HomeMy WebLinkAbout20174297.tiff1861
GDUNTY
OFFICE OF THE WELD COUNTY ASSESSOR
PHONE (970) 400-3650
FAX (970) 304-6433
WEBSITE: www.weldgov.com
WELD COUNTY ADMINISTRATIVE OFFICES
1400 N 17th AVE
GREELEY, CO 80631
DLG 70 - CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves, you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is signed this finalizes the process and electronically delivers a copy to
our office.
• Once the form is signed, you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970) 400-3678, swright@weldgov.com or Dee Kayl at (970)
400-3655, dkayl@weldgov.com with any questions.
1605 County Tax Entity Code
DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON -SCHOOL Governments
TO: County Commissioners' of
On behalf of the
the
of the
WELD COUNTY , Colorado.
HIGHWAY 119 METRO #9
4
(taxing entity)`
Board of Directors
(governing body)B
Highway 119 Metropolitan District No. 9
(local govemment)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
assessed valuation of: (GROSS assessed valuation. Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV) different than the GROSS AV due to a Tax 8.33
Increment Financing (TIF) AreaF the tax levies must be $
calculated using the NET AV. The taxing entity's total (NETG assessed valuation, Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy)
(yyyy)
PURPOSE (see end notes for definitions and examples)
LEVY2
REVENUE2
1. General Operating Expenses'
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction'
SUBTOTAL FOR GENERAL OPERATING:
3. General Obligation Bonds and Interest'
4. Contractual Obligations'
5. Capital Expenditures'
6. Refunds/AbatementsM
7. OtherN (specify):
0.000 mills $ 0
> mills $ <
0.0
mills
$
0
mills $
mills $
mills $
mills $
mills $
mills $
TOTAL. r Sum of General Operating
1 I Subtotal and Lines 3 to 7
0.0
mills
0
Contact person:
(print)
Signed:
Dawn A. Schilling
awe/,{ hch/G'/ 9
Dawn A. Schilling (Dee 13, 2017)
Daytime
phone:
Title:
)
720-348-1086
District Accountant
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st, per 29-1-113 C.R.S., with the
Division ofLocal Government (DLG). Room 521. 1313 Sherman Street. Denver. CO 80203. Questions? Call DLG at (303) 864-7720.
1 If the taxing entity's boundaries include more than one county, you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X. Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation (Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70 (Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS':
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Page 2 of 4 DLG 70 (Rev.6/16)
Notes:
A Taxing Entity —A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entity. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion or the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government.
B Governing Body —The board of county commissioners, the city council, the board of trustees, the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district (PID); the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government - For purposes of this line on Page lof the DLG 70, the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, for the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district (BID)
taxing entity which it created and whose city council is the BID board:
3. a fire district is the local government if it created a subdistrict, the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district, the taxing entity, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
n GROSS Assessed Value - There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a "tax increment financing" entity (see below), such as a
downtown development authority or an urban renewal authority, within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certification of Valuation by County Assessor, Form DLG 57 - The county assessor(s) uses this form (or one
similar) to provide valuation for assessment information to a taxing entity. The county assessor must provide this
certification no later than August 25th each year and may amend it, one time, prior to December 10th. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
E TIF Area —A downtown development authority (DDA) or urban renewal authority (URA), may form plan
areas that use "tax increment financing" to derive revenue from increases in assessed valuation (gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping taxing entity's mill levy applied against the taxing entity's gross
assessed value after subtracting the taxing entity's revenues derived from its mill levy applied against the net
assessed value.
G NET Assessed Value —The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority (DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70 (Rev.6/16)
x General Operating Expenses (DLG 70 Page 1 Line 1) —The levy and accompanying revenue reported on
Line 1 is for general operations and includes, in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter -approved, if voter -approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations (DLG 70 Page 1 Line 2) —The Temporary General Property Tax
Credit/ Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the taxing entity's levy for
general operations to effect refunds. Temporary Tax Credits (TTCs) are not applicable to other types of levies
(non -general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established for the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
General Obligation Bonds and Interest (DLG 70 Page 1 Line 3) —Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule of payments. Title 32, Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)-1f repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond (shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7) C.R.S., the amount of revenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
L Capital Expenditures (DLG 70 Page 1 Line 5) —These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities through public hearings pursuant to 29-1-
301(1.2) C.R.S. and for special districts through approval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
M Refunds/Abatements (DLG 70 Page 1 Line 6) —The county assessor reports on the Certification of Valuation
(DLG 57 Line 11) the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds for taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year, a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to, but not exceeding, the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxing entity is in more
than one county, as with all levies, the abatement levy must be uniform throughout the entity's boundaries
and certified the same to each county. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor, then divide by the taxing entity's total net assessed value, then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other (DLG 70 Page 1 Line 7) —Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.: a voter -approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70 (Rev.6/16)
~ ��� .�.
GARY R.WHITE . SEAN ALLEV
_�.
KRISTF.v D.BEAR -- - _ _ ZACHARY P.WHITE
WILI.IAM P.AVKF.LF�R. V'11 H I T E � �! 7 � L \1 V �� L � CASF,I'K.LF.KAHAI.
TRISH.4 K.HARRIS
JEVNIFERGRUQERTANAKA TA N A KA & �NA L D RC3 N
CLIN7 C.WALDRON HEATHCR L.HARTUNG
MFcnN J.MuarHv
KRISTIN BOWERS TOMPKINS 1'{ T � '�� �� � C � .5 ?'�1 � I I�1 �r`�'� KRISTIV J.SCHLEDORV
Rosear G.Roceas
SILVIA FEJKA
JOHN R.SHER�7AV
OF COUNSF.1.:
BI.AIR M.DICKHONF.R BRADLEY T.NEIMAN
December 4, 2017
Via Email and Regular Mail
Attn: Dee Kayl
Weld County Assessor's Office
1400 N 17`"Ave.,
Greeley, CO 80631
dkayl�c�weldgov.com
Re: INACTIVE SPECIAL DISTRICTS
Dear Ms. Kayl:
The below referenced special districts will not be filing zero mill levy certifications as such
districts will be on continuing inactive status pursuant to C.R.S. § 32-1-104(4) in 2018 and are therefore
exempt from �ling mill levy certifications. Please let us know if you need any additional information or
documentation in this regard. Thank you for your time and attention to this matter.
Greenwald Farm Metropolitan District Nos. 1 &2
Mead Place Metropolitan District Nos. 3-6
Tacincala Metropolitan District Nos. 1-5
Sincerely,
WHITE BEAR ANKELE TANAKA &WALDRON
Attorneys at Law
� Y ) �
Allison L. Hanson
Paralegal
2154 E.Commons Ave.,Stc.2000 I Ccntcnnial,CO 80122 � P 303.858.1800 F 303.858.1801 � WhiteBcarAnl<clacom
~ ��� .�.
GARY R.WHITE . SEAN ALLEV
_�.
KRISTF.v D.BEAR -- - _ _ ZACHARY P.WHITE
WILI.IAM P.AVKF.LF�R. V'11 H I T E � �! 7 � L \1 V �� L � CASF,I'K.LF.KAHAI.
TRISH.4 K.HARRIS
JEVNIFERGRUQERTANAKA TA N A KA & �NA L D RC3 N
CLIN7 C.WALDRON HEATHCR L.HARTUNG
MFcnN J.MuarHv
KRISTIN BOWERS TOMPKINS 1'{ T � '�� �� � C � .5 ?'�1 � I I�1 �r`�'� KRISTIV J.SCHLEDORV
Rosear G.Roceas
SILVIA FEJKA
JOHN R.SHER�7AV
OF COUNSF.1.:
BI.AIR M.DICKHONF.R BRADLEY T.NEIMAN
December 4, 2017
Via Email and Regular Mail
Attn: Dee Kayl
Weld County Assessor's Office
1400 N 17`"Ave.,
Greeley, CO 80631
dkayl�c�weldgov.com
Re: INACTIVE SPECIAL DISTRICTS
Dear Ms. Kayl:
The below referenced special districts will not be filing zero mill levy certifications as such
districts will be on continuing inactive status pursuant to C.R.S. § 32-1-104(4) in 2018 and are therefore
exempt from �ling mill levy certifications. Please let us know if you need any additional information or
documentation in this regard. Thank you for your time and attention to this matter.
Greenwald Farm Metropolitan District Nos. 1 &2
Mead Place Metropolitan District Nos. 3-6
Tacincala Metropolitan District Nos. 1-5
Sincerely,
WHITE BEAR ANKELE TANAKA &WALDRON
Attorneys at Law
� Y ) �
Allison L. Hanson
Paralegal
2154 E.Commons Ave.,Stc.2000 I Ccntcnnial,CO 80122 � P 303.858.1800 F 303.858.1801 � WhiteBcarAnl<clacom
�4gz County Tax Entity Code DOLA LGiD/SID C6175 /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners� of Weld Count� _ _ _ _ , Colorado.
On behalf of the Goddin� Hollow Mctro�litan District _ _ _ .
(taxing cnlit�}'�
the Board of Directors
(governing body)
� _
of the Godding Hollow Metropolitan District
(local guvrrnme--. nt)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 803,150
aSSeSSeC� V1IUatlOri Of: (GROSSn assessed valua[ion.Line 2 ofthe Certification of Valuation Form DLG �%F'J
Note: If the assessor certified a NET assessed valuation
(AV)differcnt than the GROSS AV du�to a Tax
Increment I�inancing(TIF)Area� thc 1:�x levies must be $ 803,150
calculated using the NET AV. The taxing entity's total (NET assessed valuation,Line 4 of the Certification of Valua[ion Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FiNAL CERTIFICATION OF VALUATfON PROVIDF,D
mUltlplled agalnst the NET aSSeSsed ValUatlOn Of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 .
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVYz REVENUF.2
1. General Operating Expenses" 37.000 mills $29,716
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 37.000 mills �29,716
3. General Obligation Bonds and Interest� 10.000 mills $ 8,031
4. Contractual Obligations" 3.000 mills $2.409
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL; Sum of(�cncrnl llpera[ing
�Subtotal and l.mcs 3 to 7 � 50.0�0 fI11��S $ 40,156
Contact person: Daytime
(print) MaryAnn M. McGeady _ _ _ phone: (303) 592-4380 _
Signed: IMe�.v� !✓� � '�� `� -✓�_, _ Title: Attorney for the District
� If the taxing entrry's boundaries include more than one county, you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated from the total ,�'F.T�r.��.tir.�.��ecl ruli�u�i��ii(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
{00595721.DOC v:l }Form DLG 70(rev 9/15) Pehc I of 6
/nc/ude one copy of lhis laC enlity's cornpleted form when filing lhe loca/governmenl's budgel by January 3lsl,per 29-1-113 C.R.S., wr�/��he
Un�r.�vr»t nl l.r�cu!(;n+�e�'rr��r��r!iUl.f�l, knum 5?!. 1�13 Sh��r•nzrm Slrc�rl. Uc�rn�rr. ('O,Yf�?r�i r)r�i.+7irnrs.' l'nl!OI.G ol(31�i1�1'r.i•J-7?:'71
CERTIFICATION OF TAX LEVIES, continued
1'IIIS SI?CI'ION AI'PLI[?S TO TITLE 32, ARTICLI? 1 SPECIAL DISTRICTS THAT LEVY TAXI�.S
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS�:
1. Purpose of Issue: Promissory Note to the Town of Frederick, Colorado, in the aggregate
principal amount of$103,518.50
Series: 2016A _
Date of Issue: December 5, 2016
Coupon Rate: 2%
Maturity Date: December 31, 2056
Levy: 10.000 _
Revenue: $8,031
�
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract: Financing capital improvements or financing operations and maintenance
expenses associated with capital improvements
Title� Intergovernmental Agreement between the Town of Frederick, Colorado and
the Godding Hollow Metropolitan District
Date: January 10, 2010
Principal Amount: n/a _
Maturity Date: n/a _
Levy: 3.000
Revenue: $2,409 '
4. Purpose of Contract:
Title:
Date: -
Principal Amount:
Maturity Date:
Levy: _ _ _
Revenue: _
Use multiple copies ofthis page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S
{00595721.DOC v:l }Form DLG 70(rev 9/15) P�ge 2 of 6
(00595721 DOC v:I }Form DLG 70(rev 9/I S) Page 3 of 6
Notes:
A Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entity. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion or the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners,the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board c��?(t_iciu of a county public
improvement district(PID); the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
� Local Government- For purposes of this line on Page 1 of the DLG 70,the loca!governrrtenl is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, for the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2, a city is the local government when levying a tax on behalf of a business improvement district(BID)
tcr�cing entiry which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the�re
district levies property taxes.
4, a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district, the taxing entity, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
° GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority, within the boundaries of the tcrxing entity. The
board of county commissioners certifies each ta�cing entity's total mills upon the tcaxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certification of Valuation by County Assessor,Form DLG 57-The county assessor(s) uses this form (or one
similar)to provicic ��aluation for assessm�nt intt>rmation tu a �u.rin�,�e�rlity. The county assessor must pruvide this
certification no latc►•than August 25`�' cach ycar and may amend it, onc time, prior to December 10`�'. li�ch entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority (DDA) or urban renewal authority (URA), may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation (gross minus net,
Form DLG 57 Line 3)attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping taxing entiry's mill levy applied against the taxing entity's gross
assessed value after subtracting the taxing entity's revenues derived from its mill levy applied against the net
assessed value.
� NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIFArea, including the DDA's own operating levy.
{00595721.DOC v:l }Form DLG 70(rev 9/15) Page 4 of 6
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes, in aggregate, all levies for and revenues raised by a taxing enliry for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
� Temporary Tax Credit for Operations (DLG 70 Page 1 Line 2�The Temporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the taxing entity's levy for
general operations to effect refunds. Temporary Tax Credits (TTCs) are not applicable to other types of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established for the payment of any obligation incurred by
the taxing entiry per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
� General Obligation Bonds and Interest(DLG 70 Page 1 Line 3�Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule of payments. Title 32, Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4�—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond (shown on Line 3),the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount of revenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
L Capital Expenditures (DLG 70 Page 1 Line 5�These revenues are not subject to the statutory property tax
revenue limit ifthey are approved by counties and municipalities thro�i._puhlic bearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts tl�rc�u�h appr��'cil I'rum_tlic Uivisiun_��f�I,c�cal Guvcrnn�cnt pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if�il�E�rc���cd at_cicctii�n. Only levies approved by these methods should
be entered on Line 5.
M Refunds/Abatements (DLG 70 Page 1 Line 6�The county assessor reports on the Certification of Valualron
(DLG 57 Line 1 1)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds for taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year, a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to, but not exceeding, the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, i.l_th�ruxirl,t�c'nrrl}� is_in niurc
than one cuunty, as with all levies. the abatement lew must be unili�rm throughout the entitv's_h�undaries
anci c�rtif icd the s�mc to eacl�_count�_ To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor, then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. 'rhis
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in al� the counties.
" Other (DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
{00595721 DOC v:l }Form DLG 70(rev 9/15) Page 5 oF6
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
{00595721.DOC v:l }Form DLG 70(rev 9/15) Page 6 of 6
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1483 County Tax Entity Code DOLA LGID/SID 66180�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the H I G H WAY 119 M ETRO #1 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 1
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 10
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.00 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccountant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1484 County Tax Entity Code DOLA LGID/SID 66181�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the H I G H WAY 119 M ETRO #2 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 2
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 17338990
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 14447681.�6
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 15.478 mills $ 223,621
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < 0.00 > mills $ < � >
SUBTOTAL FOR GENERAL OPERATING: 15.478 mills $ 223,621
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK 50.855 mills $ 734,737
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
•I•��•AL� r Sum of General Operating 1 66.333 m111S � 958,358
Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccountant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract: Contractual Obligation
Title: Capital PledgeAgreement
Date: December 10,2015
Principal Amount: $2,500,000
Maturity Date: Until funded
Levy: 50.855
Revenue: $734,737
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1485 counr�raX Ennn coae �oLA LGi�isi� 66182�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the H I G H WAY 119 M ETRO #3 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 3
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 10
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/31/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.00 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccountant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1486 County Tax Entity Code DOLA LGID/SID 66183�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the H I G H WAY 119 M ETRO #4 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 4
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 10
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.00 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccountant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1487 County Tax Entity Code DOLA LGID/SID 66184�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the H I G H WAY 119 M ETRO #5 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 5
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 10
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccountant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1488 counri raX Ennn coae �oLA LGi�isi� 66185�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the H I G H WAY 119 M ETRO #6 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 6
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 10
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccountant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
1489 County Tax Entity Code DOLA LGID/SID 62�82
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments �
TO: County Commissionersl of Wetd County , Colorado.
4n behalf of the Beebe Draw Farms Metropotitan District No. 1 - B0NDS 2018
,
(taxing entity)
�
the Board of Directors
(governing body)
of the Beebe Draw Farms Metropolitan District No. 1
(local government)�
Hereby officially certifies the following inills
to be levied against the taxing entity's GROSS $ 13,630,890
assessed valuation of: ��Fzoss°assesse��aivac�o�,Line 2 of the Certification of Valuation Fom�DLG 57�")
Note: If the assessor certified a NET assessed valuation
{AV)different tl�at�the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 13,63Q,840
calculated using the NET AV. The taxing entity's total �NET assessed valuation,Line 4 of 8ie Certification of Valuation Form DLG�7)
property tax revenue will be derived from the mill levy USE VALliE FROM FINAL CERTIFICATION OF VALL?ATION PROVIDED
multrplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEA9BE1210
Submitted: 12115/17 for budget/fiscal year 2018
(no later ihan Dee. 15) (n�mlddlyyyy) (yyyy)
PUR,P�S�+ (see end notes for defiuitions and e�amples) T.E�y� �VENUE�
1. General Operating Expenses" mills $
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ � >
SUBTOTAL FOR GENERAL OPERATING: �mills � �
3. General Obligation Bonds and InterestJ 10.700 mills $ 145,851
4. ContrachialObligations'` mills $
S. Capital Expenditures`' mills $
6. Refunds/Abateinents'�' mills $
7. Other" (specify): mills $
mills $
rj,OT+�L� �SumofGeneralOperating � 10.700 � • t� 945,851 �
Subt�tal and i.ines 3 to 7 mIIIS .p
Contact person: Daytime
{print} Lisa A. Johnson phone: ( 303� 987-0835
�
Signed: • �a,�.,e-4c¢___ Title: District Accountant
Inctude one coE�y of this tcrc entiry's co�npleted forns when filing the local governmerat's budget byJanuary 31s1,per 29-1-113 C.R.S.,with the
I�ivr.cinn nf I,ocnf Gnver��ment/n1.l;l, Rnntra 52/. /3!3,Shvrntan,StrePt. ne��ver, C'n R02n3. Ouestinn,c? Call DI,G nt(3�3)864-7720.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each caunty. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of vatuation).
Page 1 of4 DLG 70(Rev.6/ib)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTIQN APPLIES TO TITLE 32 ARTICLE 1 SPECIAL DISTRICTS T�-IAT LE�Y TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1643 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mili levies and revenues to tlle
Board of County Commissioners, one each for the funding requiremeilts of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPAI2ATE MILL LEVY F(3R EACH BOND OR CONTRACT:
BONDS�':
1. Purpose of Issue: $1,090,0Q0 General Obligation Refunding Bonds
Series: 2012
Date of Issue: December 20, 2012
Coupon Rate: 2.28%
Mattirity Date: October 1, 2018
Levy: 10.700
Revenue: $145,851
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
cor�T�cTsK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1490 CountyTaxEntityCode �OLA LGID/SID 66286 /
CERTIFICATION �F T'AX LEVIES for N�N-SCH(?�L Governments
TO: Couz��y Commissionersl of 1��ELI� CC)LTl`1TY , Colorac��.
On hehal�of the THE HIGHL��1I`iDS MET�C3POLZ7��AN DISTRICT NO. 1 ,
n
(taxing entity)
the SOARD OF I)IRECTORS
(go��eming hady)
s
of the TI�� HIGHLANI�5 METROPOLITAI`�1 DISTRICT NO, l_
{local government}
c
Hereby af�i.ci.�liy eezrtxfzes the foll�win�mills
to be le��ze�l againsf the taxin� entity's GRCJSS $ 10
D E
a5S�S50C�ValLta�l[717 (?f: (GR�SS assessecl valuation,tine 2 of the Cer[ifieataon of'Valuation Porn�DLG�7 )
Note: If the assessor certifaed a NT'"I'assessed valuatia»
(AV) differer�t than tkte GROSS AV due to a Tax
Increment Financinb(TIF} �rear tlie tax levies �nust�ie �
caleulated usin t}le N��'r'1V. 7he taxinn entit 1's totai �'
� � � � (NLT assessed valuaCion,Li1yc 4 ol�the Cerliticalion ot`Vali.iation Form L�LG 57)
�roperty taa revenue will be derive�frf�m t,l�e�nil.l levy U5E V�.LIJti FRONI T1NAi CL�ATIPICATIN OF VALU�TIp?�1 P1��VII�L-D
multiplied agaiilst the NET'assessed vaI�ation of: I3Y�1SSC5S�R I�O LATLA TI-T.4N DECEvfBrP. !0
Subbnni�#ted: .1�/0Z/17 for buciget/fiscal year 2�JI c4 .
(not later tha�t Dea 1�} (dd/n�aaVy}ryy) �YYYY)
PUl?.POSE(see e;nd notes tar c�etin;cions a7aa exarnpies) LEVYZ 12EVENUEz
l. G�neral Operatin� E�pei�ses'" �S,Q00 mills $ 0
2. �Minus> Tem�orary General Pr��aerty T�x �:`redztl
7'emporary N1z11 _[,evy Rate Reduction� < � milIs � � �
SUBTOTAL F(lR GENF.RAL OPERATING: 55.[�00 mills $ l7
3. Gen�ral Oblig�t�on Bc�nds and Tnt�ere,st' mills $
4. C�ntractual Qbli�ations� mills $
5. Capital ExpendittEres`' mil�s $
6. RefundslAbatements'"� mills $
7. Other� (specPfy): mills $
mills $
TQm��� Sum nfCiei�eral Operatin�
l.
Contact persan: I�ay�time
(priz�t) SL�e Blaix-, CR�S o�Colarado, LLC pi�one: 303-�S7-4977
�i�ned: �p /'��; _ Title: Distriel ivl:az�age.r
Inc�lucfk one co,vy of�tlais tax�entitv's canapleted form�€�hzn filirc;the Joeal gov�a-nment's 6i�rclget by Jar�uary 37sz,pet•?9-1-1]3 C.R..S., ti�ntth the
' .3 _ � � ' � v I77 �� f 3' ' f
' If the taxin�entiiy's bounda�-ies include znore thaci one countyr, y�ot�must certify�the l�vies Yc�each c�unty. Use a separate fo�-rn
for eacl�eounty and cErtiPy the same le�,�ies tiinifc�rnaly to�ac17 eounty per r'lrticle X, Section� of the Colorado Constitution.
� Levies intist l�e rounded to tl�ree decirnal placcs and revenue must be calculated fr�zt�th.e total N�T asses•secl vcrli�atio�z(Lin�4 of
For�n DLG57 on�the Co�iirty Assesscr�-'s inal cei-�ificatio�of valuation).
PaQe I of4 DLG 70(Rcv.6/l6)
1491 County Tax�ntity Cade �OLA LGID/SI� 6fi287 /
CERTIFICAT�ON �F TAX LEV��S �`or �ON-SCH(?(a►L Gavernments
TO: County Cozxxrxazssiozaer�i of WET1➢ COLTNT� , Coloxacio.
Qn behalf of the T'HE HIGHLANDS ME�Ri�POLITAN]7ISTRIC l�N O. 2 ,
\4
�tAX]Ile CL�tI�'/
Il�e T3QhRT� OF DIREC'T�RS �
(bovcrning bodyj
B
of the THL, HIGH�,ANDS METRC}POLITAI'1 I7ISTRTC`T N0. 2
{iocal�pvcnzmetlC)�
Hereb�= officia�ly certifies thc� �ollou-in� z�ills
t'o be lcvied aa�inst the ta�zng� entity's C��ZOSS � 10
� D E��
aSS�SS2C�Vi11LL��1QI7 C?�; (GRQSS assesscc!valuatioii,Lsrbe 2 ufthe Certification ol�Valuaiion Powm DLG 57 )
Note: Tf the ass�ssar certified a N�T assessed valuatio»
(AVJ diff�Tent than the GRC}SS AV due to a Tax
I��creznent Financing(TIF}Arear the tax levies must be �
�;alculatec3 usin�thc NET AV. The taxin�entity's total' �'
s a (NE7' asscssed valoaLion;Lu7e 4 qf the Certificatfon�f Valuatian Pnrm DLG�7j
pt-operty tax['evenue will be derived from the mill '$�vy USI�VALU�FROM FIh`AL C'EPtiTIFICATIN OF VAI.Un"fIQN�R(�vl DG�
multiplied against the NI�T assesse�l va��ation of: BY A5SF..SSOR�O 1_�"��l�alt 7'T1..AN I�LCEMBLR]0
Submitteci: 12i(�2/2017 foi�}�ud�et/fiseal ye�r 2018 .
(not]ater thz�n l7ec. 1�) (e➢d�m3nl}�+yy} (y}�}�y)
�U��P���(see ei�d s�otes for definitioris an�l esarnples) LE��('� IZ�V�+NUT�
1. Gene�al Operatin� Ex�aenses�' 55.(}00 z�lil�s $ 0
2. �M�z�us> Temporar�r General Property- Tax Crec�it/
"I"emporaiy Mil'1 Levy Rate R.edLtc�zon' � > mills $ { >
SUBTOTAL FOIz GENEItAL OPEIZA.TINU: 55.0(10 z��.ills $ 0
3. Gener�I �bli�ation F3onds �nd Interest� miils $
4. Cc�ntractual �biibations�' mills $
5. Ca�ztal �xpentii.turesL mills �$
6. Refi�ndslAbateinents"I n�ills $
7. Other� {speeify): zxzxlls $
mills $
TO7-+ A �� Sum e�fGeneral Operatin�
1 t3 ��„h,„f„�;,,,�, ��,P� z rn-�� � 55.00(l mills � 0
Cc,ntaci�ersc�n: Daytin�e
(print} Sue Blair, CRS o#Coloxada, LLC pY�one: 303-�3�1�4977
Sibn�;d: � �,�,.i' Tztle: Di.strzct Managex
11�clzdde one co,ny�f tlazs tcrx entidy'.s•cumpleGed f'or��a���hen�lang tlr�e lacal got-ernnzent's htrcf�ei 6y Jar�z�ar�>31.s1,�er-29-1-1 I3 C.R..5., with the
L)ivisron t��L,occzl Cre�ve��nrne�rt II�I�r'1. konriz 521. 1313 Sher°�racn.4ti-eet f)�rav�r Cf'I c��7{�3 �zr�ctz�ns��'a111�I:CrntC�i23}RFi�-777�.
' Tf the taxing entirty�'s bour7daries iri�clude more thar7 one couilry,you inust certiPy the lewies to each cc�uzity. Use a separate fot�tn
for each cau7�ty and cer�tify the same levies u�iform]}�to e�c17 county per Ai�tic�le X, Section 3 of thc Colorade,Constitutzon.
�Levies must be r•aunded to tl�r�e de�cii�aC places and re�ver�ue must be calculated fram the total NET crssessed valu�tion{i,ine 4 of
Fot�n D��,G�7 on the Ct�unry Assessor's anal cel-iircatian ofvaIuation}.
Pa�e 1 of4 L)L�70{Rev.b/lb)
1492 County7ax Entrty Code Ddl.t� LGID/SID 66288 /
CERTIFICATIQN �F T.�.X LEVIES for NOl`�T��CHOOL Governments I
TO: Caunty Cc�mmissFonersz of WELD COUNTY _ Colorado.
�� vehalf of the THE HICiIILANDS iV1E'TR�I'�JLITAN DISTRICT NO. 3
(taxing entity)
,�
the I�O:ARD OF' I7IitECTORS
(governin�body)
a
of the THE HIGI�LAND� METROPOLITAN DISTRIC�I�NC�. 3
{lo�cz�l novcn�ment)C
�-Iereby officially� certi�`zes tl�e follo�vi��� tnills
to be levied a,�a�nst the taxing entity's GR(�SS � l l�
�SSeSS�C�Va�Uc7�t�71`1 O�: (GK�SS�asscsscc3 valuation,Line 2�Cthe Certification of Vt�luation Pom�llLG 57�'}
Note: If the assessat•certitied a N�T assessed�aluat�on
(AV) different than tl�e UR(�SS AV due to�t"I'ax
Ir�crement Finaneing("1'IF}Area" the Cax levic.s nlust Ue �
c�lcutated �ising the N�'T'AV. 'I�he taxin e�[ity's�otal f' �
$ (1�LT� assessed valualion,Lfne�I of the Ceirtificatic�n of ti aluation P�ntt DLCs>7)
property tax revcnue will be derived frcarn the f11ill levG� US�VALUL-rRQM FI�IAL CLRTIFICATIN OF V:A1.CJ�TlO�Y1tOVIllLD
multipliec] against thc I�ET assessed��aluation af: Bv As5E.Ssc�rt rro t,n�rF:iz��N��� ol�c�M�3[:x 1c�
Subnnxtted; .1?J(�2�'17 for bud�et/�scal year �[718 .
