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Home My WebLink About20174296.tiff ** INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY "y` TIME RECEIVED REMOTE CSID DURATION PAGES STATUS December 15, 2017 at 10;34;07 AM MST 169 8 Received 12/15/2017 FRI 10: 20 FAX U001/005 Mead Place Metropolitan District No 1 10450 E 159th Court Brighton, CO 80602 Tel: (303)637-0344 Fax: (303) 637-0423 AMMMMMI December 15 2017 Weld County Assessor's Office 1400 N 17th Avenue Greeley, CO. 80631 Via Facsimile (970) 304-6433 Board of County Commissioners; Enclosed is the Mill Levy Certification for Mead Place Metropolitan District No 1 Sincerely, Mead Place Metropolitan District No 1 Managed by Equinox Land Group cAb....„:„A6 • Jimmy L. Oge' Chief Financial Officer 12/15/2017 FRI 10: 21 FAX ZI002/00$ County'fax Entity Code DOL%I,GID/till] CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the _ _ (taxing entity) the Board of Directors (governing body)n of the Mead Place Metropolitan District #1 (local government) c Hereby officially certifies the following mills . to be levied against the taxing entity's GROSS $ 10 assessed valuation of: ([)ROSS1 assessed valuation.Line 2 or 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(TIT)Area the tax levies must be $ 10 calculated using the NET AV. The taxing entity's total (NF,TG assessed valuation,Line 4 of the Certification of Valuation Perm DLO 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 NY ASSESSOR NO LATER TI-IAN DECEMBER 10 Submitted: 12/15/2017 for budget/fiscal year 2018 , (no later than Dee. I S) (mm/dd/yyyy) (YYYY) PURPOSE( end notes for definitions and examples) LEVY REVENUE2 1. General Operating ExpensesH 0 mills $ 0 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 SUBTOTAL FOR GENERAL OPERATING: 0 mills [$ 0 3. General Obligation Bonds and Interest' 0 mills S 0 4, Contractual Obligations" 0 mills $ 0 5, Capital Expenditures" 0 mills $ 0 6. Refunds/AbatementsM 0 mills $ 0 7. OtherN (specify): - - 0 mills $ 0 mills TOT Sum of�lcneral operatin i�+g 1 I 0 rs 0 ...� ■ slil]lOtfl�anri i inr.� 7 Fn 7 .„_.... