(Total 1.1 & 12) <br />$ 0.00 <br />14)Totai Certified Levy <br />(Total 1.0 & 13) <br />$514,021.00 <br />1, the authorized representative of the above mentioned <br />information is accurate to the best of my knowledge. <br />Signature of Authorized P,,40resentative <br />Governmental Agency., certify that.the foregoing <br />Phone Number of Contact Person 65:1-747-2760 <br />City, Treasurer 09/19/17 <br />Title <br />Date <br />