(not later than 17ea 1�) (ddlinmlyy}ry) (yyyy)
PURp�s�(scc ca�d nntcs fc>r dctinitions���d examples) �..,�V�� �VENUE�
1. C'Teneral Operating Fxpens�sH 55.000 mz11s $ 0
2. <Minus� Temporary General Property Tax Credit/
Teinporaryr IVlill Levy Rate Reduction' � > n�ills $ < �
�UBT+DTAL TOR GENERAL(�PERATING: � 55.000 mills $ 0
3. Gene��-al Obligairoi� F3ands and Zntere,�t'' lnills �
4. Contraetual nblagatioi�s'" zx�xlls $
5. Capital Expenditures�' mills $
6. Refilnds/r�batements"' mills $
7. Ofhez�' (specify): mills $
m�lls $
TD 1 AL� �c�,hr��l,�j�al7Upc�ra�ing 1 �5.��� Iliyl�� � a
I
Contact person: Day-time
(print) �ue Blair, CRS of Cc�lorado, �,1,C pl�one: 303-381�4977
Signed: �a, �, ` Tztle: �ist�ict Mana�er
l�t�clttcle orae co�y of tlxls 1ax erstity's cornplete�for�r�x tia�hen filing the lc�cc�l�ov�r,�in�rr�'s b�cr�dget hy Janisary 31st,�er�29-7-I13 C_IZ,S., xvith the
�)iui�cinn nf�nrnl��verr�rnen��T)T,C�). Ronnz��1. 13f3.Slte�'rt2craa �Zreet. I?env t'. C'��ll�(1�. C�tr.stiaYxc� 'a!1 � ,C�al/303)SG4-77?0.
' 1Fthe taxing er�tity's boundarpes include moi�e th�n o��e county, you must certify the leWies to each coui�ly. Use a separate forin
for each caunty and certify the saine levi�s �inif�r�nly to each county per Article X, Section � c�f the C.olorado Constitution.
' Levies must be rc�unded tr�three decim�l r�laces anci revenue must be ealeL�lated from the total.�v`ET assessec!vc�la�crtinn(Line� of
�'arn� DLG57 an the Courity Assessar's rracrl certi�catio�� of valuation).
�'asz 1 of 4 IJLC's 70(Rcv.6/16}
1493 County Tax Entity Code 0OLA LGll7/51� 662S9 /
CERTIFICATIOl`�T C?F �'AX L�V1ES for NOl'�-S+G`HOQL Governmenfs
TO: Count}� Corrunission�rs� of WELD CQU�TTY , Colc�r�do.
Qn behalf of the TH� HIGHLAND� M�',TR(�k'OLITA�?DISTRICT NO. 4 ,
(ta,r-in�entit��}� �
the BOARD Q�' DIk�I�.'CT�RS
R —
(goveniirtg bo�ly)
of the THE HIGHL�NDS METRaPO�,IT�Iu DISTR�CT N(a. �
(local govermneutjC
IIereby officiall��� ce�-tifies the fallo�=ii���nills
to be lev'red against the taxing �ntit�T's GROSS $ 10
D l:
aSSeSS�Cl Vc`�IUc`1t1O11 Of: (GROSS astiesscd va1uation,Line 2 ofthe Certific�tioi�of Valuation F'orin DLG i7 j
NatG: If the assesso��certiFied a NL-:T`assessed v�lut�tian
{�S:V}different than tEle C�ROS5 AV due tv a Tax
Sncx�eanent Financing{TIF)Area� the tax ie�ies must l�e �
cEtlGulated Asing the NE1�AV. The t`l�ctilg enClty''s Cot�l (�TL1��assessed�alu�ti�Fi,Lzne 4 ofthe Certit2catio�7 oF Vai«ation Form DLCi 57)
pro�eirty tax re��enue �vill be derir��ed fraFn�he 1��i11 [evy u5i�v��UL r•xo�1�'�N.v_C�xri1�C�'ri��F v�ua�rlr�t�PR�vl��fl
mul�tiplied agaiz�st the N��l. assessec��v�aluatio�l of BY'ASSE55OR Nt)LATER THAN DECEivFBER i0
Submitted: 12,'a2/17 far Uudget/fiscal year ?018 .
(nc�t Pater Ghan L�ec. 1�) (dd,'mrnIYYYY? �Y57'Y')
�U��SF(se�e��d�otes for clefinitdons a�id exaaz��bcsj LEV�l� ��7EN��
1. Cieneral C)peratxz�� Expenses�i ]5.000 nlills $ 0
2. �11�'�xnUs� Teznparar5-� General Propert��T� Credit/
Tem�c�rary Mill I.evy Ratc Reductian' C � mills $ C �
SLTBTOTAL FO�2 G�NERAL OPERATTNG: 55.000 mills $ 0
a. General Qbligation�3oncis and Interest� nZrlls $
�. C�ontractualObli�ation�" r�ills $
5. GapitalI�'xpendilures'� z�zlls $
6. RefuyldslAbate1ne11ts"` inills �
7. t�thex� (speciFy): mills $
rnills $
TOTAL: l��;Hr�`t���'�����„�'t'�;�"� 1 ss.aao m�rr� � a
Contact pe��son: Dayrtime
(print) Sue Blair, CRS of Cc�lc�rad.c�, LLC pilone: 30�-381-4977
Signecl: j�y �,.� Title: District Manager
Iriclx�de orze copy of this tax er�tdh-'s corrafaleted fr�rrn tvhen filira,�he lace�l�nvenxntelzt"s l�erclgel by Janzlclry 31st;�7er Z�-1-1 I3 C_R.,S., �vitlt 1he
I3xvr�slnn nfl.ncnl C�rn�eNnme�rl�l)f, ;�. 7 �om_i�_ . 1� 3.�herr��a ita S(�-,:t. )env.r. C'f)�OZfl3. C�i�r..r�tre�n�s?C'cr1117 ,G�rt(303)R�=F�?72(1.
' Ifthe taxing entiry's boundaries include�nore than one county�you n�ust cer-tify the levies to each countv. Us�a separate form
for each c��unty�and cerCifj�the same le�ies ��nifo�-�t�ly ka each county per,Article X, Section 3 aftl�e Colorac�o Constitution.
�Levies inust be rotinded to tl�•ee decin�al places a��d r-e�venue rnust be calc�ulat�d fi-or� the totallVET crssessed vc�luation(Line 4 of
Form�1,G57 on the County Assessot's inczf certi₹ication af v�luation}.
Pabe 1 ot 4 nt.G 70{tZev.611G}
1494 Caunty Tax�ntity Codc Dol� LGI�/S!D 65286
CERTIFICATION OF TAX LEVIES for 1'�TQN-SCHdOL Gavernments
TO: Cou�ity� Cammissio��et�s' of WELD COLJNTY , Coloraclo.
On behalf of the THE HIGHLANI)� ��`I RC)POLI.TAN DISTRICT NO. 5 ,
(tawing ent[ty)
A
the B(}�.RD OF DIIZECTOk�S
�
(poverning body)
of t�ie THE H�GHZ,ANDS 1VIETRaPOLITAN �DTSTRICT NO. 5
(laca!�overnmcnt)��
Hci-eby ofticiall�- certifxes thc �ol�owing mil�s �
ta be le��ied a�ainst tl�e taxin� entity's GRC�SS $ 10
�SS�SSeCl\ralllaf10T1 O� (GAOSS�assessed vai�iation,Lici.e 2 of Ihe C�tYification�f Valuation Fornt I�LG 57�'j
Note: If t]le assc:ssor certifed a NrT assesseci valuatioiz
(AV) diffe�-ent than tllc; GR�SS AV due tc�a Tax
Ii�ct'earzet�t I'inancing(TIF)Area�the tax levies must be a�'
Gd1CUllted uSittg tile NET AV. Th�t�xin�G�lill�'S'�4ta� (N�T�assessed valuation,Line 4 of tl�e Certiti�;atfon pI'Valuatio�I�oan DLC�57)
p]"0pe7"ty tax Yevenue vr'11L be derived it-Dm the]rilll leVy Li5�V�LUI?1=RpM FINAL CPIt"]�IFICnTIN OF VALUATION PI2OV�DED
�nultiplieel a�ai.nst the NET asse-ssecl valaation af: I3Y ASS7�SSOFz NC?L.4TL;R"filr'�N I�F.CEMBER 10
Submitted: 12f�?/17 ft�r budget/fiscal year 2018 .
{nat later than]?ze. 1�} (ddlr��a1/yryyy) (yyyy}
PU�O5�+ (see end r�otes for delinFtsans ar�d exa�n�les) LE�1'�y� �a vE�UEz
1. General Ope:rating L��penses`� 55.�00 mil�s $ Q
2. �Nlinus, Temporar3= General �'roperty Tax Credi�l
Ternporary Mall Lev�r Rat� Re�luctio�lr C > mills � < >
SUBT(�TAL TOR GENERA.L OPERATING: 55.000 mills � 0
3. General Obli�ation Bonds �nd Intexesi� rrzills $
4. Cc�ntract�alObligatzo�s" a��ills $
5. C1pi#al E�pe�dituresl� mills $
6. l��efundslAbatements"` mills $
7. Othe�n {s}�ecify): mills $
mills $
T����� Sum�fCeneralOperati� mll
Gontact pers�n: Daytirr�e
(print} Sue Bl�ir, CRS af C�ic�raclo, LLC phone: 303-381-4977
Signed: �,�,z ti/��� Title: District Mana�er
��,
Include one copy ofthzs fic�a entity's eone�leted for•rrt a�rhenfeling 1he local aovern��aend's buc�get by Jcuzu�i,v 3lst,per 29-I-113 C.R.S., Lvzth the
. . . � , � -7 3� � � - � � � � � r � 03 �� � � � �
� a a ��
' If the taxing e�tYiry's boundaries include mc�re than o�e county,you n7ust ccrtify�the levies to each county. Use a separate for�n
for e�ch county and certif}'the sazn.e levies tiin�iforn�ly to each coui�ty per Article X, Section� of the Col�aracla �.onstitution.
� Le�v're�must be rounded t�three decimal places ar�c�revenue must be�ca�culated ��on�the total.nlET crssess�cl vala�ation(I;ane 4 of
Fonn DLG�7 on the Caunty Asscssor's.fnc�l certi�cation of valuation).
Pa�c 1 of4 DLG 7�{P�;ev_6l16)
1495 County Tax Entity Code DOiJa LGI�/SID 0103& /.
CERTIFICATZOPI� �F TAX LEVIES f�r NON-SCHOOL Governments
T�7: Co�.u�ty Commissioners' o' WELD CQLTNTY , C�lt�rada.
On behal£of tl�e SUIJ`TII �3EEBE DRAW MTTROPOLITAN DI5TRICT ,
a
(taxing enti.ry)`
the BQARD �7F DI�ZECTC3RS
�����x�����eod�-i
�
o�tl�.e SOUTH BEEBE DRA'�1��iVIETR�POLITAN I)ISTRICT
{local aover��mcnt)C
Hereby o��icially cei-tifies the follc���ing mills
to be le�-•zcd agaznst t11e taxinb entit��'s GRO�S � 141,7�Q;650
aS5eSS�C�Va�.�r�t1OI1 df: (GRC7SS��aS5essed valtiation,l.,itie 2 ofthe Certification of Valuation�orm DLG>7E}
NQte: If tt�e assessor certified a NE.T assessed valuatioa�
(AV) diff�rcnt that�the GROSS E1,V d�ae t� a Tax
Increment I=inai�cin�(TTI')1lrear tk�e tax levies m�rst be �
calculated usin thc NET AV. The taxi � en��it 's�atal �
�' � y {_�IHT a�ses5�d v�luation_I�fnc�o�tli�e GerCfJ�i�a�ti0n of ValuaCion Fqrm D.LG�7)
proE�erty tax reve�lue will be derived it�om t}�e rnill ]evy U5E b'ALiJE TR�M FNAL C�RTIF�C.ATIN C)F�^'ALi?ATIQ\t�RC3VTnE�
multiplied ag�inst the N�T assessed valuatio»of: F��'nSSESSOR NO I,r1TEF�THf��DFCTMBF_.�t 1.0
Su�x�itted: .IZ/L1�1.1 i for budbet/fiscal year 201`� .
(not later than Dec. 15} (d€llanm/}n�yy) �YYYY)
PU�Q��(see end notes i'�r detinitfons and e�atnples) L�'��'�f'�2 R.GVENUEz
l. Gener�l Operati��� ExpensesH 1.000 nnills $ 141,741
2. <Minu�> Tempc7rary C'Tene�-al FropertsT TaY Creditf
Temporary 1Vxz�1 L�v� RaLe Redtit�tzon` < > n�ills $ < >
SUBTOTAL FOR GEI4�ER�I,L OPERATIi'VG: I.Q00 n�ills $ 141,'7q 1
3. General �bligation B�nds �nd InterestJ mills �
4. Contractual Obligations�' 54.QQ0 mills � 7,6Sa,995
5. Capital ExpeildituresL mills $
6. Refuncis/Abaten�ents�' mz1Ls $
7. Other� (specify): mills �
mills �
�O�` T 5um ofGerieral Operatingl !1f1(1 1 �7 (1C �1 L
_l�J_I. �C„htnral anri 1 in�c ;tn 7 I ��.Ill)ll �Y�A� �1,�7J,1�V
Contact per�son: Daytime
{print} Sue B1air, CRS c�f Cc�lc�r�cio, T,I,C phoz�e: 303-�S1-4977
Si�ned: � � Titl�: District Ma�iager
Inclucle one copy o,��th.is tax eritiry's conapleied fo�•nz 1vdl�en frlrs��the local governnxenl's hudget by Je7n�i.�ary 3l st,�et•29-1-]I3 C.R.�'., mith the
;. . . >• �� � i� � 3 �� - . -.. � r � f� ���s� ? t �3� 4F�_��
� If the ta��ng ent�ty's boundaries ir�cl�de more iharr one cc�rux�ty; you�i must certi�y the ]evies t€�each county. Use a se�arate foY�rn
for eacl�counly and certify the same levies �nifonnly t� eacl� coui7ty per�Aatfcle X, Section 3 of the ColQ��ado Constitution.
z Levies must be rounded to t₹�ree decimal�places and revenue inust be calculated from the t�otal NET assessed v�l2�crtio�r(I,ine 4 of
Fo�-n7 DLG57 an the Count}�Assessor's ira�rl�e�-tification of valuation).
PaRe 1 of 3 D I.G?D(Rev.61l fi)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1496 County Tax Entity Code DOLA LGID/SID 66416�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
Onbehalfofthe SUMMERFIELD METRO #1 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Summerfield Metropolitan District No. l
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 187,240
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 187,240
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 55.275 mills $ 10,350
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < �� > mills $ < � >
SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 10,350
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
•I•��•AL� rSumofGeneralOperating 1 55.275 m111S � 10,350
Subtotal and Lines 3 to 7
Contact person: Daytime
(print) .lessica Brothers phone: ( � (303) 442-2299
L7Gff/GGZ 1��O�LIG�f District Controller
S1g11eC�: �Ess��,��oii,P�s�oe�ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1497 County Tax Entity Code DOLA LGID/SID 66417�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
Onbehalfofthe SUMMERFIELD METRO #2 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Summerfield Metropolitan District No. 2
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 764,820
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 764,820
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 55.275 mills $ 42,275
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < � > mills $ < � >
SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 42,275
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
•I•��•AL� rSumofGeneralOperating 1 55.275 rp111S � 42'275
Subtotal and Lines 3 to 7
Contact person: Daytime
(print) .lessica Brothers phone: ( � (303) 442-2299
L7Gff/GGZ 1��O�LIG�f District Controller
S1g11eC�: �Ess��,��oii,P�s�oe�ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1498 County Tax Entity Code DOLA LGID/SID 66418�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
Onbehalfofthe SUMMERFIELD METRO #3 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Summerfield Metropolitan District No. 3
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 85,370
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 85,370
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 55.275 mills $ 4,719
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < � > mills $ < � >
SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 4,719
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
r�.�r�.��� �Sum of General Operating � 55.275 m�js � 4 719
Subtotal and Lines 3 to 7 '
Contact person: Daytime
(print) .lessica Brothers phone: ( � (303) 442-2299
L7Gff/GGZ 1��O�LIG�f District Controller
S1g11eC�: �Ess��,��oii,P�s�oe�ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
1499 County Tax Entity Code DOLA LGID/SID 66446/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLTNTY , Colorado.
On behalf of the ERIE HIGHLANDS METRO #1 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the ERIE HIGHLANDS METROPOLITAN DISTRICT NO. 1
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 6,469,170
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 6,469,170
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 11/30/2017 for budget/fiscal year 2018
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 22.111 mills $ 143,040
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 22.111 mills $ 143,040
3. General Obligation Bonds and InterestJ 55.277 mills $ 357,596
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 77.355 m1�IS � 50�,636
Contact person: Daytime
(print) Kevin Collins phone: (303) 779-5710
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division of Local Government(DLG),Roorre 521, 1313 Sherrrean Street, Denver, CO 80203. Questions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: Public infrastructure improvements
Series: General Obligation Limited Tax Bonds Series 2015A
Date of Issue: December 10, 2015
Coupon Rate: 5.75%
Maturity Date: December 1, 2045
Levy: 55.277
Revenue: $ 357,596
2. Purpose of Issue: Public infrastructure improvements
Series: Subordinate General Obligation Limited Tax Bonds Series 2015B
Date of Issue: December 10, 2015
Coupon Rate: 7.75%
Maturity Date: December 15, 2045
Levy: 0.000
Revenue: $0
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1500 County Tax Entity Code DOLA LGID/SID 66447/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLTNTY , Colorado.
On behalf of the ERIE HIGHLANDS METRO #2 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(goveming body)B
of the ERIE HIGHLANDS METROPOLITAN DISTRICT NO. 2
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 466,190
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 466,190
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 11/30/2017 for budget/fiscal year 2018
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes For definitions and examples) I.EVY� REVENUE�
1. General Operating ExpensesH 22.111 mills $ 10,308
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 22.111 mills $ 10,308
3. General Obligation Bonds and Interest' mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/AbatementsM mills $
7. OtherN (specify): mills $
mills $
TOTAL; Sum of General Operating
�Subtotal and Lines 3 to 7 � 22.111 mills � 1�,30g
Contact person: Daytime
(print) Kevin Collins phone: (303) 779-5710
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by.Ianuary 31st,per 29-1-113 C.R.S., with the
Division ofLocal Government(DLG),Room 521, 1313 Sherman Street,Denver, CO 80203. Questions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1501 County Tax Entity Code DOLA LGID/SID 66448/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLTNTY , Colorado.
On behalf of the ERIE HIGHLANDS METRO #3 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the ERIE HIGHLANDS METROPOLITAN DISTRICT NO. 3
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 466,190
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 466,190
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 11/30/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 22.111 mills $ 10,308
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 22.111 mills $ 10,308
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TO��T ; r Sum of General Operating 1 22�111 mills �p 1� 30g
L �Subtotal and Lines 3 to 7 � ,
Contact person: Daytime
(print) Kevin Collins phone: (303) 779-5710
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division of Local Government(DLG),Roorre 521, 1313 Sherrrean Street, Denver, CO 80203. Questions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1502 County Tax Entity Code DOLA LGID/SID 66449/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLTNTY , Colorado.
On behalf of the ERIE HIGHLANDS METRO #4 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(goveming body)B
of the ERIE HIGHLANDS METROPOLITAN DISTRICT NO. 4
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 466,190
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 466,190
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 11/30/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 22.111 mills $ 10,308
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 22.111 mills $ 10,308
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK 55.277 mills $ 25,770
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 77.355 m1�IS � 36,�7g
Contact person: Daytime
(print) Kevin Collins phone: (303) 779-5710
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Governrrcent(DGG1. Roorre 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract: Infrastructure improvements
Title: The District is expected to enter into a Loan Agreement in early 2018
Date: To be determined
Principal Amount: Approximately $2,000,000
Maturity Date: To be determined
Levy: 55.277
Revenue: $25,770
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1503 County Tax Entity Code DOLA LGID/SID 66450/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLTNTY , Colorado.
On behalf of the ERIE HIGHLANDS METRO #5 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the ERIE HIGHLANDS METROPOLITAN DISTRICT NO. 5
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 466,190
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 466,190
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 11/30/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 22.111 mills $ 10,308
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 22.111 mills $ 10,308
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TO��T ; r Sum of General Operating 1 22�111 mills �p 1� 30g
L �Subtotal and Lines 3 to 7 � ,
Contact person: Daytime
(print) Kevin Collins phone: (303) 779-5710
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division of Local Government(DLG),Roorre 521, 1313 Sherrrean Street, Denver, CO 80203. Questions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1504 County Tax Entity Code DOLA LGID/SID 66571/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the The Ridge at Harmony Road Metropolitan District No. 1 ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the The Ridge at Harmony Road Metropolitan District No. 1
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 30
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Inerement Financing(TIF)AreaF the tax levies must be $ 30
Ca1Cu1&t�d uSing th0 NET AV. TI10 taxing 0ntity'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlVed frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mUltipfied agalnSt the NET aSSeSSed ValuatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 0.000 mills $0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $0
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating
1 �Subtotal and Lines 3 to 7 � 0.�00 111111S ��
Contact person: Daytime
(print) Carrie Bartow phone: ( 719 ) 635-0330
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Divi.sion ofLocal Government/DLG) Room 521 1313 Sherman Street.Denver. CO 80203. Ouestions� Call DLG at(303)864-7720.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1505 County Tax Entity Code DOLA LGID/SID 66572/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the The Ridge at Harmony Road Metropolitan District No. 2 ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the The Ridge at Harmony Road Metropolitan District No. 2
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 1,539,990
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Inerement Financing(TIF)AreaF the tax levies must be $ 1,539,990
Ca1Cu1&t�d uSing th0 NET AV. TI10 taxing 0ntity'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlVed frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mUltipfied agalnSt the NET aSSeSSed ValuatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 10.000 mills $ 15,400
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $15,400
3. General Obligation Bonds and InterestJ mills $
4. Contractual ObligationsK 29.000 mills $44,660
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating l�
1 �Subtotal and Lines 3 to 7 � 37.�00 I11111S �6�,�60
Contact person: Daytime
(print) Carrie Bartow phone: ( 719 ) 635-0330
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Divi.sion ofLocal Government/DLG) Room 521 1313 Sherman Street.Denver. CO 80203. Ouestions� Call DLG at(303)864-7720.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract: Public Infrastructure
Title: Developer Reimbursement Agreement
Date: Anticipated 2018
Principal Amount: unknown
Maturity Date: unknown
Levy: 29.000
Revenue: $44,660
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1506 County Tax Entity Code DOLA LGID/SID 66573/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the The Ridge at Harmony Road Metropolitan District No. 3 ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the The Ridge at Harmony Road Metropolitan District No. 3
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 44,140
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Inerement Financing(TIF)AreaF the tax levies must be $ 44,140
Ca1Cu1&t�d uSing th0 NET AV. TI10 taxing 0ntity'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlVed frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mUltipfied agalnSt the NET aSSeSSed ValuatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 40.047 mills $ 1,768
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 40.047 mills $1,768
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; r Sum of General Operating � 4�.�4'� mills .p 1 76O
1 L � Subtotal and Lines 3 to 7 ,
Contact person: Daytime
(print) Carrie Bartow phone: ( 719 ) 635-0330
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Divi.sion ofLocal Government/DLG) Room 521 1313 Sherman Street.Denver. CO 80203. Ouestions� Call DLG at(303)864-7720.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1509 County Tax Entity Code DOLA LGID/SID 66458
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Hidden Valley Farm Metro #1 ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the Hidden Valley Farm Metropolitan District#1
(local government)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 0
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
increment Financin�(TIF)AreaF the tax levies must be $ 0
C&ICul&t0d uSing th0 NET AV. TI10 taxing 0ntlty'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhplied agalnSt the NET aSSeSSed ValUatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/1 U2017 for budget/fiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 0.000 mills $0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $0
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating
1 �Subtotal and Lines 3 to 7 � �.000 111111S ��
Contact person: Daytime
(print) Carrie Bartow phone: 719-635-0330
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofGocal Government/DLG) Room 521 1313 Sherman Street.Denver. CO 80203. Ouestions� Call DLG at(303)864-7720.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1510 County Tax Entity Code DOLA LGID/SID 66459
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Hidden Valley Metro #2 ,
(taxing entity)'�
the Board of Directors
(goveming body)B
of the Hidden Valley Metropolitan District No. 2
(local govemment)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 4,763,030
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 4,763,030
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 10.775 mills $51,322
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 10.775 mills $51,322
3. General Obligation Bonds and InterestJ 53.876 mills $256,613
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 64.651 m1�IS �3�7�935
Contact person: Daytime
(print) Carrie Bartow phone: 719-635-0330
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Governrrcent(DGG1. Rooin 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: Public Infrastructure
Series: Anticipated 2018
Date of Issue: TBD
Coupon Rate: TBD
Maturity Date: TBD
Levy: 53.876
Revenue: $256,613
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
151 1 County Tax Entity Code DOLA LGID/SID 66460
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Hidden Valley Farm Metro #3 ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the Hidden Valley Farm Metropolitan District No. 3
(local government)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 0
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Inerement Financing(TIF)AreaF the tax levies must be $ 0
Ca1Cu1&t�d uSing th0 NET AV. TI10 taxing 0ntity'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlVed frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mUltipfied agalnSt the NET aSSeSSed ValuatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 0.000 mills $0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $0
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating
1 �Subtotal and Lines 3 to 7 � �.000 111111S ��
Contact person: Daytime
(print) Carrie Bartow phone: 719-635-0330
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Divi.sion ofLocal Government/DLG) Room 521 1313 Sherman Street.Denver. CO 80203. Ouestions� Call DLG at(303)864-7720.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1512 County Tax Entity Code DOLA LGID/SID 66461
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Hidden Valley Farm Metro #4 ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the Hidden Valley Farm Metropolitan District No. 4
(local government)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 6,619,520
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Inerement Financing(TIF)AreaF the tax levies must be $ 6,619,520
Ca1Cu1&t�d uSing th0 NET AV. TI10 taxing 0ntity'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlVed frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mUltipfied agalnSt the NET aSSeSSed ValuatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/1 U2017 for budget/fiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 10.000 mills $66,195
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $66,195
3. General Obligation Bonds and InterestJ mills $
4. Contractual ObligationsK 50.000 mills $330,976
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating �l
1 �Subtotal and Lines 3 to 7 � 6�.0�0 111111S �377,171
Contact person: Daytime
(print) Carrie Bartow phone: 719-635-0330
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Divi.sion ofLocal Government/DLG) Room 521 1313 Sherman Street.Denver. CO 80203. Ouestions� Call DLG at(303)864-7720.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract: Public Infrastructure
Title: Developer Reimbursement Agreement
Date: Anticipated 2018
Principal Amount: Unknown at this time
Maturity Date: Unknown at this time
Levy: 50.000
Revenue: $330,976
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1513 counr�raX Ennn coae �oLA LGi�isi� 66428�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the MEAD VILLAGE METRO �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Mead Village Metropolitan District
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 224890
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 224890
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/09/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
1. General Operating ExpensesH 50.000 mills $ 11,245.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.0 mills $ 11,245
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �SumofGeneralOperating � 50.0 m��s � 11 24rJ
I Subtotal and Lines 3 to 7 '
Contact person: Daytime
(print) Erika volling phone: ( � (303) 346-6437
� �a �CG� District Mana er Executive Asst.
S1g11eC�: er�k<voir��,��oe��.zc��i i T1t1O: g �
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
County TaY Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
NP125 METROPOLITAN DISTRICT
On behalf of the
,
(taxing entitY)A
the BOARD OF DIRECTORS
(goveming body)B
of the NP125 METROPOLITAN DISTRICT
(local government)c
Hereby officially certifies the following mills 4,276,670
to be levied against the ta.xing entity's GROSS $
1SSeSSeC1 V 1IU1t1O11 Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: ff the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a T� 3 564 401
Increment Financing(TIF)AreaF the tax levies must be $ � �
calculated using the NET AV. The taxing entity'S tOtal (NETG assessed valuation,Lane 4 of the Certificati�of Valuation Form DLG 57)
property tax revenue will be derived from the mill lew USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multlplied against the NET aSSeSSed ValuatlOn 0f: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/17 for budgetlfiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for defmitions and e�tamples) LE V YZ REVENUE2
1. General Operating Expenses" 5.545 mills $ 19,765
2. <Minus>Temporary General Property Ta�c Credid
Temporary Mill Levy Rate Reduction' < > mills $< >
765
SUBTOTAL FOR GENERAL OPERATING: � 4 mills $ � '
49.911 177,903
3. General Obligation Bonds and Interest�' mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: (Sum of General operating1 55.456 197,668
I Subtotal and Lines 3 to 7 I 111S �
Contact person: -� ' Daytime 662-1999
(print) l � �ATHY OMM phone: ( 303�
'- DISTRICT ACCOUNTANT
Signed: h - ,-_�;�. �� Title:
Include one copy of this tcix entity's compteted form w en filing the local goven�rnent's budget by January 31 st,per 29-1-113 C.R.S.,with the
Divi.rion of Ineal Gnver�vnent(1�LG!_Ronm 521. 1313 Sherman Street.Denver.CO S1Y103. Duestionr? Call I�I.G at(3Q3)8Fi4-7720.
1 If the taxing entiry's boundaries include more ihan one county,you must certify ihe levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of ihe Colorado Constitution.
Z L,evies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of4 DLG 70(Rev.b/16)
CERTIF'ICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). T�ing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and totallevies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
l. Purpose of Issue: DEVELOPER REIMBURSEMENT
Series: 2016
Date of Issue: JULY 8, 2016
Coupon Rate: 6.00%
Maturity Date: DECEMBER 1, 2046
Levy: 49.911
Revenue: $177,903
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of4 DLG 70(Rev.6/16)
1515 cou„ry TaX Ent;ry coae �o�,a LG�isi� 66486/1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners� of Wetd County , Colorado.
On behalf of the Range View Estates Metropolitan District
,
A
(taxing entity)
the Board of Directors
(governing body)
s
of the Range View Estates Metropolitan District
Qocal govemme��t)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 2,794,020
2SSOSSOC� V11UatlOtl Of (GROSS�assessed val�iation,Line 2 of the Certification of Valuation Fonn DLG�7E)
Note: lf the assessor ceirtified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
lncrement Financing(TIF)AreaF the tax levies must be $ 2,794,020
calculated usin the NGT AV. The taxin entit�'s total �
g $ ) (NET assessed valuation,Line 4 of the Certification of Valuation Fonn DLG 57)
property tax revenue will be derived from the mill levy I�SG VALUE FROD�I FIYAL CERTIFICATION OF VALUATION PROVIDED
multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/08/2017 for budget/fiscal year 2018
(no later thai�Dec. 1�) (mm/dd/yyyy) (yyyy)
PITRPOSE(see end notes for definitions and examples) LEVY� REVENUE�
1. General Operating Expenses" 55.278 mills $ 154,448
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction` < > mills $ � >
SUBTOTAL FOR GENERAL OPERATING: 55•2�$ mills $ 154,448
3. General Obligation Bonds and Interest� mills $
4. ContractualObligations" mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
•rO�•AL' SumofGeneralOperating 55.278 154,448
• �Subtotal and I.ii�es 3 to 7 � 1111115 �
Contact person: Daytime
(print) Neil Schilling phone: ( 720) 348-1086
Signed: � Title: District Accountant
Include one copy of this xax enXity's completed form when frling die loca!governnzent's bz�dget by Janarnry 31 st,per 29-1-113 C.R.S.,with the
I1ivi.cron of I.ocal Gover•nrnent/DT.Cr). Room 521. 1313 SI�Prnaan,Sh•eet. DenvPr. <'O R0203. Ot�estion.c? C'�tll DLG aJ/303)Rh4-772�.
' If the taxing ej�tiry's boundaries include more than one county,you must certity the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certifieation of'valuation).
Page] of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES,continued
THIS SECTIUN APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TA►XES
FUR PAYMENT OF GENERAL UBLIGATIUN DEBT(32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FUR EACH BUND UR C4NTRACT:
BONDsJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
.
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy•
Revenue:
coNT�cTsK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy•
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
M0UNTAIN SHAD0WS METR0P0LITAN DISTRICT
On behalf of the ,
A
(taacing entity)
the B0ARD 0F DIRECT0RS
(goveming body)
B
of the M0UNTAIN SHAD0WS METR0P0LITAN DISTRICT
(local government)�
Hereby officially certifies the following mills 3,905,910
to be levied against the taxing entity's GROSS $
aSSeSSOC� V2IUat1OI1 Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessar certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax 3 905 910
Increment Financing(TIF)AreaF the tax levies must be � � �
Ca1CU11t0d llSing the NET AV. The taXing eritlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALiJE FROM FINAL CERTIFTCATION OF VALUATION PROVIDED
multiplied agamst the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/17 for budget/fiscal year 2018
(no later than Dec. 15) (mmldd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2
1. General Operating ExpensesH 11.000 mills $ 42,965
2. �1Vlinus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $< >
SUBTOTAL FOR GENERAL OPERATING: 11.000 mills � 42,965
3. General Obligation Bonds and InterestJ �.000 mills � 171,860
4. Con�ractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements'" mills $
7. OtherN (specify): mills $
mills $
Sum ofGeneral Operating7 55.000 214,825
TOTAL: r�i,htat�l and 1 ines_3 to 7 I 111S �
Contact person: CATHY FRO Daytime 662-1999
(print) � phone: ( 303�
DISTRICT ACC0UNTANT
Signed: -�"�� ,,1,.t.Title:
Include one copy of this tax entity's cotnpleted form whe faling the local government's budget by January 31 st,per 29-I-113 C.R.S.,with the
nivicin»nfTn�nl(:m�orvimont(I�T.(T) Rnnsn 527 7373.Chormnn.Ctreot 7�am�nr ('n c4n.n3- nue.Stlnnt� ('[1ll D . Clt�3�3)�fJ4-772�.
1 If the taxing entiry's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES,continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: DEVELOPER REIMBURSEMENT
Series: 2015
Date of Issue: DECEMBER 17, 2015
Coupon Rate: 5.5%
Maturity Date: DECEMBER 1, 2044
Levy: 44.000
Revenue: $171,860
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1517 County Tax Entity Code DOLA LGID/SID 66495/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COUNTY , Colorado.
On behalf of the RAINDANCE METROPOLITAN DISTRICT NO. 1 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the RAINDANCE METROPOLITAN DISTRICT NO. 1
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 14,460
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 14,460
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/08/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 39.000 mills $564
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < 0.000 > mills $ < 0 >
SUBTOTAL FOR GENERAL OPERATING: 39.000 mills $564
3. General Obligation Bonds and Interest' mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. OtherN (specify): mills $
mills $
TOr�,�T � Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 39.000 m�s �564
Contact person: Daytime
(print) Gigi Pangindian phone: ( 303 ) 779 - 5710
Signed: ��,g� � , Title: Accountant for the District
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Government(DLG) Room 521 1313 Sherman Street Denver CO 80203 Ouestions? Call DLG at(303)864-7720
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligarions per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1518 County Tax Entity Code DOLA LGID/SID 66496/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLTNTY , Colorado.
On behalf of the RAINDANCE METROPOLITAN DISTRICT NO. 2 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the RAINDANCE METROPOLITAN DISTRICT NO. 2
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 7,948,670
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 7,948,670
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/08/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 39.000 mills $309,998
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < 0.000 > mills $ < 0 >
SUBTOTAL FOR GENERAL OPERATING: 39.000 mills $309,998
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 39.0�0 m1�IS �3�9,99S
Contact person: Daytime
(print) Gigi Pangindian phone: ( 303 ) 779 - 5710
Signed: �� � Title: Accountant for the District
Include one copy of this tax entity's completed form when filin�g the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Governrrcent(DGG1. Rooin 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1519 County Tax Entity Code DOLA LGID/SID 66497/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLJNTY , Colorado.
On behalf of the RAINDANCE METROPOLITAN DISTRICT NO. 3 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the RAINDANCE METROPOLITAN DISTRICT NO. 3
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 12,930
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 12,930
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/08/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 39.000 mills $504
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < 0.000 > mills $ < 0 >
SUBTOTAL FOR GENERAL OPERATING: 39.000 mills $504
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 39.��� m1�IS �5�4
Contact person: Daytime
(print) Gigi Pangindian phone: ( 303 ) 779 - 5710
Signed: �� � Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Governrrcent(DGG1. Rooin 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1520 County Tax Entity Code DOLA LGID/SID 66498/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLJNTY , Colorado.
On behalf of the RAINDANCE METROPOLITAN DISTRICT NO. 4 ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the RAINDANCE METROPOLITAN DISTRICT NO. 4
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 58,460
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 58,460
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/08/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 39.000 mills $2,280
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < 0.000 > mills $ < 0 >
SUBTOTAL FOR GENERAL OPERATING: 39.000 mills $2,280
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 39.�0� m1�IS �Z�ZS�
Contact person: Daytime
(print) Gigi Pangindian phone: ( 303 ) 779 - 5710
Signed: ��� � Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Governrrcent(DGG1. Rooin 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1521 County Tax Entity Code DOLA LGID/SID 66489/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of WELD COLINTY , Colorado.
On behalf of the LIBERTY MEAD METRO ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the LIBERTY MEAD METROPOLITAN DISTRICT
(local government)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 4,243,770
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 4,243,770
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 11/30/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� �+VENUE�
1. General Operating ExpensesH 51.961 mills $ 220,5 ll
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 51.961 mills $ 220,511
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating
1 �Subtotal and Lines 3 to 7 � S 1.961 I11111S � ZZ��511
Contact person: Daytime
(print) Sarah Hunsche phone: (303)779-5710
Signed: �-� Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division of Local Government(DLG),Roorre 521, 1313 Sherrrean Street, Denver, CO 80203. Questions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
~ ��� .�.
GARY R.WHITE . SEAN ALLEV
_�.
KRISTF.v D.BEAR -- - _ _ ZACHARY P.WHITE
WILI.IAM P.AVKF.LF�R. V'11 H I T E � �! 7 � L \1 V �� L � CASF,I'K.LF.KAHAI.
TRISH.4 K.HARRIS
JEVNIFERGRUQERTANAKA TA N A KA & �NA L D RC3 N
CLIN7 C.WALDRON HEATHCR L.HARTUNG
MFcnN J.MuarHv
KRISTIN BOWERS TOMPKINS 1'{ T � '�� �� � C � .5 ?'�1 � I I�1 �r`�'� KRISTIV J.SCHLEDORV
Rosear G.Roceas
SILVIA FEJKA
JOHN R.SHER�7AV
OF COUNSF.1.:
BI.AIR M.DICKHONF.R BRADLEY T.NEIMAN
December 4, 2017
Via Email and Regular Mail
Attn: Dee Kayl
Weld County Assessor's Office
1400 N 17`"Ave.,
Greeley, CO 80631
dkayl�c�weldgov.com
Re: INACTIVE SPECIAL DISTRICTS
Dear Ms. Kayl:
The below referenced special districts will not be filing zero mill levy certifications as such
districts will be on continuing inactive status pursuant to C.R.S. § 32-1-104(4) in 2018 and are therefore
exempt from �ling mill levy certifications. Please let us know if you need any additional information or
documentation in this regard. Thank you for your time and attention to this matter.
Greenwald Farm Metropolitan District Nos. 1 &2
Mead Place Metropolitan District Nos. 3-6
Tacincala Metropolitan District Nos. 1-5
Sincerely,
WHITE BEAR ANKELE TANAKA &WALDRON
Attorneys at Law
� Y ) �
Allison L. Hanson
Paralegal
2154 E.Commons Ave.,Stc.2000 I Ccntcnnial,CO 80122 � P 303.858.1800 F 303.858.1801 � WhiteBcarAnl<clacom
~ ��� .�.
GARY R.WHITE . SEAN ALLEV
_�.
KRISTF.v D.BEAR -- - _ _ ZACHARY P.WHITE
WILI.IAM P.AVKF.LF�R. V'11 H I T E � �! 7 � L \1 V �� L � CASF,I'K.LF.KAHAI.
TRISH.4 K.HARRIS
JEVNIFERGRUQERTANAKA TA N A KA & �NA L D RC3 N
CLIN7 C.WALDRON HEATHCR L.HARTUNG
MFcnN J.MuarHv
KRISTIN BOWERS TOMPKINS 1'{ T � '�� �� � C � .5 ?'�1 � I I�1 �r`�'� KRISTIV J.SCHLEDORV
Rosear G.Roceas
SILVIA FEJKA
JOHN R.SHER�7AV
OF COUNSF.1.:
BI.AIR M.DICKHONF.R BRADLEY T.NEIMAN
December 4, 2017
Via Email and Regular Mail
Attn: Dee Kayl
Weld County Assessor's Office
1400 N 17`"Ave.,
Greeley, CO 80631
dkayl�c�weldgov.com
Re: INACTIVE SPECIAL DISTRICTS
Dear Ms. Kayl:
The below referenced special districts will not be filing zero mill levy certifications as such
districts will be on continuing inactive status pursuant to C.R.S. § 32-1-104(4) in 2018 and are therefore
exempt from �ling mill levy certifications. Please let us know if you need any additional information or
documentation in this regard. Thank you for your time and attention to this matter.
Greenwald Farm Metropolitan District Nos. 1 &2
Mead Place Metropolitan District Nos. 3-6
Tacincala Metropolitan District Nos. 1-5
Sincerely,
WHITE BEAR ANKELE TANAKA &WALDRON
Attorneys at Law
� Y ) �
Allison L. Hanson
Paralegal
2154 E.Commons Ave.,Stc.2000 I Ccntcnnial,CO 80122 � P 303.858.1800 F 303.858.1801 � WhiteBcarAnl<clacom
~ ��� .�.
GARY R.WHITE . SEAN ALLEV
_�.
KRISTF.v D.BEAR -- - _ _ ZACHARY P.WHITE
WILI.IAM P.AVKF.LF�R. V'11 H I T E � �! 7 � L \1 V �� L � CASF,I'K.LF.KAHAI.
TRISH.4 K.HARRIS
JEVNIFERGRUQERTANAKA TA N A KA & �NA L D RC3 N
CLIN7 C.WALDRON HEATHCR L.HARTUNG
MFcnN J.MuarHv
KRISTIN BOWERS TOMPKINS 1'{ T � '�� �� � C � .5 ?'�1 � I I�1 �r`�'� KRISTIV J.SCHLEDORV
Rosear G.Roceas
SILVIA FEJKA
JOHN R.SHER�7AV
OF COUNSF.1.:
BI.AIR M.DICKHONF.R BRADLEY T.NEIMAN
December 4, 2017
Via Email and Regular Mail
Attn: Dee Kayl
Weld County Assessor's Office
1400 N 17`"Ave.,
Greeley, CO 80631
dkayl�c�weldgov.com
Re: INACTIVE SPECIAL DISTRICTS
Dear Ms. Kayl:
The below referenced special districts will not be filing zero mill levy certifications as such
districts will be on continuing inactive status pursuant to C.R.S. § 32-1-104(4) in 2018 and are therefore
exempt from �ling mill levy certifications. Please let us know if you need any additional information or
documentation in this regard. Thank you for your time and attention to this matter.
Greenwald Farm Metropolitan District Nos. 1 &2
Mead Place Metropolitan District Nos. 3-6
Tacincala Metropolitan District Nos. 1-5
Sincerely,
WHITE BEAR ANKELE TANAKA &WALDRON
Attorneys at Law
� Y ) �
Allison L. Hanson
Paralegal
2154 E.Commons Ave.,Stc.2000 I Ccntcnnial,CO 80122 � P 303.858.1800 F 303.858.1801 � WhiteBcarAnl<clacom
~ ��� .�.
GARY R.WHITE . SEAN ALLEV
_�.
KRISTF.v D.BEAR -- - _ _ ZACHARY P.WHITE
WILI.IAM P.AVKF.LF�R. V'11 H I T E � �! 7 � L \1 V �� L � CASF,I'K.LF.KAHAI.
TRISH.4 K.HARRIS
JEVNIFERGRUQERTANAKA TA N A KA & �NA L D RC3 N
CLIN7 C.WALDRON HEATHCR L.HARTUNG
MFcnN J.MuarHv
KRISTIN BOWERS TOMPKINS 1'{ T � '�� �� � C � .5 ?'�1 � I I�1 �r`�'� KRISTIV J.SCHLEDORV
Rosear G.Roceas
SILVIA FEJKA
JOHN R.SHER�7AV
OF COUNSF.1.:
BI.AIR M.DICKHONF.R BRADLEY T.NEIMAN
December 4, 2017
Via Email and Regular Mail
Attn: Dee Kayl
Weld County Assessor's Office
1400 N 17`"Ave.,
Greeley, CO 80631
dkayl�c�weldgov.com
Re: INACTIVE SPECIAL DISTRICTS
Dear Ms. Kayl:
The below referenced special districts will not be filing zero mill levy certifications as such
districts will be on continuing inactive status pursuant to C.R.S. § 32-1-104(4) in 2018 and are therefore
exempt from �ling mill levy certifications. Please let us know if you need any additional information or
documentation in this regard. Thank you for your time and attention to this matter.
Greenwald Farm Metropolitan District Nos. 1 &2
Mead Place Metropolitan District Nos. 3-6
Tacincala Metropolitan District Nos. 1-5
Sincerely,
WHITE BEAR ANKELE TANAKA &WALDRON
Attorneys at Law
� Y ) �
Allison L. Hanson
Paralegal
2154 E.Commons Ave.,Stc.2000 I Ccntcnnial,CO 80122 � P 303.858.1800 F 303.858.1801 � WhiteBcarAnl<clacom
~ ��� .�.
GARY R.WHITE . SEAN ALLEV
_�.
KRISTF.v D.BEAR -- - _ _ ZACHARY P.WHITE
WILI.IAM P.AVKF.LF�R. V'11 H I T E � �! 7 � L \1 V �� L � CASF,I'K.LF.KAHAI.
TRISH.4 K.HARRIS
JEVNIFERGRUQERTANAKA TA N A KA & �NA L D RC3 N
CLIN7 C.WALDRON HEATHCR L.HARTUNG
MFcnN J.MuarHv
KRISTIN BOWERS TOMPKINS 1'{ T � '�� �� � C � .5 ?'�1 � I I�1 �r`�'� KRISTIV J.SCHLEDORV
Rosear G.Roceas
SILVIA FEJKA
JOHN R.SHER�7AV
OF COUNSF.1.:
BI.AIR M.DICKHONF.R BRADLEY T.NEIMAN
December 4, 2017
Via Email and Regular Mail
Attn: Dee Kayl
Weld County Assessor's Office
1400 N 17`"Ave.,
Greeley, CO 80631
dkayl�c�weldgov.com
Re: INACTIVE SPECIAL DISTRICTS
Dear Ms. Kayl:
The below referenced special districts will not be filing zero mill levy certifications as such
districts will be on continuing inactive status pursuant to C.R.S. § 32-1-104(4) in 2018 and are therefore
exempt from �ling mill levy certifications. Please let us know if you need any additional information or
documentation in this regard. Thank you for your time and attention to this matter.
Greenwald Farm Metropolitan District Nos. 1 &2
Mead Place Metropolitan District Nos. 3-6
Tacincala Metropolitan District Nos. 1-5
Sincerely,
WHITE BEAR ANKELE TANAKA &WALDRON
Attorneys at Law
� Y ) �
Allison L. Hanson
Paralegal
2154 E.Commons Ave.,Stc.2000 I Ccntcnnial,CO 80122 � P 303.858.1800 F 303.858.1801 � WhiteBcarAnl<clacom
County Tas Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Westridge Metropolitan District No. 1 �"
� �
(tasing entity)A
the Board of Directors
(governing body)B
of the Westriclge Metropolitan District No. 1
(local government)�
Hereby officially certifies the following milis
to be levied against the taxing entity's GROSS $ 158,360
aSS0SS0Cl V2IU2t1O11 Of: (GROSSD assessed va(uation,Line 2 ofthe Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 158,360
CalCulated uslrig the NET AV. The taxillg entlty's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec.15) (mm/dd/yyyy) �yn'5'�
pURP�s�+ (see end notes for definitions and examples) LEV� REVENUEZ
1. General Operating ExpensesH 58.000 mills $ 9,184.88
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI � > mills $ � �
SUBTOTAL FOR GENERAL OPERATING: 58.00�mills � 9,184.88
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements�I mills $
7. OtherN (specify): mills $
mills $
TOTAL; SumofGeneralOperating Sg.Q�� mills � 9,1g4.gg
�Subtotal and Lines 3 to 7 �
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed• .�� -� ��°`��� Title: District Accountant
�
b2cli�de one eopy of this tcu e�vtify's cwnpleted form��I�en filing tlze local governr�zent's bzrdget by,Imzisa�y 31st,pei°29-1-113 C.R.S.,wdth the
Divisiol�of Local Governme�7t(DLG),Room 521, 1313 Sl�er•rnalz Street,Denve�•, CO 80203. Qtrestions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valaration(Line 4 of
Form DLG57 on the County Assessor's inal certification of valuation).
Forni DLG 70(rev 7l08) Page i of 4
CERTIFICATION OF TAX LEVIES, continued �
THIS SECTION APPLIES TO TITLE 32 ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES "
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are �
Special Districts or Subdistricts of Special Districts must cer-tify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.) �
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation '
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Puipose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSI{:
3. Puipose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately repoi�t all bond and contractual obligations per 32-1-1603,C.R.S.
Form DLG 70(rev 7J08) Page 2 of 4
Counfy Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for 1�O1�-SC�IOOL Governments
TO: County Commissionersi of Weld County , Colorado. a
3
�
On behalf of the Westridge Metropolitan District No. 2 � �
(taxing entity)A
the Board of Directors
(governing body)B
of the Westri�lge Metropolitc�n Dist�ict No. 2
((ocal government)�
Hereby officially cei-tifies the following mills
to be levied against the taxing entity's GROSS $ 11,325,970
2SS2SSeCl ValU2t1O11 Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be � g,393,064
CalCulated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 of tUe Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later tllan Dea 15) (mm/dd/yyyy) �YYYY)
�'URP�SE(see end notes for definitions a�id esamptes) LEvy2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Proper-ty Tax Credit/
Temporary Mill Levy Rate ReductionI � > mills $ < �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills �� 0.00
3. General Obligation Bonds and Interest' mills $
4. ContractualObligationsI� 58.000 mills $ 486,797.71
5. Capital ExpendituresL mills $
6. Refunds/AbatementsNl mills $
7. OtherN (specify): mills $
milis $
•I,�•I„�L: [SumofGeneral Operating 1 $8.0�� i11111S $ 486 797.71
Subtotal and Lines 3 to 7 � �
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: ��� � Title: District Accountant
b2clude one copy of t17is tax entity's co�azpleted form�a�he�7 ftli��g tl7e locnl gover��nzent's budget by Ja�zt�ary 31 st,per 29-1-113 C.R.S.,1t�it7�the
Division ofLocal Govel�nrnent(DLG),Roont 521, 1313 Slzernta�7 Sh�eet,Denvef°, CO 80203. Qttestions? Call DLG at(303)866-2156.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per?,rticle X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated fiom the total NET assessed valzration(Line 4 of
Form DLG57 on the County Assessor's mal certification of valuation).
Form DLG 70(rev 7l08) Page 1 of 4
i
i
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
�
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are '
'�
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
l. Puipose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Puipose of Issue:
Series:
Date of Issue:
Coupon Rate: I
Maturity Date: ,
Levy: '
Revenue:
CONTRACTSK:
3. Puipose of Contract: To fund the operations and maintenance of Westridge Metropolitan District
No. 2's infrastructure improvements
Title: Intergovernmental agreement with District No. 1
Date: 12/8/2014
Principal Amount:
Mahuity Date:
Levy: 58.000
Revenue: 486,797.71
4. Puipose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and conhactual obligations per 32-1-1603,C.R.S.
Form DLG 70{rev 7/08) Page 2 of 4
County TaY Entity Code DOLA LGID/SID /
CER'I'IFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
;
On behalf of the Westridge Metropolitan District No 3 �
(taxing entity)A
the Board of Directors
(governing body)B
of the West�idge MetropoCitan District No 3
(local govemment)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 50,660
aSSOSSeC1 ValUatlOri Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax ,
Increment Financing(TIF)Arear the tax levies must be � 44,299
CalCulated using the NET AV. The taxing entlty's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived fi•om the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dea 15) (mm/ddlyyyy) �y3'Y3'�
PV��SE(see end notes for definitions and examples) LEvy2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reductioni � > mills $ � �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. Cont�actualObligationsI{ 58.000 mills $ 2,569.34
5. Capital ExpendituresL mills $
6. Refunds/Abatements�I mills $
7. OtherN (specify): mills $
mills $
Tori,AT � rSumofGeneralOperating� 58.00� mills $ 2,569.34
1 L �Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
�
Signed: ,��f��„�� Title: District Accountant
bzclirde one copy of t7�is tax entity's conzpleted form��nlzen�ling the Iocal gover��nzent's ba�dget by Jana�nfy 31st,per 29-1-113 C.R.S.,with the
Division ofLocal Governnte�zt(DLG),Roont 521, 1313 S1�erman Str�eet,De��ver, CO 80203. Questions? Call DLG nt(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colarado Constitution.
z Levies must be rounded to tluee decunal places and revenue must be calculated from the total NET assessed valaration(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
5y
ry
CERTIFICATION OF TAX LEVIES, continued �
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL_DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Puzpose of Issue:
Series:
Date of Issue:
Coupon Rate: ',
Maturity Date:
Levy:
Revenue:
2. Puipose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSI{:
3. Puzpose of Contract: To fund the operations and maintenance of Westridge Metropolitan District
No. 3's infrastructure improvements
Title: Intergovernmental agreement with District No. 1
Date: 12/8/2014
Principal Amount:
Maturity Date:
Levy: 58.000
Revenue: 2,569.34
4. Puipose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessaiy to separately report all bond and conh�actual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
County Tax Entity Code DOLA LGID/SID /
CERTIFICATIOl�T OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Wesh-idge Metropolitan District No. 4 � �
(taxing entity)A
i
the Board of Directors �
(goveming body)B
of the Westri�lge Metropolitan District No. 4
(local government)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 225,230
aSS2SSOC�V2IU1tlOri Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Forni DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be $ 225,230
CalCulated using the NET AV. The taXing entlty's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018 '
(not later than Dea 1S) (mm/ddlyyyy) �Y1'YY)
PURPOSE(see end notes for definitions and examples} LEVYz REVENUE2
l. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI � > mills $ � �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsI{ 58.000 mills $ 13,063.34
5. Capital ExpendituresL mills $
6. Refunds/Abatements�I mills $
7. OtherN (specify): mills $
mills $
Z,O,I,AL: [SumofGeneralOperating 1 58.�0� 1I1111S � 13,063.3/�
Subtotal and Lines 3 to 7 J
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: �.� � Title: District Accountant
�i ii�
I�7cla�de one copy of this tnx entity's completed form tivhen filing tlze local govef�nmer7t's b:�dget by Jana�a�7�31st,per 29-1-113 C.R.S.,tii�fth the
Dfvisiol7 of Local Government(DLG),Roonz 521, 1313 She��man Street,Denvet�, CO 80203. Questions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must ce��tify the levies to each county. Use a separate foim
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decunal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
�
�
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are '�
Special Districts or Subdistricts of Special Districts must cer�tify separate mill levies and revenues to the
Board of County Commissioners;one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Puz�pose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Puipose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSI{:
3. Pulpose of Contract: To fund the operations and maintenance of Westridge Metropolitan District
No 4's infiastructure improvements
Title: Intergovernmental agreement with District No. 1
Date: 12/8/2014
Principal Amount:
Maturity Date:
Levy: 58.000
Revenue: 13,063.34
4. Pulpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
�
County Tax Entity Code DOLA LGID/SID /
C�RTIFICA�'IOI� OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Westrid e Meho olitan District No. 5 �
g �
(tasing eutity)A
the Board of Directors
(goveming body)B
of the Westri�lge Metropolitan District No. S
(local government}C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 201,340
aSSOSS2Cl ValU1t1O11 Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be � 201,340
Calculated using the NET AV. The taxtrig entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec.1S) (mm/dd/yyyy) �YYYY)
Pj7RP�SE(see end notes for definitions and esamples) LEVI'2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reductioni � > mills $ < �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00 ',
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsI� 58.000 mills $ 11,677.72
5. Capital ExpendituresL mills $
6. Refunds/Abatements�'I mills $
7. OtherN (specify): mills $
mills $
TOrr,�T � �SumofGeneralOperating � 58.00o mills �D Il 677.72
1 L Subtotal and Lines 3 to 7 �
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: � Title: District Accountant
bzclude o��e copy of this tax entity's completed form 1vl7en,filing tl�e locnl gover��nzent's budget by Januc��y 31st,pw�29-1-113 C.R.S.,N�itla tlae
Division of Local Gover•lvnent(DLG), Roo»r 521, 1313 Sheri�imz Str�eet,Denve��, CO 80203. Qtrestiw7s? Call DLG at(303)866-2156.
I If the taxing entity's boundaries include more than one county,you inust certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor•'s �nal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
CERTIFICATION OF TAX LEVIES, continued
�
�
�
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 �PECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Puipose of Issue: ,
Series: '
Date of Issue:
Coupon Rate:
MatLuity Date:
Levy:
Revenue:
CONTRACTSK:
3. Pui�ose of Contract: To fund the operations and maintenance of Westridge Metropolitan District
No. 5's infrastructure improvements
Title: Intergovernmental agreement with District No. 1
Date: 12/8/2014
Principal Amount:
Maturity Date:
Levy: 58.000
Revenue: 11,677.72
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
€
�
{
Coimty Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersi of Weld County , Colorado. �
�
On behalf of the Northlalce Metropolitan District No. 1 , �
(taxing entity)A �
the Board of Directors �
(governing body)B
of the Nortlilake Mett�opolitan Dist�ict No. 1
(local government)�
Hereby officially certifies the following mills �
to be levied against the taxing entity's GROSS $ 110
aSSeSSOCl ValUatlOri Of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Form DLG S7�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be � 110
CalCulated using the NET AV. The taxing entlty's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived fi•om the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec.15) (mm/dd/yyyy) �YYY3')
PU�OSE(see end notes for definitions and examples) LEVy2 REVENUE2
1. General Operating Expensesx 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reductionl � > mills $ � �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsIz mills $
5. Capital Expenditures'� mills $
6. Refunds/Abatementsn� mills $
7. OtherN (specify): mills $
mills $
TOri,�T � �SumofGeneral Operating � 0.00� m111S .p 0.��
1 L Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: `�� Title: District Accountant
h�clude o�ae copy of tlzis tax entdty's eompleted for»t�a�hen ftling the local govel°n�nerzt's bztdget by.Ianuary 31st,pe1�29-1-113 C.R.S.,��itlz the
Divisio�7 ofLocal Gover��nsent(DLG),Roonz 521, 1313 Sl�eimm7 St�•eet,Denver, CO 80203. Questions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue inust be calculated from the total NET assessed valz�ation(Line 4 of
Farm DLG57 on the County Assessor's mal certification of valuation). I
Form DLG 70(rev 7/08) Page 1 of 4 I
u
�
CERTIFICATION OF TAX LEVIES, continued �
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES `
n
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are �
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the �
Board of County Corrunissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.) ;
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation �
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT: �
fi
t
�`
BONDS': ;
1. Purpose of Issue: k
Series:
Date of Issue:
Coupon Rate: t
Maturity Date:
Levy: �
�
Revenue: �:
,
�
2. Purpose of Issue:
Series:
G
Date of Issue:
Coupon Rate: k
Maturity Date: �'
�,
Levy: `
�
Revenue: �
CONTRACTSI�:
3. Purpose of Contract: "
Title: `'
F
Date: ''
Principal Amount:
Maturity Date: ;;
Levy:
Revenue:
4. Purpose of Contract: i'
Title:
Date: ��;
i
Principal Amount: Ea
Maturity Date:
�;,
Levy: 4:
�
�
Revenue: � �
�,
�
Use multiple copies of this page as necessary to separately report all bond and contt�actual obligations per 32-1-1603,C.R.S. r
�
�:
,.
r
r;
�
f-
is
�
Form DLG 70(rev 7/08) Page 2 of 4
3
�
x
County Ta�Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Northlalce Metropolitan District No. 2 ,
(taxing entity)A
the Board of Directors
(governing body}B �
of the No�tlil�cke Metropolitan District No. 2 ;
(local government)� '
ii
�
Hereby off'icially certifies the following mills �
to be levied against the taxing entity's GROSS $ 5,350
aSSeSSeCi ValUat1O11 Of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Fornl DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be � 5,350
CalcUlated using the NET AV. The taXirig eritlty's total (NETG assessed va(uation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec. 15) (mn�Jdd/yyyy) (YYYY) 4
pURPOs�+ (see end notes for definitions and examples) LEV� REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI � > mills $ < �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsI� 39.000 mills $ 208.65
5. Capital ExpendituresL mills $
6. Refunds/Abatements"1 mills $
7. OtherN (specify): mills $
mills $
TOTAL; (�SumofGeneralOperating � 39.00o mills .p 2�g.65
�Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: %���s� Title: District Accountant
Inclarde one copy of this tax entity's completed forrn N�he1�frling the local government's budget by Januar��31st,per 29-1-113 C.R.S.,�vith the
Divisio��ofLocal Goverlv�aer7t(DLG),Roorn 521, 1313 SJze�•man Stl�eet,Denver, CO 80203. Quesfdw�s? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decunal places and revenue must be calculated fi•om the total NET assessed valzration(Line 4 of
Foi7n DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
�
CERTIFICATION OF TAX LEVIES, continued �
;
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
�;
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the �
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.) ;;
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation �
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively. �
w
i'
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT: l
I
BONDSJ:
l. Purpose of Issue:
Series: `
Date of Issue: '
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
;
Coupon Rate: "
,:
Maturity Date:
Levy:
Revenue:
i:
CONTRACTSI�:
�,
3. Puipose of Contract: To fund the operations and maintenance of Nor�thlake Metropolitan District �
No. 2's infrastructure improvements �
Title: Intergovernmental agreement with District No. 1
Date: 12/8/2014 i:
Principal Amount:
Maturity Date:
Levy: 3 9.000
Revenue: 208.65 ;
4. Pur�ose of Contract: ;
Title: E
Date: �
Principal Amount: `';
Maturity Date:
;_
Levy: �
Revenue:
,';
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S. ''
�
�'s
Form DLG 70(rev 7/08) Page 2 of 4
�
4
Cotmty TaY Entiry Code DOLA LGID/SID / �
;4
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Northlake Metropolitan District No. 3 �
(taxing entity)A
the Board of Directors
(governing body)B
of the No�tlzlake Metropolitan Distt�ict No. 3 —
(local government)�
Hereby officially cei-tifies the following mills
to be levied against the taxing entity's GROSS $ 2,510
2SSeSSOCl ValU2t1OT1 Of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Farm DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be � 2,510
calculated using the NET AV. The tax111g entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Forni DLG 57)
properry tax revenue will be derived froin the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dea 15) (mm/dd/yyyy) �yY5'5'�
�'URPOS�+ (see end notes for definitions and exaniples) LE�2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI < > mills $ � �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ Mills $
4. ContractualObligationsK 39.000 Milis $ 97.89
5. Capital ExpendituresL Mills $
6. Refunds/AbatementsN' Mills $
7. OtherN(specify): Mills $
Mills $
TOTAL; �SumofGeneralOperating � 39.00o Mills .p 97.g9
Subtotal uid Lines 3 to 7
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: � ���' Title: District Accountant _
Laclude o��e copy of this tax erztity's conlpleted forrn ivlze�z fi/ing the local gover���nient's budget by Jnna�a�y 31 st,per 29-1-113 C.R.S.,�a�itl�the
Division of Local GovernnTent(DLG),Roon2 521, 1313 Sl�et°man Street,Denver�, CO 80203. Qarestio��s? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you inust certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated fi�om the total NET assessed valaration(Line 4 of
Form DLG57 on the County Assessor's �nal certification of valuation).
Fonn DLG 70(rev 7/081 Page 1 of 4
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are �
Special Districts or Subdistricts of Special Districts must cei�tify separate mill levies and revenues to the �
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
:
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation �
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively. '
i
�
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT: �
�;
BONDSJ: �
1. Puipose of Issue: �;
Series:
Date of Issue:
Coupon Rate: ;
Maturity Date:
�s
Levy: ;
Revenue:
�
;.;
2. Purpose of Issue:
Series:
Date of Issue: �;
Coupon Rate: �;
Maturity Date: �
Levy: ��
Revenue: i':
G;
i,
CONTRACTSIz:
3. Puipose of Contract: To fund the operations and maintenance of Not�thlalce Metropolitan District
No. 3's infrastructure improvements
Title: Intergovernmental agreement with District No. 1
Date: 12/8/2014
Principal Amount: ',`_,_
Maturity Date: r
Levy: 39.000 `''
i
Revenue: 97.89
i
4. Purpose of Contract:
Title: '`'
u
�
Date:
�
Principal Amount: j
Maturity Date:
Levy: �
�
Revenue:
�,
Use multiple copies of this page as necessaiy to separately report all bond and contractual obligations per 32-1-1603,C.R.S. `
j';
E.
�;
i
Form DLG 70(rev 7/08) Page 2 of 4
Q
County Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners1 of Weld County , Colorado.
On behalf of the Northlake Metropolitan District No. 4 ,
(taxing entity)A
the Board of Directors };
(governing body)B
��
of the Northlake Metropolitan District No. 4 �
(local government)� �
Hereby officially certifies the following mills ,�
to be levied against the taxing entity's GROSS $ 6,030
aSSOSSeCl ValU2tlOri Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Farm DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be � 6,030
CalCulated using the NET AV. The taxlrig entlty's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the inill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec. I S) (mmldd/yyyy) (yyy}')
i
PURPOSE(see end notes for definitions and examples) LEVYz REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reductioni � > mills $ < �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsi� 39.000 mills $ 235.17 '
5. Capital ExpendituresL mills $
6. Refunds/AbatementsM mills $
7. OtherN(specify): mills $
mills $
TOri,AT � r Sum of General Operating� Q
1 L �Subtotal and Lines 3 to 7 39.��� mills .p 235.17
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: � Titie: District Accountant
��
baclude a2e copy of this tax entit��'s completed fornz rovhen filing tlae local gove��nment's btrdget by Jm�ua�y 31 st,per 29-1-113 C.R.S.,tinitl�the
Division of Local Gover�nment(DLG),Roorn 521, 1313 Slzermnn Street,Denver, CO 80203. Qz�estions? Cal/DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated from the total�VET assessed valzration(Line 4 of
Form DLG57 on the County Assessor's rf�al certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
�
�
�
CERTIFICATION OF TAX LEVIES, continued �
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES '
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are ,5
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the �
�
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.) �
�
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively. �
�;
�
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT: �
�
i�;
BONDSJ: ,.
1. Puipose of Issue:
�
Series: `
Date of Issue:
G
Coupon Rate: €
Maturity Date:
Levy:
Revenue: ''
2. Purpose of Issue:
Series: `'
Date of Issue: �
Coupon Rate: �;
Maturity Date: �
Levy: F
Revenue:
�
j:.'
CONTRACTS��: �
3. Puipose of Contract: To fund the operations and maintenance of Northlake Metropolitan District
No. 4's infrastructure improvements
Title: Intergovernmental agreement with District No. 1 i
Date: 12/8/2014 ;`;
Principal Amount:
�;
Maturity Date:
Levy: 39.000
Revenue: 23 5.17 �
i
4. Purpose of Contract:
Title:
Date:
r:
Principal Amount:
Maturity Date: i
Levy: �
Revenue:
�
�
Use multiple copies of this page as necessaiy to separately report all bond and contractual obligations per 32-1-1603,C.R.S. �
�'
i
k
Form DLG 70(rev 7l08) Page 2 of 4
Counry Tar Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Northlake Metropolitan District No. 5 � �
(taxing entity)A
the Board of Directors �
(governing body)B
of the Nortlalake Metro olitan Distrrct No. S
(local government)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 1,690
assessed valuation of: �GxossD assessea�al��ar�on,Line 2 of the Certification of Valuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 1,690
CalCulated uslrig the NET AV. The taXlrig eritity'S total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec.15) (mm/ddlyyyy) ��y�
pjJ��,�E(see end notes for definitions and examples) LE�2 REVENUE2
l. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Crediti � �
Temporary Mill Levy Rate Reductionr � > mills $
SUBTOTAL FOR GENERAL OPERATING: �0.000 �mills C—_— 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK 39.000 mills $ 65.91
5. Capital ExpendituresL mills $
6. Refunds/Abatements�'I mills $
7. OtherN(specify): mills $
mills $
TOrr,AT ' r Sum of General Operating 39.000 mills � 65.91
1 L. �Subtotal and Lines 3 to 7 �
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: �� Title: District Accountant
b�clude one copy of this taa entity's contpleted fornr rvl�e�7 filing the local gover�nnaent's btidget by Janumy 31 st,per 29-1-113 C.R.S.,with the
Division of Local Governmeizt(DLG),Roorrz 521, 1313 Sherrnan Sh°eet,Denver�, CO 80203. Qtrestions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated fi•om the total NET assessed valaration(Line 4 of
Form DLG57 on the County Assessor's mal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
�
CERTIFICATION OF TAX LEVIES, continued �
�
THIS SECTION APPLIES TO TITLE 32 ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES 5
FOR PAYMENT OF GENERAI, OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation '
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Putpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
A
Matui�ity Date:
Levy:
Revenue:
CONTRACTSI�:
3. Purpose of Contract: To fund the operations and maintenance of Northlalce Metropolitan District
No. 5's infrastructure improvements
Title: Intergovernmental agreement with District No 1 �
Date: 12/8/2014
Principal Amount:
Maturity Date:
Levy: 3 9.000
Revenue: 65 91
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date: �
Levy:
Revenue: .;
Use multiple copies of this page as necessaiy to sepat•ately report all bond and contractual obligations per 32-1-1603, C.R.S,
�
Form DLG 70(rev 7/08) Page 2 of 4
1537 County Tax Entity Code DOLA LGID/SID 66518
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Redtail Ranch Metropolitan District ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the Redtail Ranch Metropolitan District
(local govemment)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 650,050
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financing(TIF)Area�the tax levies must be $ 650,050
CalCulat�d uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Cerkification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlVed frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuatiOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 15.000 mills $9,751
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 15.000 mills $9,751
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 15.��� m1�IS � 9,751
Contact person: Daytime
(print) Kevin Collins phone: 303-779-5710
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Governrrcent(DGG1. Rooin 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and certify the same levies uniformly to each counry per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
County Tas Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for I�ON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the The Reseive Metropolitan District No. 1 ,
(taYing entity)A
the Board of Directors
(governing body)B
i:
of the TJze Reserve�Vletropolita�z District No. 1
(local government)� !'
Hereby officially certifies the following mills �
to be levied against the taxing entity's GROSS $ 70
2SSOSSOCl V2IA2tlOri Of: (GROSSD assessed valuation,Line 2 oftlie Certification of Valuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation �
(AV)different than the GROSS AV due to a Tax �
Increment Financing(TIF)Arear the tax levies must be � 70 �
CalCulated using the NET AV. The taxing entlty'S total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57) �
property tax revenue will be derived from the mill levy �
multiplied against the NET assessed valuation of:
Submitted: 12/1�/2017 for budget/fiscal year 2018
(not later tl�an Dec.15) (mm/dd/yyyy) (yyyy) �
�
PURPOSE(see end notes for definitions and examples) LEVy2 REVENUE2
�
l. General Operating ExpensesH 0.000 mills $ 0.00 �
2. <Minus>Temporary General Property Tax Credit/ �
Temporary Mill Levy Rate Reductioni � > mills $ < > j
,r
SUBTOTAL FOR GENERAL OPERATING: 0.000 milis $ 0.00
3. General Obligation Bonds and Interest' mills $
4. ConhactualObligationsr� mills $ �
�
5. Capital ExpendituresL mills $
6. Refunds/AbatementsNl mills $
7. OtherN(specify): mills $
mills $
TOr�-��T � SumofGeneralOperating
1 L �Subtotal and Lines 3 to 7 � �.��� I11111S � �.��
i
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: ��'���� Title: District Accountant
��
Include one copy of tlzis tax entity's conipleted for�n�a�hen filing the local governmef7t's budget by,Inmrar��31st,per 29-1-113 C.R.S.,ti�vith tJae
Division of Local GoveT•nment(DLG),Rooni 521, 1313 Shet•man Str�eet,Dem�e�°, CO 80203. Qarestio�7s? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET ussessed valaration(Line 4 of
Form DLG57 on the County Assessor's mal certification of valuation).
Form DLG 70(rev?(08) Page 1 of 4
�
CERTIFICATION OF TAX LEVIES, continued �
,
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's totallevies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date;
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Puipose of Contt•act:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Puipose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and conh�actual obligations per 32-1-1603,C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
�
�
County Ta�Entity Code DOLA LGID/SID / �
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the The Reserve Metropolitan District No. 2 �
(taxing entity)A
,
the Board of Directors
(governing body)B
of the Tlre Reserve Metr�opolitan District No. 2
(local govemment)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 2,140
2SSeSSOCl ValU2t1O11 Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E) ,
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 2,140
CalCulated uslrig the NET AV. The taxing entity'S total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived fi•om the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec.15) (mm/dd/yyyy) �3'5'5'Y�
PURPOSE(see end notes for definitions and esamples) T.E�Z REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax
Credit/Temporary Mill Levy Rate ReductionI � >mills $ � �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills ��-- 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK 50.000 mills $ 107.00
5. Capital ExpendituresL mills $
6. Refunds/Abatements�'I mills $
7. OtherN (specify): mills $
mills $
TOrr,�T � �Sum of General Operating� 50.000 mills � 107•��
1 L Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: � Title: District Accountant
Incla�de o�ae cop��of this tax entiry's con2pleted form when filing the local gove�°nnsel�t's budget by Ja�zumy 31 st,pef•29-1-113 C.R.S.,ivitlz the
Ddvisaon of Loeal Gover•mnent(DLG),Room 521, 1313 Slaerman Street,Denver, CO 80203. Qtcestions? Cal]DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to tluee decimal places and revenue must be calculated fi�om the total NET assessed valaiation(Line 4 of
Form DLG57 on the County Assessor's mal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
3
�
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32 ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are �
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Puipose of Issue:
Series:
Date of Issue: i
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSI�:
3. Putpose of Contract: To fund the operations and maintenance of The Reserve Metropolitan
District No 2's infrastructure improvements
Title: Intergovermmental agreement with District No. 1
Date: 12/8/2014
Principal Amount:
Maturity Date:
Levy: 50.000
Revenue: 107.00
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and conhactual obligations per 32-1-1603, C.R.S.
Forni DLG 70(rev 7l08) Page 2 of 4
Couuty Tas Entity Code DOLA LGID/S1D /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
�
TO: County Commissionersl of Weld County , Colorado. �
�
On behalf of the The Reserve Metropolitan District No. 3 �
(taYing entity)A �
the Board of Directors
(governing body)B
of the Tlae Reserve Metropolitan Dist�ict No. 3
(local government)�
Hereby officially cei-tifies the following mills
to be levied against the taxing entity's GROSS $ 2,961,950
aSSeSSOCl ValUatlOri Of: (GROSSD assessed valuatiou,Line 2 of the Certification of Valuation Form DLG 57�) �
Note: If the assessor certif'ied a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be $ 2,961,950
calCulated uslrig the NET AV. The taXing entlty's total (NETG assessed valuation,Line 4 ofthe Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec.15) (mm/dd/yyyy) ���
PURPOS�+ (see end notes for definitions a�id examples) LE�Z REVENUE2
l. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reductioni � > mills $ � �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsIz 50.000 mills $ 148,097.50
5. Capital ExpendituresL mills $
6. Refunds/AbatementsNl mills $
7. OtherN (specify): mills $
mills $
TOTAL: Sum of General Operating SO.Q�� mills $ 148��97.5�
�Subtotal and Lines 3 to 7 �
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed• ��o-���—� Title: District Accountant
bzelude o��e copy of tl�is tax entity's completed form rnhen fsling tlze local gonei°�v�zent's budgefi by Janarary 31st,per•29-1-113 C.R.S.,��it17 the
Division of Local Goverr�ment(DLG),Room 521, 1313 Sher�mm�Sh�eet,Denver•, CO 80203. Questions? Call DLG at(303)866-2156.
I If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed vala�ation(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
�
CERTIFICATION OF TAX LEVIES, continued �
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXE�
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are �
u
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the �
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation f
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
�
BONDSJ: '
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Puipose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract: To fund the operations and maintenance of The Reseive Metropolitan
District No. 3's infiastiucture improvements
Title: Intergovernmental agreement with District No. 1
Date: 12/8/2014
Principal Amount: ,
Maturity Date:
Levy: 50.000
Revenue: 148,097.50
4. Puipose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
-��
�.�,,, M c G EA�Y _.�_.-., ° ,_ �� °:-�
.�� �� _.�: � - ��
�►.`����. B EC H ER --
� �� Special District Law ��� � �, ���E
UVEL� �t�i��!"��`�,�����
December 13, 2017 GREEI�E�, �a�����Al�(a
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Office of the State Auditor Board of County Commissioners
Local Government Audit Division Weld County
1525 Sherman St., 7th Floor P.O. Box 758
Denver, Colorado 80203 Greeley, CO 80632
Via E-Filing Portal:
Division of Local Government
1313 Sherman St., Suite 521
Denver, CO 80203
Re: Eastern Corridor Metropolitan District
Dear Sir or Madam:
Pursuant to Section 32-1-104(4), C.R.S.,please find enclosed a Special District Annual Notice of
Continuing Inactive Status for the above-referenced district.
If you have any questions or concerns,please feel free to contact me.
Very truly yours,
MCGEADY BECHER P.C.
Emilee D. Hansen
Paralegal
Enclosure
c: Weld Cou��ty Assessor(via U.S. Mail)
Weld County Clerk and Recorder (via U.S. Mail)
Weld County Treasurer(via U.S. Mail)
Board of Trustees of the Town of Hudson (via U.S. Mail)
4�� E. ��t� :�ti}e���i�, S��€t� ���, �1�r��er; C� ��2t��-i 2�4 I ���.5�2.43�i� I �n��^�vv.���c���c�i�tr��t���v,c��r�
{00595538.DOCX v:l }
� • COLORADO
,� � Department of Local Affairs
' Division of Local Government
Title 32, Article 1 Special District Annual Notice of Continuing Inactive Status
NOTICE IS HEREBY GIVEN
the Eastern Corridor Metro olitan District 66586 (LGID)
in Weld County, Colorado
pursuant to subsection 32-1-104(4) C.R.S., and upon the attached authorization of the current
board of the District, is continuing as an Inactive Special District as defined by
C.R.S. 32-1-103(9.3)for the fiscal year beginning: Janua 1. 2018
NOTICE IS FURTHER GIVEN, pursuant to subsection 32-1-104(4) C.R.S., the District has not and
shall not issue any debt, impose a mill levy, or conduct any other official business other than to
conduct elections and to undertake procedures necessary to implement the district's intention to
return to active status.
District Contact Person: MarvAnn M. McGeadv Phone: 303-592-4380
Contact Signalur�_ �-. Date: �2
Contact Email Address msnc ea�! s �3aldisfrictlaw.com
District Business Address: 450 E. 17�h Avenue. Suite 440
Business Address(cont.) _
Address City/State/Zip: Denver, CO 80203
Elected or Term
Directors Appaint�d Ex�3,Yr.
1. �oard Chair: oel Farkas E 2018
2. Director: oni Serra E 2018
3. Director: acant 2Q2�
4. Director: Vacant 2020
5. Director : Vaca nt 2020
6. Director:
7. Director:
I Generally,per C.R.S.32-1-104(5),Inactive Special Districts shall be exempt from compliance with the provisions of:
• 32-1-104(2)-Annual January 15�h Contact Filing; • Title 29,Art 1,Part 2-List of Contracts
• 32-1-306-Annual January 1st Map Filing • Title 29,Art 1,Part 6-Audit Law
• 32-1-809-Annual January 15th Notice to Electors • Title 39,Art 1,Part 1 -Notices of Boundary Change,Intent to Levy
• 32-1-903-Meetings • Title 39,Art 5,Part 1 -Annual Mill Levy Certification
• Title 29,Art 1,Part 1 -Budget Law
PROCEDURALINSTRUCTIONS
As directed in 32-1-104(3)(b)C.R.S.,by Certified Mail,Return Receipt Requested except where electronic filing is reauired by the
receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15�h with:
• the Office of the State Auditor;
• the Division of Local Government(ELECTRONIC FILING REQUIRED—www.clala.caloradv.gavle-fillna --);and
• the Board of County Commissioners of each county in which the District is located as confirmation of the DistricYs intent to not certify
a mill G� for collection in the u�earnin fiscal year.
Rev. 6/1.� ._
,:i�z�r_�r-.,,
'�iC•''j �U'P°i
Governor John W. Hickenlooper � Iry Halter, Executive Director � Chantal Unfug, Division Director I i;w�I ; - �°J��in�
1313 Sherman Street, Room 521, Denver, C0 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.colorado.�ov I :,*1;_, ,'� .. ,!*�
Strengthening Colorado Communities � L�����h*`
{00595539.DOCX v:1}
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1542 counr�raX Ennn coae �oLA LGi�isi� 66584�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the LLA METRO DISTRICT #1 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe LLA Metropolitan District No. 1
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 3250
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 3250
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Diane K Wheeler phone: ( � (303)689-0833
������W������ District Accountant
S1g11eC�: orz�,z K wi,e�iE���o��ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Dianne D. Miller Michael E. Davis
Admitted in Colorado and Admitted in Colorado
New Mexico '� Richard K. Sans Soucy
� � Admitted in Colorado
• , ' Chelsea W. Rengel
� �' Admitted in Colorado
and Idaho
December 12, 2017
VIA EMAIL assessorefile(a�co.weld.co.us
Weld County Assessor's Office
Re: Mill Levy Certifications
LLA Metropolitan District No. 2
To Whom It May Concern:
Enclosed please find the form DLG 70 for the above-captioned district located in Weld
County for the 2018 fiscal year. Please contact me with any questions or concerns. Thank you.
Sincerely,
MILLER&ASSOCIATES LAW OFFICES, LLC
% ' � ,��� � ' 1, � ,�;:l�t_�.��
� � , �__� ,
Marisa Davis
Paralegal
Enclosures
1641 California St Suite 300 � Denver, CO � 80202
p: (303) 285-5320 � f: (303) 285-5330 � www.ddmalaw.coin
1543 County Tax Entity Code DOLA LGID.SID 66585
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld Count , Colorado.
On behalf of the LLA Metropolitan District No. 2 ,
(taxing entity)A ^
the Board of Directors
(goveming body)a
of the LLA Metro olitan District No. 2
(local govemment)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 907,300
aSSOSSeCI ValUatlOri Of: (GROSS�assessed valuation,Line 2 of ihe Certification of Valuation Fonn DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be $ 907,300
calculated using the NET AV. The taxing entity's total (NETC assessed valuation,Line 4 of the Certification of Valuation Fonn DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERT[EICATION OF VALUATION PROV[DED
multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/12/2017 for budget/fiscal year 2018
(not later than De�. I S) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVIi2 REVENUEz
1. General Operating Expenses" 55.000 mills $49,901.50
2. <Minus>Temporary General Property Tax Creditl
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 55.000 mills $49,901.50
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures� mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: �Subtota and L nOes 3 to'7 � 55.��0 mills $49�9�1.50
Contact person: Daytime
(print) Diane K Wheeler phone: (303) 689-0833
Signed: Title: District Accountant
Include one copy of this tczr entity s completed forni tirhen filing the locnl government's budget by Jnnunry 31 st,per 29-I-113 C.R.S., with the
Division of Local Government(DLG),Room 521, 1313 Shern:nn Street,Denver, CO 80203. Qirestions? Cnll DLG nt(303)866-2156.
�If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed vnluation (Line 4 of
Form DLG57 on the County Assessor's inal certification of valuation).
Form DLG 70(rev 7 08) Page 1 of 4
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Fortn DLG 70(rev 7 08) Page 2 of 4
LLA Metropolitan District No. 2
Adopted Budget
General Fund
For the Year ended December 31, 2018
Adopted Amended Adopted
Actual Budget Budget Actual Estimate Budget
2016 2017 2017 6130117 2017 2018
Beginning fund balance S - S 3,644 S - S 3,644 5 3,644 S -
Revenues:
Property taxes 185,006 61,461 61,461 61,461 61,461 49,902
Specific ownership taxes 10,699 4,917 4,917 2,226 5,000 4,990
Developeradvances - - 25,000 - 13,000 -
Intergovernmental Revenue -
Interest income 214 - - 88 170 -
Total revenues 195,919 66,378 91,378 63,775 79,631 54,892
Total funds available 195,919 70,022 91,378 67,419 83,275 54,892
Expenditures:
Accounting I audit - - 3,000 - 3,000 1,500
InsurancelSDA dues - - 3,000 - - 2,900
Legal - - 10,000 - 10,000 4,500
Intergovernmental Transfer to LLA#1 189,500 - - - - -
Treasurer fees 2,775 922 922 922 922 749
Transfer to District#1 - 65,428 65,428 7,650 69,353 44,970
Contingency - - 8,520 - - -
Emergency reserue(3%) - 28 508 - - 273
Total expenditures 192,275 66,378 91,378 8,572 83,275 54,892
Ending fund balance S 3,644 5 3,644 5 - S 58,847 S - 5 -
Assessed valuation S 878,010 S 878,010 S 907,300
Mill Levy 70.000 70.000 55.000
1544 County Tax Entity Code DOLA LGID/SID 66599
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersi of WELD COLTNTY , Colorado.
On behalf of the WESTVIEW METRO DISTRICT ,
(taxing entity)'�
the BOARD OF DIRECTORS
(governing body)B
of the WESTVIEW METRO DISTRICT
(local govemment)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 111,340
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
increment Financin�(TIF)AreaF the tax levies must be $ 111,340
C&ICul&t0d uSing th0 NET AV. TI10 taxing 0ntlty'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhplied agalnSt the NET aSSeSSed ValUatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/1 U2017 for budget/fiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 55.277 mills $ 6,155
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 55.277 mills $ 6,155
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating
1 �Subtotal and Lines 3 to 7 � 55.277 m1�IS � 6�155
Contact person: Daytime
(print) Jason Carroll phone: ( 303 ) 779-5710
Signed: �� Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division of Local Government(DLG), Room 521, 1313 Sherman Street,Denver, CO 80203. Questions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1545 counry raX Enncy coae �oLA LGl�isi� 66625
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners� of Weld County , Colorado.
On behalf of the 232 Metropolitan District
�
A
(taxing entity)
the Board of Directors
(governing body)B
of the 232 Metropolitan District
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 470,770
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 470,770
CalCulated using the NET AV. The taXing entlty'S total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 5�)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 50.000 mills $ 23,539
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < 0.000 > mills $ < � >
SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 23,539
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
•I•��•AL� rSumofGeneralOperating 1 50.0QQ m111S � 23,539
Subtotal and Lines 3 to 7 I
Contact person: Daytime
(print) Michael Bakarich phone: ( ���) 499-0020
Signed: Ntu;Gu�.e-G 8�r;c�� G�,4 Title: District Accountant
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the tazing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue: N/A
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1546 County Tax Entity Code DOLA LGID/SID 66679 /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the North Land Industrial Metropolitan District No. 1 ,
(taxing entity)A
the Board of Directors
(goveming body)B
of the North Land Industrial Metropolitan District No. 1
(local government)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 20
assessed valuation o£ (GROSS�assessed valuation,Line 2 of the Certification of Valuation Fortn DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(T1F)AreaF the tax levies must be $ 20
calculated using the NET AV. The taxing entity'S tOtSl (NETG assessed valuation,Line 4 of the Certification of Valuation Fortn DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec. I S) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVYz REVENUEZ
1. General Operating Expenses" 0.000 mills $ 0
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0
3. General Obligation Bonds and Interest' mills $
4. ContractualObligationsK mills $
5. Capital Expenditures� mills $
6. Refunds/Abatements"' mills $
7. Other"(specify): mills $
mills $
TOTAL: Sum of General Operating
�Subtotal and Lines 3 to 7 � �.0�0 I11111S $ 0
Contact person: Daytime
(print) o ons phone: (303) 689-0833
Signed: Title: District Accountant
Include one copy of this t ntity's completed form when filing the local government's budget by January 31st,per 29-I-/13 C.R.S.,with the
Division of Local Governmen (DLG),Room 52J, 1313 Sherman Street,Denver, CO 80203. Questions? Cal/DLG at(303)866-2156.
� If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
CERTIFICATION OF TAX LEVIES, conNnued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
1547 Counry Taz Bntity Codc DOLA LGID/SID G6680 /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners� of Weld County , Colorado.
On behalf of the North Land Industrial Metropolitan District No. 2 ,
(taring entity)�
the Board of Directors
(govcming body)B
of the North Land Industrial Metropolitan District No. 2
^ (local govcrnmcnt)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 567,220
assessed valuation of: (GROSS�assessed valuation.Line 2 of'the Certification of Valuation f orm DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be $ 567,220
calculated using the NET AV. The taxing entity'S tOt11 (NCT�assessed vlluation,Line 4 of the Ccrtification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USL VALUE FROM FIN:�L CERTIFICA7ION OH VALI'ATION PROVIDED
multiplied against the NET assessed valuation of: Bl ASSESSOR NO LATER I'11AN DECEMI3ER IU
Submitted: 12/14/2017 for budgedfiscal year 2018
(notlaterthan Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVYz REVENUEz
1. General Operating Expenses" 50.000 mills $28,361
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' � � mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 28,361
3. General Obligation Bonds and Interest� mills $
4. ContractualObligations'` mills $
5. Capital Expenditures� mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL; rSumofGeneralOperating � 50.��0 mills $28 361
�Subtotal and Lines 3 to 7 �
Contact person: Daytime
(print) . Simmons phone: (303) 689-0833
Signed: Title: District Accountant
Inc/«de one copy of dris r entitv's completed form when fi/ing!he loca/government's budge�by Jun:�ary 3/st,per 29-1-!/3 C.R.S.,wilh 1he
Division of Local Gover•nnr 1(DLG), Room 511, l3/3 Slterrnm:Shret, Denver, CO 80203. O:res�ions? Cn!!DLG at(303)866-2/56.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Pomi DLG 70(rev 7/08) Page I of 4
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPFCIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS�:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
�
�
County Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Severance Shores Metropolitan District No. 1 �
� �
�
�
(taxing entity)A y
the Board of Directors �'°�
(goveming body)B
of the Severance Sho�es Metropolitan Dist�ict No. 1 �
(local govemment)� �
�
Hereby officially cei-tifies the following mills �
to be levied against the taxing entity's GROSS $ 10 �
aSSOSS8Cl ValUatlOri Of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG S7E) ;�
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be � 10
calculated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£ ;
Submitted: 12/1 S/2017 for budget/fiscal year 2018
c
(not later than Dea 15) (mm/dd/yyyy) (yyyy)
�
i
PU��SE(see end notes for definitions and examples) LEvy2 REVENUE2 I'
1. General Operating ExpensesH 0.000 mills $ 0.00 �'�
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI � > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills � 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK 0.000 mills $ 0.00
5. Capital ExpenditLuesL mills $ �
6. Refunds/Abatements�I mills $ '
7. OtherN (specify): mills $
mills $
TOTAL; SumofGeneralOperating Q
�Subtotal and Lines 3 to 7 ] 0.000 mills .p 0.��
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: �����,� Title: District Accountant
b�cla�de one copy of this tax entity's conipleted for�m lvhen fili�zg the local govermnent's ba�dget by Janua�y 31st,per 29-1-113 C.R.S.,���itl�the
Division of Loeal Govef°nntent(DLG),Room 521, 1313 Sherman Sfreet, Denve�°, CO 80203. Qarestio�2s? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and cei�tify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valaration(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
r
h
CERTIFICATION OF TAX LEVIES, continued �
�
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES �
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are �
Special Districts or Subdistricts of Special Districts must cei�tify separate mill levies and revenues to the �
�
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.) �
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation ;
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
�
r
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT: `'
�
i
BONDSJ: I
,
1. Purpose of Issue: i
Series:
Date of Issue: ��
Coupon Rate: ',
Maturity Date: �;
;
�
Levy: ��
Revenue: �
li
:,
2. Purpose of Issue: �
Series: t"
��
Date of Issue: I�
Coupon Rate: If�
Maturity Date:
��
LevY� 'f
�a
Revenue: '�
CONTRACTSK: `�
3. Purpose of Contract: ��
Title: �
Date: �
Principal Amount:
�
Maturity Date: '
Levy: ��
r
Revenue: �
�
4. Puipose of Contract:
Title:
Date: �
Principal Amount:
Maturity Date: �
Levy: �
Revenue: �
�
Use multiple copies of this page as necessary to separately report all bond and conh•actual obligations per 32-1-1603,C.R.S. �
t
�
€
k(
I
1
1
Forni DLG 70(rev 7/08) Page 2 of 4 �
i3
k
�
Counry Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
�
On behalf of the Severance Shores Metropolitan District No. 2 �
> �
(taxing enriry)A �
N
the Board of Directors
(governing body)B �
i�
of the Seve�ance Slzores Met�opolztccn Dist�ict No. 2 l�
(local government)� I
Hereby officially certifies the following mills �
to be levied against the taxing entity's GROSS $ 73,350
aSSOSSeC�V2IU2t1OT1 Of: (GROSSD assessed valuation,Line 2 of the Certification of Va(uation Form DLG 57�) '
�
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax [
Increment Financing(TIF)Area''the tax levies must be $ 73,350
E
CalCulated usirig the NET AV. The taxing entlty's total (NETG assessed valuation,Line 4 of the Certificatiou of Vahiation Form DLG 57)
property tax revenue will be derived from the milllevy i
multiplied against the NET assessed valuation of: �
Submitted: 12/I S/2017 for budget/fiscal year 2018 �
(not later than Dea 15) (mm/dd/yyyy) (yyyy) l
PU�OSE(see end notes for definitions and examples) LEVY2 REVENUEZ '
l. General Operating ExpensesH mills
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI � � mills $ < >
�
i
SUBTOTAL FOR GENERAL OPERATING: mills I
3. Generai Obligation Bonds and InterestJ mills $
4. ContractualObligationsi� 50.000 mills $ 3,667.50
5. Capital ExpendituresL milis $
6. Refunds/Abatements�I mills $
7. OtherN (specify): mills $
mills $
TOr�,�T � Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � 5�.�0� mills $3,667.�J0
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: ����,� Title: District Accountant
Include one copy of this tax entity's conlpleted form ronhen frling tl�e local governnzerat's budget by January 31st,per 29-1-113 C.R.S.,ivith the
Divisio�7 ofLocal Govel�mnent(DLG),Roorn 521, 1313 Shernlan Sb�eet,De17ve1�, CO 80203. Qzrestions? Ca11 DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colarado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valzration(Line 4 of
Form DLG57 on the County Assessor's mal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
i
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the �
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.) �
Use additional pages as necessary. The Special District's or Subdistrict's totallevies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Puipose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue: -
Series: Ga
Date of Issue: �
Coupon Rate: �
Maturity Date: ��
�
Levy: %�
Revenue: �'�
CONTRACTSI�:
3, Puipose of Contract: To fund the operations and maintenance of Severance Shores Metropolitan
t
District No. 2's infrastructure improvements
Title: Inter-District Intergovernmental Agreement with District No. 1
Date: 8/31/2016
Principal Amount:
Maturity Date: '
�
Levy: 50.000 `
Revenue: 3,667.50
4. Puipose of Contract:
Title:
Date:
Principal Amount;
Maturity Date: �
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
E
E
County Tax Entity Code DOLA LGID/SID / F
�
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments �
TO: County Commissionersl of Weld County , Colorado.
�
On behalf of the Severance Shores Metropolitan District No. 3 ,
(tazing entity)A �
�
the Board of Di�ectors �
(governing body)B
of the Severance Sho�es Metropolitan Dist�ict No. 3 �
(local government)�
Hereby officially certifies the following mills ''
to be levied against the taxing entity's GROSS $ 10,500
aSSOSSeCl V2IUat1O11 Of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Form DLG 57�)
i
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 10,500
CalCulated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 ofthe Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/I S/2017 for budget/fiscal year 2018
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
pU��SE(see end notes for definitions and esamples) L�+V� REVENUE2
1. General Operating ExpensesH mills
2. <Minus>Temporary General Property Tax Credit/ �
Temporary Mill Levy Rate ReductionI � > mills $ � >
SUBTOTAL FOR GENERAL OPERATING: _ mills !i
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsi� 50.000 mills $ 525.00
5. Capital ExpendituresL mills $
6. Refunds/Abatements�I mills $
7. OtherN (specify): mills $
mills $
TOr�.�T � SumofGeneralOperating
1 L [subcocat ana L�nes 3 to� ] 50.000 mills $525.00
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: �����' Title: District Accountant
Ir�clarde o�ae copy ofthis tax entity's cornpleted fof•m 1�vhen filing the local gove��nment's birclget by,Ianarar��31st per 29-1-113 C.R.S.,witTz tl�e
Divislo�2 ofLocal Governnze��t(DLG),Room 521, 1313 Sher•mnn Sh�eet, Derzver, CO 80203. Questiolas? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the saine levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
z Levies must be rounded to three decunal places and revenue must be calculated from the total NET assessed valaiation(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Disti7cts or Subdistricts of Special Districts must cei-tify separate mill levies and revenues to the �
3
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation �,:
�
bonds and totallevies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
i
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
�
BONDSJ: `
1. Purpose of Issue: �
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series: �
Date of Issue: =
�:
Coupon Rate: �
k^
Maturity Date: k'
Levy:
Revenue:
�
CONTRACTSIz:
3. Purpose of Contract: To fund the operations and maintenance of Severance Shores Metropolitan �
District No. 3's infrastructure improvements �
Title: Inter-District Intergovernmental Agreement with District No.l �
Date: 8/31/2016 �
Principal Amount:
Maturity Date:
Levy: 50.000
Revenue: 525.00
4. Puipose of Contract:
Title:
Date:
Principal Amount;
Maturity Date: i
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
�i:.;
i.
�:
�.
[__
Form DLG 70(rev 7J08) Page 2 of 4
N
�
6
County Tax Entity Code DOLA LG1D/SID / 5
CERTIFICATION OI' 'I'AX LEVIES for NON-SCHOOL Governments �
TO: County Commissionersl of Weld County , Colorado.
�
On behalf of the Severance Shores Metropolitan District No. 4 ,
(taxing entity)A G
�
the Board of Directors y
(governing body)B �
of the Sevef�ance Shores Metropolitan District No. 4
(local government)�
Hereby officially cez-tifies the following mills �
to be levied against the taxing entity's GROSS $ 277,560 �
i
2SS0SSeCj V11Uat1O11 Of: (GROSSD assessed valuation,Line 2 of tlie Certification of Valuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be $ 277,560
CalCulated using the NET AV. The taxing eritity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
properly tax revenue will be derived fi�om the mill levy
multiplied against the NET assessed valuation of: '
Submitted: 12/I S/2017 for budget/fiscal year 2018 �
(not later than Dea 15) (mn�/dd/yyyy) (yyYY) i
I
PURPO,SE(see end notes for definitions and examples} LF.Vy2 REVENUE2 !
1. General Operating ExpensesH mills
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI � � mills $ < >
SUBTOTAL FOR GENERAL OPERATING: mills �—
3. General Obligation Bonds and Interest' mills $
4. ContractualObligationsIz 50.000 mills $ 13,878.00
5. Capital ExpendituresL mills $
6. Refunds/AbatementsN' mills $
7. OtherN (specify): mills $
mills $
TOTAL; Sum of General Operating
�Subtotal and Liues 3 to 7 � 5�.��� mills $13�g7g.��
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: �-3�/�" Title: District Accountant
Irzclarde one copy of this tcU�entity's conzpleted forna�vlzen filing tlae local gover�zment's bzrdget by Janaraiy 31st,pe��29-1-113 C.R.S.,tivi�h the
Division ofLoeal Governrnent(DLG),Roorn 521, 1313 Sherr�zaf�Sfieet,Denver•, CO 80203. Qarestions? Cnll DLG nt(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate fonn
far each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to tluee decimal places and revenue must be calculated fi�om the total NET assessed valzration(Line 4 of
Form DLG57 on the County Assessor's r»al certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY T�XES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must cer-tify separate mill levies and revenues to the ;
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.) j';
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation �
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
l. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
��
Revenue:
t
2. Puipose of Issue:
i
Series: k
Date of Issue: E
�
Coupon Rate: �
Maturity Date: ,
Levy: �I
Revenue:
CONTRACTSI�:
3. Purpose of Contract: To fund the operations and maintenance of Severance Shores Metropolitan
District No. 4's infrastructure improvements
Title: Inter-District Intergovernmental Agreement with District No. 1 '
Date: 8/31/2016 '
Principal Amount:
Maturity Date:
Levy: 50.000
Revenue: 13,878.00 �
4. Purpose of Contract: !
Title: �
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1553 counri raX Ennn coae �oLA LGi�isi� 66648�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the TAILHOLT METRO DISTRICT #1 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Tailholt Metropolitan District#1
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 50
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 50
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 50.000 mills $ 3.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.0 mills $ 3
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �SumofGeneralOperating � Jr�.Q m��s � 3
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Guy D..lohnson phone: ( � 970-223-2823
Signed: � `� ����� Title: District Manager
��y �a�,�,so�,��e���-�zo��;
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1554 counr�raX Ennn coae �oLA LGi�isi� 66649�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the TAILHOLT METRO DISTRICT #2 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Tailholt Metropolitan District#2
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 67050
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 67050
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
1. General Operating ExpensesH 50.00 mills $ 3353.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.0 mills $ 3,353
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �SumofGeneralOperating � Jr0.0 m��s � 3 3Jr3
I Subtotal and Lines 3 to 7 '
Contact person: Daytime
(print) Guy D..lohnson phone: ( � 970-223-2823
Signed: � `� ����� Title: District Manager
��y �a�,�,so�,��e���-�zo��;
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1555 counr�raX Ennn coae �oLA LGi�isi� 66650�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the TAILHOLT METRO DISTRICT #3 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Tailholt Metropolitan District#3
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 1630110
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 1630110
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 50.000 mills $ 3.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.0 mills $ 3
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �SumofGeneralOperating � Jr�.Q m��s � 3
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Guy D..lohnson phone: ( � 970-223-2823
Signed: � `� ����� Title: Distirct Manager
��y �a�,�,so�,��e�:.�o�„
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1555 counr�raX Ennn coae �oLA LGi�isi� 66650�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the TAILHOLT METRO DISTRICT #3 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Tailholt Metropolitan District#3
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 1,630,110
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 1,630,110
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 50.000 mills $ 81,506
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.0 mills $ 81,506
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �SumofGeneralOperating � Jr�.Q m��s � 81 rJ06
I Subtotal and Lines 3 to 7 '
Contact person: Daytime
(print) Guy D..lohnson phone: ( � 970-223-2823
Signed: � `� ����� Title: District Manager
��y �a�,�,so�,��e���-�zo��;
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
1556 County Tax Entity Code DOLA LGID/SID 66684
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Village East Community Metro District ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the Village East Community Metro District
(local govemment)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 123,420
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
increment Financin�(TIF)AreaF the tax levies must be $ 123,420
C&ICul&t0d uSing th0 NET AV. TI10 taxing 0ntlty'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhplied agalnSt the NET aSSeSSed ValUatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/06/2017 for budget/fiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 55.277 mills $ 6,822
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 55.277 mills $ 6,822
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating
1 �Subtotal and Lines 3 to 7 � 55.277 m1�IS � 6�S22
Contact person: Daytime
(print) Jason Carroll phone: (303) 779—5710
Signed: �o-�, Title: Accountant for the District
Include one copy of this tax entity's complete form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division of Local Government(DLG), Room 521, 1313 Sherman Street,Denver, CO 80203. Questions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1557 County Tax Entity Code DOLA LGID/SID 66626/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Hidden Creek Metro District ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the Hidden Creek Metro District
(local govemment)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 265,050
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 265,050
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/11/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 0.000 mills $0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $0
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating
1 L �Subtotal and Lines 3 to 7 � �.��� m1�IS ��
Contact person: Daytime
(print) Jason Carroll phone: ( 303 ) 779 - 5710
Signed: Title: Accountant for the District
Include one copy of this tax entity's completed, orm when filin�g the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Governrrcent(DGG1. Rooin 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1558 County Tax Entity Code DOLA LGID/SID 66662/
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Shaklee Centre Metropolitan District No. 1 ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the Shaklee Centre Metropolitan District No. 1
(local govemment)c
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 563,890
aSSeSSBCl V2IUat1O11 Of: (GROSS�assessed valuation,Linc 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor cerrified a NET assessed valuarion
(AV)different than the GROSS AV due to a Tax
Inerement Financin�(TIF)Area�the tax levies must be $ 563,890
CalCulated uSing t}10 NET AV. Th0 t2xing 0ntity'S tOtal (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhpfied agalnSt the NET aSSeSSed ValuahOn Of: B1'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/06/2017 for budget/fiscal year 2018
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 50.000 mills $ 28,195
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 28,195
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOr�,�T ; Sum of General Operating 1 Q
1 L �Subtotal and Lines 3 to 7 I 5�.��� mills .p 2g,195
Contact person: Daytime
(print) Jason Carroll phone: (303) 779-5710
Signed: �,L Title: Accountant for the District
Include one copy of this tax entity's completed, orm when filin�g the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division ofLocal Governrrcent(DGG1. Rooin 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
far each counry and cerrify the same levies uniformly to each counry per Arricle X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
, �
���.� McGEADY
_
ii�i BECHER
�� �� _ . � .. � �._ _.�,
December 13, 2017
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Office of the State Auditor Board of County Commissioners
Local Government Audit Division Weld County
1525 Sherman St., 7th Floor P.O. Box 758
Denver, Colorado 80203 Greeley, CO 80632
Via E-Filing Portal:
Division of Local Government
1313 Sherman St., Suite 521
Denver, CO 80203
Re: Shaklee Centre Metropolitan District No. 2
Dear Sir or Madam:
Pursuant to Section 32-1-104(4), C.R.S., please find enclosed a Special District Annual Notice of
Continuing Inactive Status for the above-referenced district.
If you have any questions or concerns, please feel free to contact me.
Very truly yours,
CG�AUY BECHER P.C.
. �
Emilee D. Hansen
Paralegal
-'�� ��� ,x�_v� ,�� �i�
Enclosure
c: Weld County Assessor(via U.S. Mail) ��� ] r� ����j
Weld County Clerk and Recorder (via U.S. Mail)
Weld County Treasurer(via U.S. Mail) °����-� �Qu€���1'A�S�S5C��t
Board of Trustees of the Town of Hudson(via U.S. Mail) �'�����F�� �����-��''��'�
��� �. i�th A.ve�����, S���t� 40�3, C3enuer, C� ��2�3-�2�4 � 3�3.592.43�0 � wwwe��ec��idistrictl�woc�o��
{00595540.DOCX v:l }
° • � ' COLORADO
,� `� � Department of Local Affairs
' i Division of Local Government
Title 32, Article 1 Special District Annual Notice of Continuing Inactive Status
NOTICE IS HEREBY GIVEN
the Sh�k�ee C�ntre Me#rapofitan �istrict Na. � District 66663 (�GID)
in Weld County, Colorado
pursuant to subsection 32-1-104(4) C.R.S., and upon the attached authorization of the current
board of the District, is continuing as an Inactive Special District as defined by
C.R.S. 32-1-103(9.3)for the fiscal year beginning: Janua � 2Q18
NOTICE IS FURTHER GIVEN, pursuant to subsection 32-1-104(4) C.R.S., the District has not and
shall not issue any debt, impose a mill levy, or conduct any other official business other than to
conduct elections and to undertake procedures necessary to implement the district's intention to
return to active status.
District Contact Person: MarvAnn M. McGeadv Phone: 303-592-4380
Contact Signature: �-'^ •�+ � Date: 1�-����17
Contact Email Ae�dress mm[qesd oecialdistrictEaw com
District Business Address: 450 �, 17th Avenue 5uite 40�
Business Address(cont.) '
Address City/State/Zip: Denver CO 80203
Elected or Term
Directors Appointed Exp.Yr.
1. Board Chair: Kerr Shaklee E 2020
2. Director: lan Shaklee E 2018
3. Director: Karen McGill A 2018
4. Director: AGANT 2p20
5. Director: ACANT 2020
6. Director:
7. Director:
Generally,per C.R.S.32-1-104(5),Inactive Special Districts shall be exempt from compliance with the provisions of:
• 32-1-104(2)-Annual January 15�h Contact Filing; • Title 29,Art 1,Part 2-List of Contracts
• 32-1-306-Annual January 1 st Map Filing • Title 29,Art 1,Part 6-Audit Law
• 32-1-809-Annual January 15th Notice to Electors • Title 39,Art 1,Part 1-Notices of Boundary Change,Intent to Levy
• 32-1-903-Meetings • Title 39,Art 5,Part 1 -Annual Mill Levy Certification
• Title 29,Art 1,Part 1 -Budget Law
PROCEDURALINSTRUCTIONS
As directed in 32-1-104(3)(b)C.R.S.,by Cerfified Mail,Return Receipt Requested except where electronic filing is reauired by the
receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15`h with:
• the Office of the State Auditor;
• the Division of Local Government(ELECTRONIC FILING REQUIRED—vvww.d la.cr�lorado_ aule-fii9in —);and
• the Board of County Commissioners of each county in which the District is located as confirmation of the DistricYs intent to not ceRify
a mill lev for collection in the upcvrnin fiscal year.
Rev. 6/1F .._.
�iY^t'cljU`
,�4,. . ,,,py,
Governor John W. Hickenlooper � Iry Halter, Executive Director � Chantal Unfug, Division Director ``�` -
N 04,
1313 Sherman 5treet, Room 521, Denver, C0 80203 P 303.864J720 TDD/TTY 303.864.7758 www.dola.colorado.gov � I{,.*� , ; '� ,;+f'
E r
Strengthening Colorado Communities E -�,:f�f�':.*�'
{00595541.DOCX v:1}
_��
-�,��.� McG �ADY
��iii � �� HEF�
� �� 5weci2l DiStrict Law
December 13, 2017
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Office of the State Auditor Board of County Commissioners
Local Government Audit Division Weld County
1525 Sherman St., 7th Floor P.O. Box 758
Denver, Colorado 80203 Greeley, CO 80632
Via E-Filing Portal:
Division of Local Government
1313 Sherman St., Suite 521
Denver, CO 80203
Re: Shaklee Centre Metropolitan District No. 3
Dear Sir or Madam:
Pursuant to Section 32-1-104(4), C.R.S.,please find enclosed a Special District Annual Notice of
Continuing Inactive Status for the above-referenced district.
If you have any questions or concerns,please feel free to contact me.
Very truly yours,
�:GE�[7Y BECHER P.C.
� ��
Emilee D. Hansen
Paralegal
�� 3 ..,� ���' � Y
,�� ��' �, __
� Enclosure
c: Weld County Assessor(via U.S. Mail) DEC l 4 �Co�f
Weld County Clerk and Recorder (via U.S. Mail)
Weld County Treasurer(via U.S. Mail) ��Lp ��1��� �a���SOF�
Board of Trustees of the Town of Hudson (via U.S. Mail) C�l���l�,��. �:`��?�C��:��C�
45�.a E. ��t4� p,ven��e, ���i�� ��J�, ������ri ��'� ���[�3-7 2�� I �C�.5�2.�3�(� I a�v�R��v.�����ial�i^tr€c:tla°v.rc����
{00595542.DOCX v:l }
�• ' COLORADO
�-,
� Department of Local Affairs
' Division of l..ocal Governmenr
Title 32, Article 1 Special District Annual Notice of Continuing Inactive Status
NOTICE IS HEREBY GIVEN
the Shaklee �entre M�troperlitan D`rstrtct Nca. 3 Qistrict�6�fi�4 (LGID)
in Weld County, Colorado
pursuant to subsection 32-1-104(4) C.R.S., and upon the attached authorization of the current
board of the District, is continuing as an Inactive Special District as defined by
C.R.S. 32-1-103(9.3) for the fiscal year beginning: Janua 1 2018
NOTICE IS FURTHER GIVEN, pursuant to subsection 32-1-104(4) C.R.S., the District has not and
shall not issue any debt, impose a mill levy, or conduct any other official business other than to
contiuct elections and to undertake procedures necessary to implement the district's intention to
return to active status.
District Contact Person: MarvAnn M. McGeady Phone= 303-592-438�_ _
Contact Signature: I� t�-- �^ .. --t Date: 12.I t 3� �"�
Contact Email Address _mrrxcge��lyaC7,speciald'€strictlaw.cr�m
District Business Address: 45[]E. 17"'Avenue, Suite 40a
Business Address(cont.)
Address City/State2ip: Denv_er, CO 80203
Elected or Term
Directors Appp€nEed Exp.Yr.
1. Board Chair: !Kerr Shaklee E 2020
2. Director: Alan Shaklee E 2018
3. Director: Karen McGill A 2018
4. Director: acant 2Q20
5. Director: acant 2020
6. Director:
7. Director:
Generally,per C.R.S.32-1-104(5),Inactive Special Districts shall be exempt from compliance with the provisions of:
• 32-1-104(2)-Annual January 15'"Contact Filing; . Title 29,Art 1,Part 2-List of Contracts
. 32-1-306-Annual January 1 st Map Filing • Title 29,Art 1,Part 6-Audit Law
• 32-1-809-Annual January 15th Notice to Electors • Title 39,Art 1,Part 1-Notices of Boundary Change,Intent to Levy
• 32-1-903-Meetings • Title 39,Art 5,Part 1-Annual Mill Levy Certification
• Title 29,Art 1,Part 1 -Budget Law
PROCEDURALINSTRUCTIONS
As directed in 32-1-104(3)(b)C.R.S.,by Certified Mail,Retum Receipt Requested except where electronic filing is re uired by the
receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15`" with:
• the Office of the State Auditor;
• the Division of Local Government(ELECTRONIC FILING REQUIRED—wu�+ro.dala:cvlareda.aovle-filinq —);and
• the Board of County Commissioners of each county in which the District is located as confirmation of the DistricYs intent to not certify
I a mill le for collection in the upcoming fiscal year.
}
Rev. 6/ �._._�
'nti.�:��
h@/�.� ;^ ��]�
Governor John W. Hickenlooper � Iry Halter, Executive Director � Chantal Unfug, Division Director ;�`�C ,�r:� '''�'��'�
1313 Sherman Street, Room 521, Denver, C0 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.colorado.gov � ,+�•� ';,` ' �,;'•,1
,� Strengthening Colarado Communities � .','�„-:'-:=`r;"`�
�..�a r��-'
{00595543.DOCX v:1}
_��
,�.,.�,, �Il �� �AQY
���ii � E� H �R
� �� Special District Law
December 13, 2017
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Office of the State Auditor Board of County Commissioners
Local Government Audit Division Weld County
1525 Sherman St., 7th Floor P.O. Box 758
Denver, Colorado 80203 Greeley, CO 80632
Via E-Filing Portal:
Division of Local Government
1313 Sherman St., Suite 521
Denver, CO 80203
Re: Shaklee Centre Metropolitan District No. 4
Dear Sir or Madam:
Pursuant to Section 32-1-104(4), C.R.S.,please find enclosed a Special District Annual Notice of
Continuing Inactive Status far the above-referenced district.
If you have any questions or concerns,please feel free to contact me.
Very truly yours,
MCGEADY BECHER P.C.
• C=rl'�--"y-•
Emilee D. Hansen
Paralegal
����� i � f��._j ��4�
��.�'' � . �`,�
Enclosure
c: Weld County Assessor(via U.S. Mail) ��� � 4 ����
Weld County Clerk and Recorder(via U.S. Mail)
Weld County Treasurer(via U.S. Mail) V1/EL� �CC�i���i°�'�;a���S(3Ft
Board of Trustees of the Town of Hudson(via U.S. Mail) GREEf_a�°sF ���.C�Fa��DO
��� �, �7�h A�r�n���, S����e ���, �3�riv��r �'t:� 3�2U3-��54 � ��3.�92.43�� I �v�e��w.b����ia��si�tr��.t���}�v,�����
{00595545.DOCX v:l }
��
COLORADO
� Department of Local Affairs
" Division of Local Government
Title 32, Article 1 Special District Annual Notice of Continuing Inactive Status
NOTICE IS HEREBY GIVEN
the Shaklee Centre Metrv�c�lit�� Di�tri�t Nv. 4 _District 66665 (LGID)
in Weld County, Colorado
pursuant to subsection 32-1-104(4) C.R.S., and upon the attached authorization of the current
board of the District, is continuing as an Inactive Special District as defined by
C.R.S. 32-1-103(9.3)for the fiscal year beginning: ,January 1, 2018 ,
NOTICE IS FURTHER GIVEN, pursuant to subsection 32-1-104(4) C.R.S., the District has not and
shall not issue any debt, impose a mill levy, or conduct any other official business other than to
conduct elections and to undertake procedures necessary to implement the district's intention to
return to active status.
�istrict Contact Person: MarvAnn M. McGeadv Phone: 303-592-4380
Contact Signatur�: � .•t- Date: �2�1�� 1'7
Contact Email Address mmcqear�yCc� eciakdasfrEeilaw.com
District Business Address: 450 E. 1 Tih Avenue, Suike 40�1
Business Address(cont.}
Address City/State/Zip; Denver, CO 80203
Elected or Term
Directors Appain[ed Exp.Yr.
1. Board Chair: Kerr Shaklee � 2Q20
2. Director: lan Shaklee E 2018
3.Director: Karen McGill A 2018
4. Director: ACANT 2020
5. Director: ACANT 2020
6.Director:
7. Director:
Generally,per C.R.S.32-1-104(5),Inactive Special Districts shall be exempt from compliance with the provisions of:
• 32-1-104(2)-Annual January 15'h Contact Filing; • Title 29,Art 1,Part 2-List of Contracts
• 32-1-306-Annual January 1st Map Filing • Title 29,Art 1,Part 6-Audit Law
• 32-1-809-Annual January 15th Notice to Electors • Title 39,Art 1,Part 1 -Notices of Boundary Change,Intent to Levy
• 32-1-903-Meetings • Title 39,Art 5,Part 1 -Annual Mill Levy Certification
• Title 29,Art 1,Part 1-Budget Law
PROCEDURAL INSTRUCTIONS
As directed in 32-1-104(3)(b)C.R.S.,by Certified Mail,Return Receipt Requesfed except where electronic filing is reauired by the
receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15�h with:
• the Office of the State Auditor;
• the Division of Local Government(ELECTRONIC FILING REQUIRED-www.dota.a7l�ra�.t,�ovle-fifinq -);and
• the Board of County Commissioners of each county in which the District is located as confirmation of the DistricPs intent to not certify
a mill levy for collection in the upcomin fiscal year.
Rev. 6/1�_--,_
t3�`���[�`�
';�v.'. t=� ,t-.'�'.y`�
Governor John W. Hickenlooper � Iry Halter, Executive Director � Chantal Unfug, Division Director '�-�� ���
iiyf ., `::_:�:` . ,�
1313 Sherman Street, Room 521, Denver, C0 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.colorado.gov * f*;�
',, `� ._ :_ , .
Strengthening Colorado Communities `'.�x-�'='"-*�
�.,,..f Fi 7�?.<.
{00595544.DOCX v:1}
-��
�,,�.��, ��G �AL�Y
I�► �i ii � �E� H E R
� �� Special Distrsct Law
December 13, 2017
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Office of the State Auditor Board of County Commissioners
Local Government Audit Division Weld County
1525 Sherman St., 7th Floor P.O. Box 758
Denver, Colorado 80203 Greeley, CO 80632
Via E-Filing Portal:
Division of Local Government
1313 Sherman St., Suite 521
Denver, CO 80203
Re: Shaklee Centre Metropolitan District No. 5
Dear Sir or Madam:
Pursuant to Section 32-i-104(4), C.R.S.,please find enclosed a Special District Annual Notice of
Continuing Inactive Status for the above-referenced district.
If you have any questions or concerns,please feel free to contact me.
Very truly yours,
MCGEADY BECHER P.C.
�
�� .
Emilee D. Hansen
Paralegal
����� �I� i� ' ,���. �
,� +: '
Enclosure � ' �
c: Weld County Assessor(via U.S. Mail) DE� � � �o��
Weld County Clerk and Recorder (via U.S. Mail)
Weld County Treasurer(via U.S. Mail)
�11�LD �����`il�° ������SC3F7
Board of Trustees of the Town of Hudson(via U.S. Mail) �������; �.��� ������
���r �, ����1 ��+�t-��.i�, ��fi�� ����', ��Cl��f�, ���J �����-����i� I ,`-�'��,�9�.����} I L�l�'l41.;��3��#���1S�C(����'lJ.�C3�1`1
{00595548.DOCX v:l }
• � � rCOLORADO
.- �
� � Department of Local Affairs
' Division of Local Govemment
Title 32, Article 1 Special District Annual Notice of Continuing Inactive Status
NOTICE IS HEREBY GIVEN
the Shaklee Centre Metropolitan Distn�t Na. 5 District 66666 (LGID)
in Weld Cvur�ty, Colorado
pursuant to subsection 32-1-104(4) C.R.S., and upon the attached authorization of the current
board of the District, is continuing as an Inactive Special District as defined by
C.R.S. 32-1-103(9.3)for the fiscal year beginning: January 1, 2018
NOTICE IS FURTHER GIVEN, pursuant to subsection 32-1-104(4) C.R.S., the District has not and
shall not issue any debt, impose a mill levy, or conduct any other official business other than to
conduct elections and to undertake procedures necessary to implement the district's intention to
return to active status.
District Contact Person: MarvAnn M. McGeadv Phone: 303-592-4380
Contact Signature:, y''1.Gt��. ^ ---�� � Date: 1�3�l�'
Contact Email Addrsss mmct�eadvC�?sq�cialdfstrictlaw,com
District Business Address: 45D E. 17`�'A�enue. Suit�40�
Business Address(cont.)
Address City/State/Zip: Denver CQ 80203
Elected or Term
Directors Appointed Exp.Yr.
1. Board Chair: Kerr Shaklee E 2020
2. Director: lan Shaklee E 2018
3. Director: �Karen McGill A 2Q18
4. Director: AGAN7 2p2�
5. Director: ACANT 2020
6. Director:
7. Director:
Generally,per C.R.S.32-1-104(5),Inactive Special Districts shall be exempt from compliance with the provisions of:
• 32-1-104(2)-Annual January 15'"Contact Filing; • Title 29,Art 1,Part 2-List of Contracts
• 32-1-306-Annual January 1 st Map Filing • Title 29,Art 1,Part 6-Audit Law
• 32-1-809-Annual January 15th Notice to Electors • Title 39,Art 1,Part 1-Notices of Boundary Change,Intent to Levy
• 32-1-903-Meetings • Title 39,Art 5,Part 1-Annual Mill Levy Certification
• Title 29,AR 1,Part 1 -Budget Law
PROCEDURALINSTRUCTIONS
As directed in 32-1-104(3)(b)C.R.S.,by Certified Mail,Return Receipt Requested except where electronic filing is required by the
receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15'" with:
• the Office of the State Auditor;
• the Division of Local Government(ELECTRONIC FILING REQUIRED—www.dala.r;�Eoradp. avle-filin --);and
• the Board of County Commissioners of each county in which the District is located as confirmation of the DistricYs intent to not ceRify
a mill I�uy for collection in the upcomin�fiscal ear.
Rev. 6/1,fr. _.
� �,t_•_�"�lr��;
;;��=' ,��
Governor John W. Hickenlooper � Iry Halter, Executive Director � Chantal Unfug, Division Director "N� �,���°
! �f�..�. , i �
1313 Sherman Street, Room 521, Denver, C0 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.colorado.gov '�*< ; �*
` �*..�.,.,.�;1 rtr
Strengthening Co(orado Communities :;,+'1�a�;��`
{OO595546.DOCX v:1}
���
.��-: ==�„r,�� f1��c� EAC��'
�`'�ii i E� E� H ER
� �� Special District Lav�
December 13, 2017
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Office of the State Auditor Board of County Commissioners
Local Government Audit Division Weld County
1525 Sherman St., 7th Floor P.O. Box 758
Denver, Colorado 80203 Greeley, CO 80632
Via E-Filing Portal:
Division of Local Government
1313 Sherman St., Suite 521
Denver, CO 80203
Re: Shaklee Centre Metropolitan District No. 6
Dear Sir or Madam:
Pursuant to Section 32-1-104(4), C.R.S.,please find enclosed a Special District Annual Notice of
Continuing Inactive Status for the above-referenced district.
If you have any questions or concerns,please feel free to contact me.
Very truly yours,
MCGEADY BECHER P.C.
���-._..
Emilee D. Hansen
Paralegal
��� , . �
� ',r� � ��.�,
Enclosure ` ' � �;�' � ,
c: Weld County Assessor(via U.S. Mail)
Weld County Clerk and Recorder (via U.S. Mail) ��� � �] ���i
Weld County Treasurer(via U.S. Mail)
Board of Trustees of the Town of Hudson(via U.S. Mail) �'��Q CC�U��,�' }�SS�SSC7�RR
�R'�Et.E�'. t"'(`a�_C?R.�QC7
��`� �. � f�� /�:V�.f1L1�, ��s��� t"���, ��ClV�€; i,fJ �i��"?��-���� I ,���.���.'��z.�-��' I '1�1`,�!'a�d.��'��I���iS�€�IC���`rb�.t��+Yl
{00595547.DOCX v:l }
COLORADO
� ` Department of Local Affairs
'" I Division of Local Government
Title 32, Article 1 Special District Annual Notice of Continuing Inactive Status
NOTICE IS HEREBY GIVEN
the 5haklee Centre Metro vfrtan Districk IVo. � District 66667 (LGID)
in Weld County, Colorado
pursuant to subsection 32-1-104(4) C.R.S., and upon the attached authorization of the current
board of the District, is continuing as an Inactive Special District as defined by
C.R.S. 32-1-103(9.3)for the fiscal year beginning: January 1, 2C}18
NOTICE IS FURTHER GIVEN, pursuant to subsection 32-1-104(4) C.R.S., the District has not and
shall not issue any debt, impose a mill levy, or conduct any other official business other than to
conduct elections and to undertake procedures necessary to implement the district's intention to
return to active status.
C3istrict Contact Person: MarvAnn M. MeGeasSy Pht�ne: 3{]3-592-�138(J
Contact Signature: r h�r�.���. � .� • � � � Date: 1�� ��{1�
Contact Email Address mir+�qesdy ra.sQecialdistricfiaw.c�rn ''�
District Business Address: 450 E. 17�h Avenue Suite 400
Business Address(cont.)
Address City/State/Zip: Denver CO 80203
Elected or Term
Directors Appaint��! �x�.Yr.
1. Board Chair: Kerr Shaklee E 2020
2. Director: Alan Shaklee E 2018
3.airector: Karen McGill A 2018
4. Director: VACANT 202Q
5. Director: VACANT 2020
6. Director:
7.Director:
Generally,per C.R.S.32-1-104(5),Inactive Special Districts shall be exempt from compliance with the provisions of:
• 32-1-104(2)-Annual January 15�h Contact Filing; • Title 29,Art 1,Part 2-List of Contracts
• 32-1-306-Annual January 1st Map Filing • Title 29,Art 1,Part 6-Audit Law
• 32-1-809-Annual January 15th Notice to Electors • Title 39,Art 1,Part 1 -Notices of Boundary Change,Intent to Levy
• 32-1-903-Meetings • Title 39,Art 5,Part 1 -Annual Mill Levy Certification
• Title 29,Art 1,Part 1 -Budget Law
PROCEDURALINSTRUCTIONS
As directed in 32-1-104(3)(b)C.R.S.,by Certified Mail,Return Receipt Requested except where electronic filing is reauired by the
receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15�" with:
• the Office of the State Auditor;
• the Division of Local Govemment(ELECTRONIC FILING REQUIRED—wvww.cfofa,aalorado.qv�le-frlinc,�—);and
• the Board of County Commissioners of each county in which the District is located as confirmation of the DistricPs intent to not certify
a mill le for collection in the upcomin�fiscal year.
Rev. 6/1�—_.
J ,;.e��'_coC�y�
1 `'�� ��"�;
Governor John W. Hickenlooper � Iry Halter, Executive Director � Chantal Unfug, Division Director �;w' . , "��o'
1313 Sherman Street, Room 521, Denver, C0 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.rnlorado.gov I '*`. k�l
�`�*�•, ,'. :f�Mf�:
Strengthening Colorddo Communities �,.�—: « .�
•:._R}b.'`'
{00595549.DOCX v:1}
1566 County Tax Entity Code DOLA LGID/SID 66790
CERTIFICATION OF TAX LEVIES for NON-SCHQOL Governments ��'
TQ: County Commissioners1 of Wetd County , Colorado.
On behalf of the City Center West Residential Metropolitan District No. 2 �
(taxing entity)
the Board of Directors
(goveming body)
of the City Center West Residentiat Metropolitan District No. 2
(local governnient)
Hereby o�cially certifies the following mills
to be levied against the taxing entity's GROSS $ 248,500
assessed valuation of: �Gxoss°�s�ssed va�uat�on,Line 2 of the Certification of Valuation Forn�DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different tl�an the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be $ 248,500
calculated using the NET AV. The taxing entity'S tOtal (NET assessed valuation,Line 4 of the CeRification of Valuation Form DLG 57)
property taac revenue will be derived from the mill levy L1S�VALUE FRONI FINAL CERTIFICATION OF VALITATION PROVIDED
multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/15/2017 for budgetlfiscal year 2018
(no later than Dec.IS) (mm/dd/yyyy) (yyyy}
PURPOSE(see end notes for definitions and examples) LEVY2 REVENUEZ
1. General Operating ExpensesF� .000 mills $ 0
2. <Minus>Temporary General Property T� Credit/
Temporary Mill Levy Rate Reduction' � > mills $ "C >
SUBTOTAL FOR GENERAL OPERATING: •��� mills $ ��
3. General Obligation Bonds and InterestJ mills $
4. ContrachialObligations" mi11s $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"i mills $
7. Other" (specify}: mills $
mills $
TtJTAL: r Sum of General Operating 1 ���mills � � �
�ubtotal and Lines 3 to'I 1
Contact person: Daytime
(print) Ann Finn phone: ( 303� 987-0835
Signed: � � ,�d� Title: District Accountant
Indude one copy of this tax entiry's completed form when filing the local governrnent's btedget byJan:eary 31st,per 29-1-113 C.R.S,with the
nivi�t�n n£T.nca/Gnvernment/nT,G). Rnnm 521. 1313.Sh_ei�ntnn Street. Dnnver. CO 8�203. Ottestionr? Cal!nl_.G_at(303)_f364-7720. _ ____._
' If the taxing ent�ty's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Art'rcle X,Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decrmal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLGS'7 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, cantinued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Baard of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contracriial obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
l. Purpose of Tssue:
Series:
Date af Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Putpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpase of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1575 counr�raX Ennn coae �oLA LGi�isi� 66719�1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
Onbehalfofthe MAPLE RIDGE METRO DISTRICT �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Maple Ridge Metropolitan District
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 1290
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 1290
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/12/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 10.000 mills $ 13
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 10.0 mills $ 13
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �SumofGeneralOperating � 10.0 m��s � 13
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Diane K Wheeler phone: ( � (303)689-0833
������W������ District Accountant
S1g11eC�: orz�,z K wi,z.iE��o��iz.�oi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
1576 County Tax Entity Code DOLA LGID/SID 66720
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Silver Peaks East Metropolitan District ,
(taxing entity)'�
the Board of Directors
(governing body)B
of the Silver Peaks East Metropolitan District
(local govemment)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 2,390
1SSOSS8Cl V2IU1t1O11 Of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
increment Financin�(TIF)AreaF the tax levies must be $ 2,390
C&ICul&t0d uSing th0 NET AV. TI10 taxing 0ntlty'S tOt&1 (NETC assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
prOperty tax revenue Wlll be derlved frOm the mlll levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
mulhplied agalnSt the NET aSSeSSed ValUatiOn Of: BI'ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/06/17 for budget/fiscal year 2018
(no later than Dec. IS) (mm/dd/yyyy) (yyyy)
PU��SE(see end notes for definitions and examples) l.EVy� REVENUE�
1. General Operating ExpensesH 66.333 mills $ 159
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 66.333 mills $159
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"` mills $
7. Other" (specify): mills $
mills $
T�r�,��; Sum of General Operating
1 �Subtotal and Lines 3 to 7 � 66.333 m1�IS �159
Contact person: Daytime
(print) Jason Carroll phone: (303) 779-5710
Signed: �.�v�. Title: Accountant for the District
Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the
Division of Local Government(DLG), Room 521, 1313 Sherman Street,Denver, CO 80203. Questions? Call DLG at(303)864-7720.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each counry. Use a separate form
for each counry and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Consritution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the CounYy Assessor's FINAL certificarion of valuarion).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's ar Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1577 County Tax Entity Codc DOLA LGID/SID 62113
CERTIFICATI(JN OF TAX LEVIES for NON-SCHOQL Governments
TQ: County Commissionersl of Wetd County ,Colorado.
On behalf of the Beebe Draw Farms Metropolitan District No. 2 �
A
(taxing entity)
the Board of Directors
(governing Uody)
of the Beebe Draw Farms Metropolitan District No. 2
(local government)C
Hereby officially certifies the fallowing niills
to be levied against the taxing entity's GROSS $ 404,550
1SSeSSeC1 VaIUltlOri Of: (GKOSSD assessed valuation,Line?of the Certification of Valuation Eorm DLG�7�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF}AreaF the tax levies must be � 404,550
calculated using the NET AV. The taxing entity's total (NET assessed valuation,Line 4 ofthe Certification of Valuation Forn�DLG 57)
property tax revenue will be derived from the mill levy US�VALUL FROtv1 PINAI.C�R7'IFICATION Or VALIIATION PKOVIDED
multiplied against the NET assessed valuation of: BY ASSESSOR NO I.ATER T1iAN DECE�l9BLI210
Submitted: 12/15/17 for budget/fiscal year 2018 .
(no later than Dec. 15) (�nm/dd/yyyy) (y}ryy)
PURPOSE(see end notes for definitions and exa�npies) L��2 REVENITE�
1. General Operating Expenses" mills $
2. <Minus> Temporary General Proper-ty Tax Credit/
Temporary Mill Levy Rate Reduction' � > mills $ < >
SUBTOTAL FOR GENERAL(?PERATING: �mills �
3. General Obligation Bonds and Interest� mills $
4. ContracriialObligationsK mills $
5. Capital Expenditures'' 11.056 mills $ 4,473
6. RefundslAbatements"' mills $
7. Other" (specify): mills $
mills $
To•�•AL� `SumofGeneralOperating � 11.056�mills $ 4,473 �
4i�btotal and I.ines 3 Yo 7
Contact person: Daytime
(print) Lisa A. Joh son phone: ( 303� 987-0835
.
Signed: • �_.,,__ Title: District Accountant
b�clude o�ae copy of this tax entity's completed forni tivhen filing the local government's ba�dget by.Ianacary 31st,per 29-1-[13 C.R.S.,rv�th the
niv�cinn nf I.n��l Gnvarnrravnt//�1.�) Rnnfn 521. /3/3,Sharrnan St�'��t- I�enuer. C�8�203. (1ue.cttons? C[tll lJLG crt(303)8b4-7720.
' If the taxrng entiry's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET crssessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page I of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTI�N APPLIES TO TITLE 32,ARTICLE 1 SP�CIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEST (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page l, L'rnes 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Mahirity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
GARY R.WHITE 1�� ��� SEAN ALLEV
-�-_ ��� ZACHARY P.WHITE
KRISTF.v D.BEAR - - � - rr �
WILI.IAM P.AVKF.LF�R. VI! H I T E � E! 7 R �1 V �� L � CASF,I'K.LF.KAHAI.
TRISH.4 K.HARRIS
JEVNIFER GRUQER TANAKA TA N A KA & WA L D R Q N
CLIN7 C.WALDRON HEATHCR L.HARTUNG
MFcnN J.MuarHv
KRISTIN BOWERS TUMPKINS n T T �� R N G Y S A T I. !I �'V KRISTIV J.SCHLEDORV
Rosear G.Roceas
SILVIA FEJKA
OF COUNSF.1.: BRADLEY T.NEIMAN
BLAIR M.DICKHONER
December 18, 2017
VIA EMAIL
Dee Kayl
Assessment Coordinator
Weld County Government
1150 O Street
Greeley, CO 80631
DKayl(�a,wel dgov.c om
RE: Sierra Vista Metropolitan District
Dear Dee:
This office represents the Sierra Vista Metropolitan District. Per your request, this is to
advise you that the District did not certify a mill levy this year, and we have been directed to
proceed to dissolve the District. That process will commence in the immediate future and we do
not anticipate any issues.
Let me know if you have any questions.
Sincerely,
WHITE BEAR ANKELE TANAKA BL WALDRON
Attorneys at Law
�������/✓ �
��
William P. Ankele, Esq.
2154 E.Commons Ave.,Ste.2000 I Centennial,CO 80122 � P 303.858.1800 F 303.858.1801 � WhiteBcarAnl<elacom
�
1579 Cowuy Tar Entity Code DOLA LGID/SID 62113 L��
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Wetd County , Colorado.
On behalf of the Beebe Draw Farms Metropotitan District No. 2 �
A
(taxing entiry)
the Board of Directors
(governing body)
of the Beebe Draw Farms Metropotitan District No. 2
(local govemment)
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 624,840
assessed valuation of: (Gaoss°�SSeSsea�a���ac�on,Line 2 of tUe Certificntion of Vatuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV}different than the GROSS AV due to a Tax �
Increment Fin�ncing(TIF)AreaF the tax levies mi�st be � 624,840
CalCulated Using the NET AV. The taxing eTltity'S tOtal (NET'assessed valuation,Line 4 of ihe Certification of Valuation Forni DLG 57)
property tax revenue will be derived from the mill levy L1SE�rALt1r FROM FINAL CERTIFICATION OT VALIIATION PROVIDED
multiplied against the NET assessed vahiation of: BY f1SSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/15/17 for budget/fiscal year 2018 ,
(no later than Dec. IS) {mm/dd/y}yy) (yyyy)
PURPOSE(see end notes for deGnitions and esa�nptes) LEVYZ REVENUE2
1. General Operating Expenses`{ mills $
2. <Minus> Temporary Genei-al Property Tax Credit/
Temporary Mill Levy Rate Reductioni < > mills $ � >
SUBTOTAL FOR GENERAL(�PERATING: mills $ �
3. General Obligation Bonds and Interest� nlills $
4. ContractualObligations" mills $
5. Capital ExpendituresL 11.056 mills $ b,908
6. Refunds/AbatementsM mills $
7. OtherN (specify): mills $
mills $
TOTAL: rSumofGeneralOperating � 11.056 � 6,908 �
Subtotal and I,ines 3 to 7 II11�IS_ �
Cantact person: Daytime
(print) Lisa A. Johnson phQlle: � 303� 987-0$35
Signed: � � �,;,,T_ Title: District Accountant
Include one copy of this tax entity's co�rapleted fa�m when filing the local gover�zment's budget by January 31st,per 29-1-113 C.R.S.,with tlie
nn�icin»nf J n�nl(:m�nrnmant/n1.(:i Rnnm S�/ )3/3,C1any»inn,CJ7•PPI. �P31VPi'. C��1n2n3 nllF.Cftnll.C? �l7�J n�,�Ci��3n3j t4��-��Zn.
' If the taYrng entiry's boundaries include more than one county,you must certify the levies to each couuty. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6116)
CERTIFICATION OF TAX LEVIES, cantinued
TI-IIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY.TAXES
FOR PAYMENT OF GENERA.L OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate rnili levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPAI�AT� MILL LEVY FOR EACH BOND OR CONTRACT:
BOl`1DS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupan Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Pw-pose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLC�70(Rev.6116)
i�
County TaY Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Conestoga Metropolitan District No. 1 ,
(taxing entity)A
the Board of Directors
(governing body)B
of the Conestoga Metropolitan Dist�ict No. 1
(local government)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10 ,
assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax �
Increinent Financing(TIF)AreaF the tax levies inust be � 1� '
calculated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018 .
(not later than Dec.15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and eYamples) LEVy� �+VENVE�
l. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills � 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK 0.000 mills $ 0.00
5. Capital ExpendituresL mills $ ,,
6. Refunds/Abatements�'I mills $ i�
7. OtherN (specify): mills $
mills $
� Sum of General Operating
TOTAL. �Subtotal and Lines 3 to 7 � 0.��� mills � 0.��
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: � Title: District Accountant
Incla�de one copy of this tax entity's cof�apleted forrn tivl�en filing tlze local government's bi�dget by Jani�ary 31st,pei•29-1-113 C.R.S.,with the
Division of Local Government(DLG), Room 521, 1313 She��man Street,Denver, CO 80203. Questions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valaration(Line 4 of
Fo�-�n DLG57 on the County Assessor's rnal certification of valuation).
Forn1 DLG 70(rev 7/08) Page 1 of 4
�
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity D ate:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use inultiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
9
County Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners1 of Weld County , Colorado.
On behalf of the Conestoga Metropolitan District No. 2 ,
(taYing entity)A
the Board of Directors
(governing body)B
of the Conestog�z Metropolit�n District No. 2
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 15,040
assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Arear the tax levies must be � 15,040
CalCulated using the NET AV. The taxing erihty's total (NETG assessed valuation,Line 4 of the Certification of Valuation Fornl DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018 .
(not later than Dea 15) (mm/dd/yyyy) (yyyy)
PV��SE(see end notes for definitions and eYamples) LEVy� �vENUE� �
I
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills � 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $ '�
6. Refunds/AbatementsNi mills $
7. OtherN (specify): mills $
mills $
TOTAL; r Sum of General Operating 7 O.000 mills .p �.��
�Subtotal and Lines 3 to 7 �
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: Y� Title: District Accountant
Incli�de one copy of tl�is tczx entity's conapleted fot�m when fili��g the local governnaent's bzcdget by Janz�a�y 31st,per 29-1-113 C.R.S., witlz the
Division of Local Govei•nment(DLG), Room 521, 1313 SIZe��naan Street, Denve�•, CO 80203. Qtcestions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include inore than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valaration(Line 4 of
Form DLG57 on the County Assessor's inal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
9
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the '
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation ;
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively. �
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
;
J. I
BONDS .
1. Purpose of Issue:
Series:
Date of Issue: �
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Pul�pose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
1
County TaY Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Conestoga Metropolitan District No. 3 ,
(taYing entity)A
the Board of Directors i
(governing body)B �
of the Conestogrr Met�opolitan District No. 3 �
(local government)�
Hereby officially certifies the following mills '
,
to be levied against the taxing entity's GROSS $ 7,590
assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation ,
(AV)different than the GROSS AV due to a Tax '
Increment Financing(TIF)AreaF the tax levies must be � 7,590 !
calculated using the NET AV. The taxing entity'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy il
multiplied against the NET assessed valuation of: �,
Submitted: 12/14/2017 for budget/fiscal year 2018
(not later than Dec.15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 �
l. General Operating ExpensesH 0.000 mills $ 0.00 I
2. <Minus> Temporary General Property Tax Credit/ I
Temporary Mill Levy Rate Reductioni < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills � 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $ °
5. Capital ExpendituresL mills $ I
6. Refunds/AbatementsNl mills $ �
,
7. OtherN (specify): mills $
mills $
TOTAL; SumofGeneralOperating . •
�Subtotal and Lines 3 to 7 � �.��� mills � � ��
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: �� Title: District Accountant
Include one copy of tl7is tax entity's conapleted forna when filing the local government's bz�dget by Janua�y 31 st,pe��29-1-113 C.R.S.,with tlze
Division.ofLocal Government(DLG),Roona 521, 1313 Sl�e�°nzan St�•eet,Denvei�, CO 80203. Questions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valzration(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation). I
Form DLG 70(rev 7/08) Page 1 of 4 i
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity D ate:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title: I
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date: '
�
Principal Amount: �
Maturity Date:
Levy: ,
Revenue: ',
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S. '
Form DLG 70(rev 7/08) Page 2 of 4 �
�
County TaY Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Conestoga Metropolitan District No. 4 ,
(taxing entity)A
the Board of Directors
(governing body)B
of the Conestoga Met�opolit�n Dist�ict No. 4
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 1,610
assessed valuation of: (GROSSD assessed valuatiov,Line 2 ofthe Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 1,610
calculated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018 .
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and exaniples) LEVYz REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills � 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements�'I mills $
7. OtherN (specify): mills $
mills $
TOTAL: Sum of General Operating . •
�Subtotal and Lines 3 to 7 � 0.��� mills � 0 ��
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: Title: District Accountant
Incla�de one copy of this tax entity's cof�zpleted fo�°t�z�-vhen filing tl�e local gove�•nnaent's bz�dget by Jcr�zaca�y 31st,pe��29-1-113 C.R.S.,tivith tlze
Division of Local Gove��nment(DLG),Room 521, 1313 Sheri�aan St�°eet, Denve��, CO 80203. Qz�estions? Call DLG at(303)866-2156.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decllnal places and revenue must be calculated frorn the total NET assessed valzfation(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Forin DLG 70(rev 7/08) Page 1 of 4
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
,i
County Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersi of Weld County , Colorado.
On behalf of the Conestoga Metropolitan District No. 5 ,
(taxing entity)A
the Board of Directors
(governing body)B
of the Conestogcc Metropolitan Dist�ict No. 5
(local govenlment)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 3,270
assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 3,270
CalCulated using the NET AV. The taxing entlty's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
propei-ry tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018 .
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
PV��S�+ (see end notes for definitions and eYamples) LEVY2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI � > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $ '
5. Capital Expenditures'-� mills $
6. Refunds/Abatements�'I mills $
7. OtherN (specify): mills $
mills $ i
TOTAL' Sum of General Operating . I
• �Subtotal and Lines 3 to 7 � �.��0 mills � �.��
Contact person: Daytime �
(print) Brendan Campbell phone: (970) 669-3611 '
Signed: !����_� Title: District Accountant
Inclz�de one copy of tlzis tcr.Y entr.'ry's conapleted fo��na�vhen f ling the local govef°nnaent's budget by.Iaizz�a���31 st,per 29-1-113 C.R.S.,�vith�the
Divisioi�ofLocal Governnzent(DLG), Room 521, 1313 She��t�zan St�•eet, Denver, CO 80203. Questions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valzration(Line 4 of
For�n DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
�i
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series: ,
Date of Issue:
Coupon Rate:
Maturity D ate:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
1585 Counry Tax Entiry Code DOI A l GID SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners� of Weld County , Colorado.
On behalf of the Douthit Metropolitan District ,
(taxing cntity)�
the Board of Directors
(goveming body)B
of the Douthit Metropolitan District
(local govemment)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 8,109,590
assessed valuation of: ecRoss°�s�ssed�ai����o�,Line 2 ol'the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be $ 6,003,103
calculated using the NET AV. The taxing entity's total (NGTG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy l SE VALUE FR0�1 FINAL CERTIFICATION OP VALUr�TION PROVIDED
multiplied against the NET assessed valuation of: t3Y asSESsoR 1vo t.r�TER TFIAN DECENI6ER 10
Submitted: 12/15/2017 for budget/fiscal year 2018
(not later than Dec. I S) (mm/dd/yyyy) �yyyy�
PURPOSE(see end notes for definitions and cramples) LEVYz REVENUEz
1. General Operating Expenses'' 50.000 mills $ 300,155
2. <Minus>Temporary General Property Tax Credid
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 300,155
3. General Obligation Bonds and Interest� mills $
4. ContractualObligations" 3.000 mills $ 18,009
5. Capital Expenditures' mills $
6. Refunds/Abatements"' mills $
7. Other"(specify): mills $
mills $
TOTAL� Sum of General Operating
• [Subtotal and Lincs 3 to 7 ] 53.000 mills $ 318,164
Contact person: Daytime
(print) 'ane K. Wheeler phone: (303 ) 689-0833
Signed: �'�(Q {�-- Title: District Accountant
Include one copy of this tax entiry's completed fornr when frling Nre/oca(government's budget by Junuary 3/st,per 29-I-//3 C.R.S., tivith the
Divisfoit of/oca!Government(DLG), Room 51/, /3/3 Shern:an Streel. Denve��, CO 80203. Q:�estions? Cal!DLG at(303)866-2/56.
' [f the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valtration(Line 4 of
Form DLG57 on the County Assessor's u�a1 certification of valuation).
Fortn DLG 70(rev 6/07) Page I of 4
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR FACH BOND OR CONTRACT:
BONDS�:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract: Provide funds for ongoing operations and maintenance expenses associated
with the Town of Mead
Title: Intergovernmental Agreement between The Town of Mead, Colorado and
Douthit Metropolitan District
Date: December 14, 2017
Principal Amount: N/A
Maturity Date: N/A
Levy: 3.000
Revenue: $18,009
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-I-1603,C.R.S.
Portn DLG 70(rev 6/07) Pagc 2 of4
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1586 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the GATEWAY TO FREDERICK MD #1 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Gateway To Frederick Metropolitan District No. 1
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ ���
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 220
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Diane K Wheeler phone: ( � (303)689-0833
������W������ District Accountant
S1g11eC�: orz�,z K wi,e�iE���o��ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1587 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the GATEWAY TO FREDERICK MD #2 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Gateway To Frederick Metropolitan District No. 2
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 891660
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 891660
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 25.000 mills $ 22�292
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 25•0 mills $ 22�292
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �SumofGeneralOperating � ZJr.� ml�ls � �� ���
I Subtotal and Lines 3 to 7 '
Contact person: Daytime
(print) Diane K Wheeler phone: ( � (303)689-0833
������W������ District Accountant
S1g11eC�: orz�,z K wi,e�iE���o��ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1588 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the GATEWAY TO FREDERICK MD #3 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Gateway To Frederick Metropolitan District No. 3
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 422380
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 42238�
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 50.000 mills $ 21,119
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 50.0 mills $ 21,119
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �SumofGeneralOperating � Jr�.� ml�ls � �� ���
I Subtotal and Lines 3 to 7 '
Contact person: Daytime
(print) Diane K Wheeler phone: ( � (303)689-0833
������W������ District Accountant
S1g11eC�: orz�,z K wi,e�iE���o��ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1589 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the GATEWAY TO FREDERICK MD #4 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Gateway To Frederick Metropolitan District No. 4
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 210
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 210
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Diane K Wheeler phone: ( � (303)689-0833
������W������ District Accountant
S1g11eC�: orz�,z K wi,e�iE���o��ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1590 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the GATEWAY TO FREDERICK MD #5 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Gateway To Frederick Metropolitan District No. 5
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 330
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 330
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/15/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Diane K Wheeler phone: ( � (303)689-0833
������W������ District Accountant
S1g11eC�: orz�,z K wi,e�iE���o��ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1591 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the GATEWAY TO FREDERICK MD #6 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Gateway To Frederick Metropolitan District No. 6
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 330
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 330
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Diane K Wheeler phone: ( � (303)689-0833
������W������ District Accountant
S1g11eC�: orz�,z K wi,e�iE���o��ia.zoi�� T1t1O:
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
County TaY Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Golden Eagle Acres Metropolitan District No. 1 ,
(taYing entity)A
the Board of Directors
(governing body)B
of the Golden Eagle Acres Met�opolitan District No. 1
(local government)�
Hereby officially certifies the following mills �
to be levied against the taxing entity's GROSS $ 1,450
assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 1,450
calculated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Fornl DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: I Z/14/2017 for budget/fiscal year 2018 . �
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and eYamples) LEVY2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00 I,
2. <Minus>Temporary General Property Tax Credit/ i
Temporary Mill Levy Rate ReductionI < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills � 0.00 I
3. General Obligation Bonds and InterestJ mills $ �
4. ContractualObligationsK 0.000 mills $ 0.00
5. Capital ExpendituresL mills $
6. Refunds/AbatementsNl mills $
7. OtherN (specify): mills $
mills $
TOTAL' Sum of General Operating
• �Subtotal a�id Lines 3 to 7 � �.�0� mills � �.��
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: Title: District Accountant
Incla�de one copy of this tax entity's conapleted fo�•m tivhen filing the local gove��i�f�aent's budget by Ja�zaca�y 31st,pei�29-1-113 C.R.S., tivitl�the
Division of Local Gove�°nment(DLG), Room 521, 1313 Shet�nzan Stj�eet, Denvei�, CO 80203. Questions? Call DLG at(303)866-2156. i
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form i
for each county and certify the same levies unifoimly to each county per Ai�ticle X, Section 3 of the Colorado Constitution. �
2 Levies must be rounded to three decllnal places and revenue must be calculated from the total NET assessed valzratron(Line 4 of �
Form DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
�
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ: '
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
�
County TaY Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Golden Eagle Acres Metropolitan District No. 2 ,
(taxing entity)A
the Board of Directors :
(governing body)B
of the Golden E�gle Ac�es Metropolitan District No. 2
(local govermnent)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 544,920
assessed valuation of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Forn1 DLG 57E) �
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be $ 544,920
CalCulated uslrig the NET AV. The taXing eritlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/14/2017 for budget/fiscal year 2018 . �
(not later thazz Dec. 15) (mm/dd/yyyy) (yyyy) ;
PjTRPOSE+ (see end notes for definitions and eYamples) LEVY2 REVENUE2
1. General Operating ExpensesH 50.000 mills $ 27,246.00 ,
2. <Minus>Temporary General Property Tax Credit/ ,
Temporary Mill Levy Rate ReductionI C > mills $ � >
SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 27,246.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK 0.000 mills $ 0.00
5. Capital ExpendituresL mills $
6. Refunds/AbatementsNl mills $
7. OtherN (specify): mills $
mills $ I
�
TOTAL' Sum of General Operating
• �Subtotal and Lines 3 to 7 � 5�.��� mills � 27,246.�0
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: � Title: District Accountant �
Incli�de one copy of this tax entity's conipleted fo�•j�a ivhey�filijzg the local governnzent's bitdget by January 31 st.,pe��29-1-113 C.R.S.,lvzth the
Division.of Local Gove�•nnaent(DLG), Rootn 521, 1313 Slzei�naan Stf•eet,Denver, CO 80203. Qzcestions? Call DLG at(303)866-2156. ,
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the saine levies uniformly to each county per Article X, Section 3 of the Colorado Constitution. ,
Z Levies must be rounded to three decimal places and revenue inust be calculated from the total NET assessed valiratios�(Line 4 of ',
Form DLG57 on the County Assessor's anal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
q
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
- Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Forn1 DLG 70(rev 7/08) Page 2 of 4
Coutity Ta�Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersi of Weld County , Colorado.
On behalf of the Golden Eagle Acres Metropolitan District No. 3 ,
(taxing entiry)A ��
the Board of Directors i
(governing body)B
of the Golclen Eagle Acres Met�opolitnn Dist�ict No. 3
(local government)C ,
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 580,220 ',
assessed valuation of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Form DLG 57E)
i
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the taa levies inust be $ 580,220
calculated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Fornl DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/14/2017 for budget/fiscal year 2018 .
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and eYainples) LEVY2 REVENUE2 �
1. General Operating ExpensesH 50.000 mills $ 29,011.00 ,
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI < > mills $ < >
�
SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 29,011.00 �
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $ i
5. Capital ExpendituresL mills $ '
6. Refunds/AbatementsNl mills $
7. OtherN (specify): mills $ '�
mills $ �,
TOTAL; SumofGeneralOperating ' Q • II
�Subtotal and Lines 3 to 7 � 5�.��� mills �p 29,011 00
Da ime '
Contact person. yt
(print) Brendan Campbell phone: (970) 669-3611 I
Signed: Title: District Accountant I
Inclz�de one copy of this tax entity's conapleted forna ti-vhen fi.ling tl�e local government's bz�dget by Janzcary 31 st,per 29-1-113 C.R.S.,tivitl�the
Division of Local Govern�nent(DLG),Roona 521, 1313 Sl�ernzcrn St��eet, Denve�•, CO 80203. Qzcestzons? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you inust certify the levies to each county. Use a separate form I,
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution. I
2 Levies must be rounded to three deciinal places and revenue inust be calculated froin the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's �nal certification of valuation). I
Forni DLG 70(rev 7/08) Page 1 of 4 I
�
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.) ,
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date: '�
Levy: �
Revenue:
CONTRACTSK: �
3. Purpose of Contract: ,
Title: �
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessaly to separately report all bond and contractual obligations per 32-1-1603, C.R.S. I
Form DLG 70(rev 7/08) Page 2 of 4
County T�Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
HUNTERS OVERLOOK METROPOLITAN DISTRICT#1
On behalf of the ,
(taxing ent;tY)A
the BOARD OF DIRECTORS
(goveming body)B
of the HUNTERS OVERLOOK METROPOLITAN DISTRICT#1
pocal govemmenr)c
Hereby officially certifies the following mills 2�28�
to be levied against the taxing entity's GROSS $
1SSeSSeC�VSIUStIOri Of: (GROSSD assessod valuation,Line 2 of the Certification of Valuation Fortn DLG 57E)
Note: If the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a Tax 2�28�
Increment Financing(TIF)AreaF the tax levies must be $
calculated usin the NET AV. The taxin enti s total G
g g ty� (NET assessed valuation,Line 4 of the Certification of Valuation Fotm DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiplied against the NET assessed valuation of: sY assEssox tvo LaTEx Txaiv nECElvisEx io
Submitted: 12/15/17 for budget/fiscal year 2018
�»o iat�m��. i s> �m„�aa�»�) (n�)
PURPOSE(see end notes for defmitions and e�camples) LEVY2 REVENUE2
1. General Operating Expenses" 5.5� mills $ �3��
2. <Minus>Temporary General Property Tax Credit!
Temporary Mill Levy Rate Reductionl < > mills $< >
SUBTOTAL FOR GENERAL OPERATING: 5'5� mills $ 13.00
3. General Obligation Bonds and Interest� mills $
4. Contractual ObligationsK 55.000 mills $ 125.00
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
Sum of General operating 60.500 138.00
TOTAL: f��,,t�L,an�,.;nz� �t�, 1 ills $
Contact person: CATHY FROMM Daytime 662-1999
(print) phone: � 303�
DISTRICT ACCOUNTANT
Signed: Title:
Inctude one copy of this tax entity's completed form when filing the local governrnent's budget by January 31 st,per 29-1-113 C.RS.,with the
Divi.cion nf Incal Government/I�LCI.Room 521. 1313 Shemran.Ctreet.Denver.CO 8(r10 i. Oe!..ctionc? .all D .C:at( 03►Sh4-77 0.
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
Z Levies must be rounded to ihree decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuaUon).
Page 1 of 4 DLG 70(Rev.6J16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue: _
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract: Reimbursement for Infrastructure Costs
Title: Advance and ReimbursementAgreement
Date: November 16, 2017
Principal Amount: Not to exceed $46,858,382
Maturity Date: Unknown
Levy: 55.000
Revenue: $125
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Yage 2 of4 DLG 70(Rev.6/16)
County Taac Entily Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
HUNTERS 0VERL00K METR0P0LITAN DISTRICT#2
On behalf of the
,
(ta�ng entity)A
the B0ARD 0F DIRECT0RS
(Soveming body)B
of the HUNTERS 0VERL00K METR0P0LITAN DISTRtCT#2
(local govemment)c
Hereby officially certifies the following mills 17,710
to be levied against the taxing entity's GROSS $
1SSeSSeC�V11UatlOri Of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Form DLG 5'7E)
Note: If the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a TaY 17,710
Increment Financing(TIF)AreaF the t�levies must be $
calculated using the NET AV. The taxing entity'S tOtel (NET assessed valualiw�,Line 4 of the Certification of Valuation Form DLG 57)
property taY revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiplied against the NET assessed valuation of: BY assEssox No LaTEx Tx�v nECE�Ex io
Submitted: �2��5/17 forbudgetlfiscal year 2018
(no later than Dec.]5) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for defmitions and examples) I.EVY� REVENUE�
1. General Operating Expenses" 5.5� mills $ 97'�
2. <Minus>Temporary General Property Tax Creditl
Temporary Mill Levy Rate Reduction' < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 5�5� mills $ 97.00
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK 55.000 mills $ 9�4.00
5. Capital Expenditures`' mills $
6. Refunds/Abatements'" mills $
7. Other" (specify): mills $
mills $
Sum of c,eneral operating1 60.500 1,071.00
TOTAL. �Si�htntnl an�i i,inec �t�7 1 ills �
Contact person: "� �qTHY F 0MM ��`� Daytime 303 662-1999
(print) '' ' phone: ( )
' "" DISTRICT ACC0UNTANT
Signed: � Title:
Include one copy of ihu tc�,r entity's completed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Divirinnnf Incal(:ovnrnment/n1.C:1_Rnom 521. 1313 Sh �n Sb..t_n.nver. .O 8 0 OuP.ctionc� all DI.C�at( 0 )SFi4-77-0
1 ff the taxing enriry's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each courny per Article X, Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy: -
Revenue:
2. Purpose of Issue:
Series: -
Date of Issue: -
Coupon Rate:
Maturity Date: -
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract: Reimbursement for Infrastructure Costs
Title: Advance and Reimbursement Agreement
Date: November 16, 2017
Principal Amount: Not to exceed $46,858,382
Maturity Date: Unknown
Levy: 55.000
Revenue: $974
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
County Tax Enrity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
HUNTERS OVERLOOK METROPOLITAN DISTRICT#3
On behalf of the
�
(taxir,g entih')
�
the BOARD OF DIRECTORS
(goveming body)B
of the HUNTERS OVERLOOK METROPOLITAN DISTRICT#3
(local govemment)c
Hereby officially certifies the following mills 9�3�
to be levied against the taxing entity's GROSS $
1 SSeSSeC1 VS1U1tlOri Of: (GROSSD assessed valuation,Line 2 of the Certificarion of Valuation Form DLG 57E}
Note: If the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a TaY 9,340
Increment Financing(TIF)AreaF the ta�c levies must be $
calculated using the NET AV. Tbe taxing entity'S t0t81 (NETG assessed valuati�,Llne 4 of the Certification of Valuarion Forrn DLG 57)
property ta�c revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiplied against tlle NET aSSeSSed ValuatlOri 0f: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/15/17 for budgedfiscal year 2018
(no later than Dac. 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for defmitions and examples) I.EVY� REVENUE�
1. General Operating Expenses" 5.5� mills $ 51.00
2. <Minus>Temporary General Property Taac Credit/
Temporary Mill Levy Rate Reduction' < > mills $< >
SUBTOTAL FOR GENERAL OPERATING: 5�5� mills � 51.00
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK 55.000 mills $ 514.00
5. Capital Expenditures� mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: rSum of General operating1 60.500 565.00
1 Subtotal snd I.inec 3 t�7 1 111$ �
Contact person: CATHY FR �>-�, Daytime
662-1999
(print) %�� � ,�' phone: � 303�
��� �� DISTRICT ACCOUNTANT
Signed: ' �' ' '/r�,�,, Title:
Include one copy of this tax enfity's completed form when filing the loca!government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Divicinn nf Incal Government(DLGI.Room 521. 1 i13 Sherman Street_Denver.CO 81Y203_ D«p.ctionc? �al!DI.C:at(3031 81i4-7720.
I If the taxing entiry's boundaries include more ihan one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, SecUon 3 of the Colorado ConsUtution.
Z L.evies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuaUon).
Page 1 of4 DLG 70(Rev.6/16)
CERTIF'ICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32. ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligarions should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract: Reimbursement for Infrastructure Costs
Tifle: Advance and Reimbursement Agreement
Date: November 16, 2017
Principal Amount: Not to exceed $46,858,382
Maturity Date: Unknown
Levy: 55.000
Revenue: 5514
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of , Colorado.
HUNTERS OVERLOOK METROPOLITAN DISTRICT#4
On behalf of the
,
A
(taXing t�IhtY)
the BOARD OF DIRECTORS
(goveming body)B
of the HUNTERS OVERLOOK METROPOLITAN DISTRICT#4
(local govemment)C
Hereby officially certifies the following mills 7,750
to be levied against the taxing entity's GROSS $
1SSeSSeC�V11U3tlOri Of: (GROSSD assessed valuarion,Line 2 ofihe Certification of Valuation Fottn DLG 5'7E)
Note: If the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a Tax 7,750
Increment Financing(TIF)AreaF the t�levies must be $
calculated using the NET AV. The taxing entity'S t01� (NETG assessed valuation,Line 4 of ihe Certificatiari of Valuatian Fotm DLG 57)
property ta�c revenue will be derived from the mill levy USE VALUE FROM FTNAL CERTIFICATION OF VALUATION PROVIDED
multlpfied against the NET aSSeSSed ValuaUOri Of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/15/17 for budgetlfiscal year z018
�no�at�t��,v�.is� ��aa�m�y> (nn)
PURPOSE(see end notes for deFmitions and e�camples) LEVY2 REVENUEZ
1. General Operating Expenses" 5.5� mills $ 43.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction` < > mills $< >
SUBTOTAL FOR GENERAL OPERATING: 5�5� mills $ 43'�
3. General Obligation Bonds and Interest' mills $
4. ContractualObligationsK 55.OQ0 mills $ 426.00
5. Capital ExpendituresL mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: rSum of General operating1 60.500 469.00
I Subtotal and I.ines 3 to 7 1 111.5 �
Contact person: � — �� Daytime 662-1999
� CATHY ROMM =
(print) phone: � 303�
Si ned: � ,� DISTRICT ACCOUNTANT
g � �,,,,� Title:
------— �
Include one copy of this ta.x entity's completed form when filing the local governrnent's budget by January 31 st,per 29-1-113 C.R.S.,with the
Divi.rion of Inr.al Government(I�I.GI.Room 521. 13/3 Shermnn Street.Denver.CO K0203_ nuertinnr? Catl nLG at/3031 R64-7720_
I If the tcixing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forrn DLG57 on the County Assessor's FINAL certification of valuation).
Yage 1 oF4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract: Reimbursement for Infrastructure Costs
Title: Advance and Reimbursement Agreement
Date: November 16, 2017
Principal Amount: Not to exceed $46,858,382
Maturity Date: Unknown
Levy: 55.000
Revenue: $426
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
County Tax Enfity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
HUNTERS 0VERL00K MEfR0P0LITAN DISTRICT#5
On behalf of the
,
(ra�ng enrity)A
the B0ARD 0F DIRECT0RS
(goveming body)
of the HUNTERS 0VERL00K METR0P0LITAN DISTRICT#5
(tocal govemmenr)c
Hereby officially certifies the following mills 650
to be levied against the taxing entity's GROSS $
1SSeSSeC1 ValU3tlOri Of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Form DLG 5'7E)
Note: If the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a Tax 650
Increment Financing(TIF')AreaF the tax levies must be $
calculated using the NET AV. The taxing entity'S t0t81 (NET assessed valuation,Line 4 of the Certification of Valuation Fam DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
m111UpI1Cd 3g81ILSt T�NET 1SSeSSed V�ilatlOII 0f: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/15/17 for budget/fiscal year ���$
(no later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for defmitions and examples) LEVY2 REVENUE2
l. General Operating Expenses" 5.5� mills $ 4'�
2. <Minus>Temporary General Property Tax Credid
Temporary Mill Levy Rate Reduction` < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 5�5� mills $ 4.00
3. General Obligation Bonds and Interestl mills $
4. ContractualObligations" 55.� mills $ 36.00
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: rSum of General Operating 60.500 40.�
1 Subtotl and 1.ines i tn 7 � 111$ �
Contact person: ��� � � Daytime
� � CATHY R0MM � 662-1999
(print) �% �" /' ��° phone: � 303�
'� �_�'� DISTRICT ACC0UNTANT
Signed: � � �r �,i Title:
Include one copy of this tax entity's completed form w en filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Divisi�n nflncal Goverrvnent InI.G).Ronm S21_ 1313.Sherman Street_I�enver_ .O 8020i. n�oskonc? LI 1�7.�a f i031 864-77 0
1 If the taxing entiry's boundaries include more than one county,you must certify ihe levies to each county. Use a separate form
for each county and certify the same levies unifomily to each county per Article X, Section 3 of ihe Colorado ConstituUon.
Z Levies must be rounded to three decunal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certificarion of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIF`ICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Ta�cing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract: Reimbursement for Infrastructure Costs
Title: Advance and ReimbursementAgreement
Date: November 16, 2017
Principal Amount: Not to exceed $46,858,382
Maturity Date: Unknown
Levy: 55.000
Revenue: $36
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use mWtiple copies of this page as necessary to separately report all bond a�contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/lb)
County T�Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
HUNTERS OVERLOOK METROPOLITAN DISTRICT#6
On behalf of the �
(taxing entitY)A
the BOARD OF DIRECTORS
(goveming body)
of the HUNTERS OVERLOOK METROPOLITAN DISTRICT#6
(local government)c
Hereby officially certifies the following mills 6�
to be levied against the taxing entity's GROSS $
1SSeSSeCi V11UatlOri Of: (GROSSD assessed valuation,Line 2 ofthe Certificarion of Valuarion Fonn DLG 57E)
Note: If the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a TaY 6�
Increment Financing(TIF)AreaF the taY levies must be $
calculated using the NET AV. The taxing entity'S t0t81 (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property t�revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiplied against the NET dSSeSSed ValuatiOn Of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/15/17 for budget/fiscal year 2018
�no later man Dec.�s> �mm/aa�,yyy> �yyyy�
PURPOSE(see end notes for defmitions and e�mples) LEVY� REVEI�jUE�
1. General Operating Expenses`' 5.5� mills $ 4��
2. <Minus>Temporary General Property T� Credid
Temporary Mill Levy Rate Reduction` < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 5'5� mills $ 4.�
3. General Obligation Bonds and Interest� mills $
4. ContractualObligations" 55.� mills $ 35.00
5. Capital Expenditures'' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: rSum ofGeneral Operating 1 60.500 39.00
I S ibto al nri i,in.c �tn 7 1 111$ �
Contact person: ,^� ��" � Daytime
� CATHY F ANN 662-1999
(print) ,�;� � ' phone: ( 303�
Signed: � --;��r Title: DISTRICTACCOUNTANT
Include one copy of this tcx,r entity's completed form wh n filing the local govenrment's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division of Incal Gnvernmvnt(nl.Gl_Rn2m 521. 131_i,Cherm�n.Street_nenver.CO 8(J2n i. pue.ctions? Ca[l DI.C at/3O31 RFi4-777/l
'If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(I,ine 4 of
Form DLG57 on the County Assessor's FINAL certif'ication of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPL_I_ES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract: Reimbursement for Infrastructure Costs
Title: Advance and ReimbursementAgreement
Date: November 16, 2017
Principal Amount: Not to exceed $46,858,382
Maturity Date: Unknown
Levy: 55.000
Revenue: S 3 5
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of4 DLG 70(Rev.6l16)
County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
HUNTERS OVERLOOK METROPOLITAN DISTRICT#7
On behalf of the ,
(ta�ting entity)`�
the BOARD OF DIRECTORS
(goveming body)
of the HUNTERS OVERLOOK MEfROPOLITAN DISTRICT#7
pocal govemment)c
Hereby officially certifies the following mills 1,220
to be levied against the taxing entity's GROSS $
1SS2SS8C�ValUltlOri Of: (GROSS�assessed valuation,Line 2 of the Czrtificarion of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a T� ��22p
Increment Financing(TIF)AreaF the tax levies must be $
calculated using the NET AV. The taxing entity'S t0t� (NETG assessed valuation,Lane 4 of the Certification of Valuatian Fwm DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
TTWliipliP,d BgaiIl5t the NET aSSeSSCd Vall]atiOII Of: BY ASSESSOR NO LATER TI-IAN DECEMBER 10
Submitted: 12��5��� forbudgedfiscal year 2018
(no later than Dac. 15) (mm/ddlyyyy) (yyyy)
PURP�.SE(see end notes for defmitions and e�uunples) LEVY� REVENUE�
1. General Operating Expenses" 5�5� mills $ �'�
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction` < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 5'5� mills $ �'�
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK 55.000 mills $ 67.00
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: rSum of General Operating 1 6�.5� 74.00
I Suhtntal and I.inec 3 to 7 I 111$ �
,—�
Contact person: �. CATHY FR,�MM '���� Daytime 662-1999
(print) � '� phone: ( 303�
� � � � ��"" � � DISTRICT ACCOUNTANT
Signed: �, , �ro�n� Title:
Inctude one copy of this tax entiry's completed form when,j�iling the local governrnent's budget by January 31st,per 29-1-113 C.R.S.,with the
Divisinn of Inca[(:over�tment/DI.GI.Room 521. 1313.Shermnn.Street.Denver.C.'C)8(Y1O3. Oue.ctionc? Ca[(DI.Cr at(3031 864-7720.
1 If the taxing entiry's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify ihe same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from ihe total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuaUon).
Page 1 of4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract: Reimbursement for Infrastructure Costs
Title: Advance and Reimbursement Agreement
Date: November 16, 2017
Principal Amount: Not to exceed $46,858,382
Maturity Date: Unknown
Levy: 55.000
Revenue: $67
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
County Tax Faitity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of , Colorado.
HUNTERS OVERLOOK METROPOLITAN DISTRICT#8
On behalf of the
,
(ta�ung ennh')A
the BOARD OF DIRECTORS
(goveming body)
of the HUNTERS OVERLOOK METROPOLITAN DISTRICT#8
(local govemment)c
Hereby officially certifies the following mills �
to be levied against the taxing entity's GROSS $
1SS8SS8C�V�Uat1OT1 Of: (GROSSD assessed valuation,Line 2 ofthe Certification of Valuation Fomt DLG 5'7E)
Note: If the assessor certified a NET assessed valuation
(A�different than the GROSS AV due to a TaY 60
Increment Financing(TIF)AreaF the tax levies must be $
calculated using the NET AV. The taxing entity's total �t•rET�as�ssea�a�u$tion,Line 4 of the CeRification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
iriultlP�l0d Sg11riSt i�NET 8SS2SS2C�V�1k111Ori 0f: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/15/17 for budget/fiscal year 2018
�no�at�m�,rr�.is> �a�aa�m�y) cv»y)
PURPOSE(see end notes for definitions and e�ramples) LEVYZ REVENUEZ
l. General Operating Expenses" 5.5� mills $ �'�
2. <Minus>Temporary General Property T� Credit/
Temporary Mill Levy Rate Reduction' < > mills $< >
SUBTOTAL FOR GENERAL OPERATING: 5�5� mills $ ���
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligations" 55.� mills $ 3��
5. Capital Expenditures`' mills $
6. Refunds/AbatementsM mills $
7. Other" (specify): mills $
mills $
TOTAL: rSum of General Operating1 60.500 4.�
1 Subtotal and i.ines 3 to 7 I 111S �
Contact person: " �`,. Daytime 662-1999
(print) CATHY F�OMM r� phone: � 303�
� ;
�r�
r � DISTRICT ACCOUNTANT
Signed: �� �ro�m� Title:
Include one copy of this tax entity's completed form w en filing the local government's budget by January 31st,per 29-1-113 C.RS.,with the
Divi.rion of I�r.al Government/I�I.GI.Ronm 521. 7313 Sherman Sbeet.Denver.CO R0203. nue.rtinnr? Call T�I.G at/3031 Sh4-7720_
1 If the tcixing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado ConstituUon.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.b/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract: Reimbursement for Infrastructure Costs
Title: Advance and ReimbursementAgreement
Date: November 16, 2017
Principal Amount: Not to exceed $46,858,382
Maturity Date: Unknown
Levy: 55.000
Revenue: $3
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1603 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the H I G H WAY 119 M ETRO #7 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 7
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 8.33
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccountant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
16�4 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalf of the H I G H WAY 119 M ETRO #8 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 8
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 8.33
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccountant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
1606 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
Onbehalfofthe HIGHWAY 119 METRO #10 �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Highway 119 Metropolitan District No. 10
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 10
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 8.33
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/13/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction� < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� mills $
4. ContractualObligationsK mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. OtherN (specify): mills $
mills $
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Dawn A.schilling phone: ( � 720-348-1086
Signed: `�qw�� `�������� Title: DistrictAccoutant
D ii�m�.Sdi�illin�(De�13.2G L r'�
/nclude one copy of this tax entiry's comple2ed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
Y�.�.._ �p._b•..
y '� �86f � ��" OFFICEOFTHEWELDCOUNTYASSESSOR
PHONE(970)400-3650
FAX(970)304-6433
WEBSITE:www.weld�ov.com
WELD COUNTY ADMINISTRATIVE OFFICES
� O � � -r � 1400 N 17th AVE
GREELEY,CO 80631
. 1
DLG 70-CERTIFICATION OF TAX LEVIES ELECTRONIC SUBMISSION FORM INSTRUCTIONS
IMPORTANT: Please do not sign the form until all items are complete. Signing the form finalizes the form and
electronically delivers a copy to our office. No Adobe sign-up is required.
• Click on the link to view the fillable form.
• Complete your mill levy form filling in the Levy and the Revenue columns. The total fields will
automatically calculate.
• If you start and need to come back later it automatically saves,you just click on the link when
you return to retrieve the form with the previous information completed still showing.
• Please use only positive numbers as the form is set up to calculate the negative amounts.
• If you add a Levy under General Obligation Bond or Contractual Obligation you will be required
to complete page 2.
• If more than one person is involved in completing the form you can forward to other people.
The form automatically saves each time it is opened and a change is made until the form is
signed. Once the form is si�ned this finalizes the process and electronically delivers a copv to
our office.
• Once the form is signed,you will receive a signed copy emailed to the original email address.
• Please try to file your levy using the electronic form as this helps with the tracking process.
Please feel free to contact Scott Wright at (970)400-3678, swri�ht@weld�ov.com or Dee Kayl at(970)
400-3655, dkavl@weld�ov.com with any questions.
16�7 County Tax Entity Code DOLA LGID/SID
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
Onbehalfofthe MOUNTAIN SKY METRO DISTRICT �
A
(taxing entity)
the Board of Directors
(governing body)B
ofthe Mountain Sky Metropolitan District
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 22,110
D E
aSSeSSeCl V11UatlOtl Of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)Area�the tax levies must be $ 22,110
CalCulated Using the NET AV. The taXing entlty'S tOtal (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED
multiphed against the NET assessed valuation o£ BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/06/2017 for budget/fiscal year 2018 ,
(no later than Dea 15) (mm/dd/yyyy) (yyyy)
PURP�SE(see end notes for definitions and examples) LEVy� REVENUE�
L General Operating ExpensesH 0.000 mills $ 0
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < 0.000 > mills $ < � >
SUBTOTAL FOR GENERAL OPERATING: �•� mills $ �
3. General Obligation Bonds and Interest� 0.000 mills $ �
4. ContractualObligationsK 0.000 mills $ �
5. Capital ExpendituresL 0.000 mills $ �
6. Refunds/Abatements"' 0.000 mills $ �
7. OtherN (specify): 0.000 mills $ 0
0.000 mills $ 0
T�r�.��� �Sum of General Operating � � � ml�ls � �
I Subtotal and Lines 3 to 7
Contact person: Daytime
(print) Eric Weaver phone: ( � (970) 926-6060
C�^ � DistrictAccountant
Signed: � � � �.. ���__ Title:
/nclude one copy of this tax entity's completed form when filing the local government's budget by January 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DLC) Room 521. 1313 Sherman Street.Denver. CO 80203 Ouestions� Call DLC at(3031 864-7720
'If the ta�ing entity's boundaries include more than one county,you must cerrify the]evies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Arricle X, Section 3 of the Colorado Constitution.
�Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Forin DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
Notes:
`'Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property
located within its territorial limits (please see notes B, C, and H below). For purposes of the DLG 70 only, a
taxing entity is also a geographic area formerly located within a taxing entity's boundaries for which the county
assessor certifies a valuation for assessment and which is responsible for payment of its share until retirement of
financial obligations incurred by the taxing entity when the area was part of the taxing entiry. For example: an
area of excluded property formerly within a special district with outstanding general obligation debt at the time of
the exclusion ar the area located within the former boundaries of a dissolved district whose outstanding general
obligation debt service is administered by another local government�.
B Governing Body—The board of county commissioners, the city council,the board of trustees,the board of
directors, or the board of any other entity that is responsible for the certification of the taxing entity's mill levy.
For example: the board of county commissioners is the governing board ex officio of a county public
improvement district(PID);the board of a water and sanitation district constitutes ex officio the board of directors
of the water subdistrict.
c Local Government-Far purposes of this line on Page 1 of the DLG 70,the local government is the political
subdivision under whose authority and within whose boundaries the taxing entity was created. The local
government is authorized to levy property taxes on behalf of the taxing entity. For example, far the purposes of
this form:
1. a municipality is both the local government and the taxing entity when levying its own levy for its entire
jurisdiction;
2. a city is the local government when levying a tax on behalf of a business improvement district(BID)
ta�ing entity which it created and whose city council is the BID board;
3. a fire district is the local government if it created a subdistrict,the taxing entity, on whose behalf the fire
district levies property taxes.
4. a town is the local government when it provides the service for a dissolved water district and the town
board serves as the board of a dissolved water district,the taxing entiry, for the purpose of certifying a
levy for the annual debt service on outstanding obligations.
°GROSS Assessed Value-There will be a difference between gross assessed valuation and net assessed
valuation reported by the county assessor only if there is a"tax increment financing" entity(see below), such as a
downtown development authority or an urban renewal authority,within the boundaries of the taxing entity. The
board of county commissioners certifies each taxing entity's total mills upon the taxing entity's Gross Assessed
Value found on Line 2 of Form DLG 57.
E Certifcation of Valuation by County Assessor,Form DLG 57 -The county assessor(s)uses this form(or one
similar)to provide valuation for assessment information to a taxing entity. The county assessar must provide this
certification no later than August 25`h each year and may amend it, one time,prior to December 10`h. Each entity
must use the FINAL valuation provided by assessor when certifying a tax levy.
F TIF Area—A downtown development authority(DDA) or urban renewal authority(URA),may form plan
areas that use"tax increment financing"to derive revenue from increases in assessed valuation(gross minus net,
Form DLG 57 Line 3) attributed to the activities/improvements within the plan area. The DDA or URA receives
the differential revenue of each overlapping ta�ing entity's milllevy applied against the taxing entity's gross
assessed value after subtracting the ta�ing entity's revenues derived from its mill levy applied against the net
assessed value.
�NET Assessed Value—The total taxable assessed valuation from which the taxing entity will derive revenues
for its uses. It is found on Line 4 of Form DLG 57. Please Note: A downtown development authority(DDA)
may be both a taxing entity and have also created its own TIF area and/or have a URA TIF Area within the
DDA's boundaries. As a result DDAs may both receive operating revenue from their levy applied to their
certified NET assessed value and also receive TIF revenue generated by any tax entity levies overlapping the
DDA's TIF Area, including the DDA's own operating levy.
Page 3 of 4 DLG 70(Rev.6/16)
H General Operating Expenses (DLG 70 Page 1 Line 1)—The levy and accompanying revenue reported on
Line 1 is for general operations and includes,in aggregate, all levies for and revenues raised by a taxing entity for
purposes not lawfully exempted and detailed in Lines 3 through 7 on Page 1 of the DLG 70. For example: a fire
pension levy is included in general operating expenses, unless the pension is voter-approved, if voter-approved,
use Line 7 (Other).
I Temporary Tax Credit for Operations(DLG 70 Page 1 Line 2)—The Teinporary General Property Tax
Credit/Temporary Mill Levy Rate Reduction of 39-1-111.5, C.R.S. may be applied to the ta.xing entity's levy for
general operations to effect refunds. Temporary Tax Credits(TTCs) are not applicable to other rypes of levies
(non-general operations) certified on this form because these levies are adjusted from year to year as specified by
the provisions of any contract or schedule of payments established far the payment of any obligation incurred by
the taxing entity per 29-1-301(1.7), C.R.S., or they are certified as authorized at election per 29-1-302(2)(b),
C.R.S.
' General Obligation Bonds and Interest(DLG 70 Page 1 Line 3)—Enter on this line the total levy required to
pay the annual debt service of all general obligation bonds. Per 29-1-301(1.7) C.R.S., the amount of revenue
levied for this purpose cannot be greater than the amount of revenue required for such purpose as specified by the
provisions of any contract or schedule ofpayments. Title 32,Article 1 Special districts and subdistricts must
complete Page 2 of the DLG 70.
K Contractual Obligation (DLG 70 Page 1 Line 4)—If repayment of a contractual obligation with property tax
has been approved at election and it is not a general obligation bond(shown on Line 3), the mill levy is entered on
this line. Per 29-1-301(1.7)C.R.S.,the amount ofrevenue levied for this purpose cannot be greater than the
amount of revenue required for such purpose as specified by the provisions of any contract or schedule of
payments.
�' Capital Expenditures (DLG 70 Page 1 Line 5)—These revenues are not subject to the statutory property tax
revenue limit if they are approved by counties and municipalities throu�h public hearin�s pursuant to 29-1-
301(1.2) C.R.S. and for special districts through a�proval from the Division of Local Government pursuant to 29-
1-302(1.5) C.R.S. or for any taxing entity if approved at election. Only levies approved by these methods should
be entered on Line 5.
"' Refunds/Abatements (DLG 70 Page 1 Line 6)—The county assessor reports on the Certification of Valuation
(DLG 57 Line 11)the amount of revenue from property tax that the local government did not receive in the prior
year because taxpayers were given refunds far taxes they had paid or they were given abatements for taxes
originally charged to them due to errors made in their property valuation. The local government was due the tax
revenue and would have collected it through an adjusted mill levy if the valuation errors had not occurred. Since
the government was due the revenue, it may levy, in the subsequent year,a mill to collect the refund/abatement
revenue. An abatement/refund mill levy may generate revenues up to,but not exceeding,the refund/abatement
amount from Form DLG 57 Line 11.
1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxin�tv is in more
than one county, as with all levies,the abatement levy must be unifonn throughout the entity's boundaries
and certified the same to each countv. To calculate the abatement/refund levy for a taxing entity that is
located in more than one county, first total the abatement/refund amounts reported by each county
assessor,then divide by the taxing entity's total net assessed value,then multiply by 1,000 and round
down to the nearest three decimals to prevent levying for more revenue than was abated/refunded. This
results in an abatement/refund mill levy that will be uniformly certified to all of the counties in which the
taxing entity is located even though the abatement/refund did not occur in all the counties.
N Other(DLG 70 Page 1 Line 7)—Report other levies and revenue not subject to 29-1-301 C.R.S. that were not
reported above. For example: a levy for the purposes of television relay or translator facilities as specified in
sections 29-7-101, 29-7-102, and 29-7-105 and 32-1-1005 (1) (a), C.R.S.; a voter-approved fire pension levy; a
levy for special purposes such as developmental disabilities, open space, etc.
Page 4 of 4 DLG 70(Rev.6/16)
,'
Counry Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Severance South Metropolitan District No. 1 ,
(taYing entity)`�
the Board of Directors
(governing body)B
of the Severccnce South Metropolitan District No. 1
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 320
assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be $ 320
calculated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/I S/2017 for budget/fiscal year 2018 .
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and eYamples) LEVY2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reductionr � > mills $ � �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
eneral Obli ation Bonds and InterestJ mills $ '
3. G g
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/AbatementsNi mills $
7. OtherN (specify): mills $
mills $
T�rr.��� Sum of General Operating � '
1 �Subtotal and Lines 3 to 7 � �.0�� mills � 0 ��
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: Title: District Accountant
Inclzcde one copy of this tc�r entity's conzpleted foi•nz tivl�en fr.ling the local gove�-nment's bzrdget by Janzcczty 31 st,pe�°29-1-113 C.R.S.,with the
Division of Local Gove�°nnient(DLG),Roona 521, 1313 Slzej�nzan Street, Denvei°, CO 80203. Qz�estions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include inore than one county,you inust certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue inust be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's anal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
i
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Pui-pose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity D ate:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
County Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Severance South Metropolitan District No. 2 ,
(taxing entity)A
the Board of Directors
(governing body)B
of the Severance South Metropolitc�n Distrzct No. 2
(local governme�7t)�
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 43,180
assessed valuation of: (GROSSD assessed valuation,Line 2 oftlie Certification of Valuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increinent Financing(TIF)AreaF the tax levies must be $ 43,180
CalCulated using the NET AV. The taXing entlty's total (NETG assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived fi-om the mill levy
multiplied against the NET assessed valuation of:
Submitted: 12/1 S/2017 for budget/fiscal year 2018 .
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI � > mills $ C �
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"'' mills $
7. OtherN (specify): mills $
mills $
TOTAL; Sum of General Operating •
�Subtotal and Lines 3 to 7 � 0.��0 mills � � �0
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: c� Title: District Accountant
Include one copy of tlzis tax e��tity's conapleted fornz tivhen f lzng tlae local gove��nment's bi�dget by.Ic�i��i�cz�y 31 st,per 29-1-113 C.R.S.,with the
Division ofLocal Govej•n�nent(DLG), Room 521, 1313 Sl�erman St��eet,Denve�•, CO 80203. Questions? Call DLG at(303)866-2156.
' If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate fonn
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
Z Levies inust be rounded to three deciinal places and revenue must be calculated from the total NET assessed valzration(Line 4 of
Form DLG57 on the County Assessor's anal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
i
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.) ;
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation ��
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT: ��
BONDSJ:
l. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity D ate:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this page as necessary to separately report all bond and conn•actual obligations per 32-1-1603,C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
M
County Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Severance South Metropolitan District No. 3 ,
(taxing entity)A
the Board of Directors
(governing body)B
of the Seve�ance South Met�opolitnn Dist�ict No. 3
(local government)C
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 127,770
assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Ta� �
Increment Financing(TIF)AreaF the tax levies must be $ 127,770 I
CalCulated using the NET AV. The taxing entlty'S total (NETG assessed valuation,Line 4 of the Certification of Valuation Fornl DLG 57) 'i
property tax revenue will be derived from the mill levy 'i
multiplied against the NET assessed valuation of: i
Submitted: 12/1 S/2017 for budget/fiscal year 2018 .
(not later than Dec. 15) (mm/dd/yyyy) �YYYY)
PURPOSE(see end notes for definitions and examples) I.Evy2 REVENUE2
l. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate ReductionI < > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/Abatements"I mills $
7. OtherN (specify): mills $
mills $
TOTAL; SumofGeneralOperating Q •
�Subtotal and Lines 3 to 7 � �.��� mills .p 0 ��
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: � Title: District Accountant
Incla�de o��e copy of tlzis tax entity's conapleted forf�a when fi.ling tl�e local gove��nnaent's bz�dget by.Ian�uary 31 st,pe��29-1-113 C.R.S.,tiva�tl2 the
Division ofLocal Governnaent(DLG), Room 521, 1313 She�°nlan Street, Den.ver, CO 80203. Qzcestions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X, Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's rnal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
i1
1
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Pur-pose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
,';
2. Purpose of Issue:
Series: ,
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date: '
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies of this pagE as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
Counry Tax Entity Code DOLA LGID/SID /
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissionersl of Weld County , Colorado.
On behalf of the Severance South Metropolitan District No. 4 ,
(taYing entity)A
the Board of Directors
(governing body)B
of the Severccnce South Met�opolitan District No. 4
(local government)�
Hereby officially cet-tifies the following mills
to be levied against the taxing entity's GROSS $ 5,984,880
assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57�)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax
Increment Financing(TIF)AreaF the tax levies must be � 5,984,880
calculated using the NET AV. The taxing entity's total (NETG assessed valuation,Line 4 of the Certification of Valuation Fornl DLG 57)
property tax revenue will be derived from the mill levy
multiplied against the NET assessed valuation o£
Submitted: 12/I S/2017 for budget/fiscal year 2018 .
(not later than Dec. 15) (mm/dd/yyyy) (yyyy)
PURP�S�+ (see end notes for definitions and eYamples) LEVY2 REVENUE2
1. General Operating ExpensesH 0.000 mills $ 0.00
2. <Minus> Temporary General Propei-ty Tax Credit/
Temporary Mill Levy Rate ReductionI � > mills $ < >
SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00
3. General Obligation Bonds and InterestJ mills $
4. ContractualObligationsK mills $
5. Capital ExpendituresL mills $
6. Refunds/AbatementsNi mills $
7. OtherN (specify): mills $
mills $
TOTAL� Sum of General Operating
• �Subtotal and Lines 3 to 7 � �.�0� mills � �.0�
Contact person: Daytime
(print) Brendan Campbell phone: (970) 669-3611
Signed: �� Title: District Accountant
Include one copy of this tax entity's conzpleted fo��rn 1-vhen fr.ling tlz�e local govei�nment's budget by.Iani�a�y 31 st,per 29-1-113 C.R.S.,tivith tl��e
Diviszon of Local Govern»aent(DLG), Room 521, 1313 SI�e��naan St��eet,Denvei°, CO 80203. Questions? Call DLG at(303)866-2156.
1 If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies unifonnly to each county per Article X, Section 3 of the Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated fi•om the total NET assessed valafation(Line 4 of
Foi�n DLG57 on the County Assessor's inal certification of valuation).
Form DLG 70(rev 7/08) Page 1 of 4
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDSJ:
1. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTSK:
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use inultiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S.
Form DLG 70(rev 7/08) Page 2 of 4
1340 County Tax Entity Code DOLA LGID/SID 65126/1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalfofthe GREENSPIRE METRO #1
,
(taxing entity)
the Board of Directors
(goveming body)
ofthe Greenspire Metropolitan District No. l
(local govemment)
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 2550
assessed valuation of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Fortn DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GRO SS AV due to a Tax 2550
Increment Financing(TIF)AreaF the tax levies must be $
calculated using the NET AV. The taxing entity's total (NET assessed valuation,Line 4 of�he Certificacion ofValuacion Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUAT[ON PROVIDED
multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budgebfiscal year 2018
(no later than Dec. I S) (mm/dcUyyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVYZ ���EZ
1. General Operating Expenses" 12.708 mills $ 32
2. <Minus>Temporary General Property Tax Credid
Temporary Mill Levy Rate Reduction' < > mills $< >
SUBTOTAL FOR GENERAL OPERATING: 12•7�8 mills $ 32
3. General Obligation Bonds and Interest� 25.416 mills $ 64
4. ContractualObligations" mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: r Sum of General Operating 1
Subtotal and Lines 3 to 7 I 38.124 mills $ 96
Contact person: Daytime
(print) Colin B.Mielke phone: ( � 303-770-2700
Signed: �`��g�e`�e Title: Attorney for District
Colin B.Mielke�Dec 14,i017
Include one copy of this taz e�rtiry's completed form when filing the local government's budge!by January 31st,per 29-1-113 C.R.S.,with the
Division o!/,ocn!Gnvernment(DLG).Room 521. 1313 Sherman Street.Denver. CO R0203. Oue.ction.c? CnII DL .nt(303)864-7720.
�If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 ofthe Colorado Constitution.
Z Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES,continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE NIILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: Please see additional sheet for description of all bonds and contracts
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies ofthis page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of4 DLG 70(Rev.6/16)
1341 County Tax Entiry Code DOLA LGID/SID 65127/1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalfofthe GREENSPIRE METRO #2 �
(taxing rntity)
the Board of Directors
(governing body)
ofthe Greenspire Metropolitan District No. 2
(local govemment)
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 2214150
assessed valuation of: (GROSS�assessed valuation,Line 2 of the Certification of Valuation Form DLG 57E)
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax 2214150
Increment Financing(TIF)AreaF the tax levies must be �
calculated using the NET AV. The taxing entity'S tOt81 (NET assessed valuation,Line 4 of the Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATtON OF VALUATION PROVIDED
multlplled agalnSt the NET aSSeSSed valuatl0n Of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budgedfiscal year 2018
(no later than Dec IS) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVYZ RE��EZ
1. General Operating Expenses" 12•708 mills $ 28,137
2. <Minus>Temporary General Property Tax CrediU
Temporary Mill Levy Rate Reduction' < > mills $< >
SUBTOTAL FOR GENERAL OPERATING: 12.7�8 mills $ 28,137
3. General Obligation Bonds and Interest' 25.416 mills $ 56,274
4. ContractualObligations" mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: rSum of General Operating 38.124 Q 84,411
I Subtotal and Lines 3 to 7 1 mills .D
Contact person: Daytime
(print) Colin B.Mielke phone: ( � 303-770-2077
Co�i�r 8 Me6�re Attorne for District
S igned. Colin B.Mielke(Dec 14,7017) Title: Y
Include one copy of this tax entiry's completed form when filing the loca/government's budget by January 3/s!,per 29-/-113 C.R.S.,wi�h the
Divi.cion ot/.oca!C�overnment/D/.C:1. Room 521. 1313 Shermnn Street.Denven CO 80203. O:�estions? Cn!!DLG nt(303)8h4-7710.
�If the taxii2g entiry's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES,continued
THIS SECTION APPLIES TO TITLE 32,ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT(32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt (32-1-1603, C.R.S.)
Use additional pages as necessary. The Special DistricYs or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE NIILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: See additional sheet for description of all bonds and contracts
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies ofthis page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of 4 DLG 70(Rev.6/16)
1339 County Tax Ent�ry Code DOLA LGID/S1D 65128/1
CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments
TO: County Commissioners' of WELD COUNTY , Colorado.
On behalfofthe GREENSPIRE METRO #3 �
(taxing entity)
the Board of Directors
(goveming body)
ofthe Greenspire Metropolitan District No. 3
(local government)
Hereby officially certifies the following mills
to be levied against the taxing entity's GROSS $ 125,670
aSSeSSeCI V 11U1tlOri Of � (GROSS�assessed valuation,Line 2 of the Certification of Valuation Fortn DLG 57 )
Note: If the assessor certified a NET assessed valuation
(AV)different than the GROSS AV due to a Tax 125,67�
Increment Financing(TIF)AreaF the tax levies must be $
calculated using the NET AV. The taxing entity's total (NET assessed vatuation,Line 4 ofthe Certification of Valuation Form DLG 57)
property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERT[FICATION OF VALUATION PROVIDED
multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10
Submitted: 12/14/2017 for budgebfiscal year 2018
(no laterthan Dec. 15) (mm/dd/yyyy) (yyyy)
PURPOSE(see end notes for definitions and examples) LEVYZ REVENiJEZ
1. General Operating Expenses" 12.708 m�]�S $ 1,597
2. <Minus>Temporary General Property Tax Credit/
Temporary Mill Levy Rate Reduction' < > mills $< >
SUBTOTAL FOR GENERAL OPERATING: 12•708 m;��s $ 1,597
3. General Obligation Bonds and Interest' 25.416 mills $ 3,194
4. ContractualObligations" mills $
5. Capital Expenditures`' mills $
6. Refunds/Abatements"' mills $
7. Other" (specify): mills $
mills $
TOTAL: rSumofGeneralOperating 1
Subtotal and Lines 3 to 7 I 38.124 m ills $ 4,791
Contact person: Daytime
(print) Colin B.Mielke phone: ( � 303-770-2700
Signed: �`��$�e`�e Title: Attorney Reg.#41545
Colln B Mielke(Uec 14,7017
Include one copy of this tax entiry's completed form when frling the loca!government's budgei by January 31st,per 29-1-1/3 C.R.S.,with rhe
Division ofLacn!Governmen�/DLGI.Room 521. 1313 Shermnn Street.Denver. CO 80203. O:�estions? Cn!!DI.G at/303)R64-7720.
� If the taxing entity's boundaries include more than one county,you must certify the levies to each county. Use a separate form
for each county and certify the same levies uniformly to each county per Article X,Section 3 of the Colorado Constitution.
2 Levies must be rounded to three decimal places and revenue must be calculated from the total NET assessed valuation(Line 4 of
Form DLG57 on the County Assessor's FINAL certification of valuation).
Page 1 of 4 DLG 70(Rev.6/16)
CERTIFICATION OF TAX LEVIES,continued
THIS SECTION APPLIES TO TITLE 32.ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies for general obligation
bonds and total levies for contractual obligations should be recorded on Page 1, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: See additional sheet for description of all bonds and contracts
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
2. Purpose of Issue:
Series:
Date of Issue:
Coupon Rate:
Maturity Date:
Levy:
Revenue:
CONTRACTS":
3. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
4. Purpose of Contract:
Title:
Date:
Principal Amount:
Maturity Date:
Levy:
Revenue:
Use multiple copies ofthis page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S.
Page 2 of4 DLG 70(Rev.6/16)
Include one copy of this tax entiry's completed form when filirag the local goverrzment's budged by January 3/st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DGG). Room 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DGG at(303)864-7720.
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: $1,075,000 Limited Tax (Convertible to Unlimited Tax) General Obligation
Bonds
Series: 2010
Date of Issue: October 26, 2010
Coupon Rate: 7%
Maturity Date: October 26, 2040
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
2. Purpose of Issue: $1,935,106.85 Limited Tax (Convertible to Unlimited Tax) General
Obligation Bonds
Series: 2009
Date of Issue: January 20, 2009
Coupon Rate: 7%
Maturity Date: January 20, 2039
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
3. Purpose of Issue: $185,669.44 Limited Tax (Convertible to Unlimited Tax) General Obligation
Bonds
Series: 2005
Date of Issue: December 1, 2005
Coupon Rate: 7%
Maturity Date: December 20, 2035
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
CONTRACTSK:
4. Purpose of Contract: Operations Maintenance and Debt Service
Title: District Facilities Construction and Service Agreement
Date: November 18, 2003
Principal Amount: N/A
Maturity Date: N/A
Levy: A portion of 25.416 mills
{00315861} Fonn DLG 70(rev 10/14) Page 2 0_
Include one copy of this tax entiry's completed form when filirag the local goverrzment's budged by January 3/st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DGG). Room 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DGG at(303)864-7720.
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: $1,075,000 Limited Tax (Convertible to Unlimited Tax) General Obligation
Bonds
Series: 2010
Date of Issue: October 26, 2010
Coupon Rate: 7%
Maturity Date: October 26, 2040
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
2. Purpose of Issue: $1,935,106.85 Limited Tax (Convertible to Unlimited Tax) General
Obligation Bonds
Series: 2009
Date of Issue: January 20, 2009
Coupon Rate: 7%
Maturity Date: January 20, 2039
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
3. Purpose of Issue: $185,669.44 Limited Tax (Convertible to Unlimited Tax) General Obligation
Bonds
Series: 2005
Date of Issue: December 1, 2005
Coupon Rate: 7%
Maturity Date: December 20, 2035
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
CONTRACTSK:
4. Purpose of Contract: Operations Maintenance and Debt Service
Title: District Facilities Construction and Service Agreement
Date: November 18, 2003
Principal Amount: N/A
Maturity Date: N/A
Levy: A portion of 25.416 mills
{00315861} Fonn DLG 70(rev 10/14) Page 2 0_
Include one copy of this tax entiry's completed form when filirag the local goverrzment's budged by January 3/st,per 29-1-113 C.R.S.,with the
Division ofLocal Government(DGG). Room 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DGG at(303)864-7720.
CERTIFICATION OF TAX LEVIES, continued
THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES
FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that are
Special Districts or Subdistricts of Special Districts must certify separate mill levies and revenues to the
Board of County Commissioners, one each for the funding requirements of each debt(32-1-1603, C.R.S.)
Use additional pages as necessary. The Special District's or Subdistrict's total levies far general obligation
bonds and total levies for contractual obligations should be recorded on Page l, Lines 3 and 4 respectively.
CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT:
BONDS':
1. Purpose of Issue: $1,075,000 Limited Tax (Convertible to Unlimited Tax) General Obligation
Bonds
Series: 2010
Date of Issue: October 26, 2010
Coupon Rate: 7%
Maturity Date: October 26, 2040
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
2. Purpose of Issue: $1,935,106.85 Limited Tax (Convertible to Unlimited Tax) General
Obligation Bonds
Series: 2009
Date of Issue: January 20, 2009
Coupon Rate: 7%
Maturity Date: January 20, 2039
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
3. Purpose of Issue: $185,669.44 Limited Tax (Convertible to Unlimited Tax) General Obligation
Bonds
Series: 2005
Date of Issue: December 1, 2005
Coupon Rate: 7%
Maturity Date: December 20, 2035
Levy: A portion of 25.416 mills
Revenue: A portion of the District's tax revenue
CONTRACTSK:
4. Purpose of Contract: Operations Maintenance and Debt Service
Title: District Facilities Construction and Service Agreement
Date: November 18, 2003
Principal Amount: N/A
Maturity Date: N/A
Levy: A portion of 25.416 mills
{00315861} Fonn DLG 70(rev 10/14) Page 2 0_
Hello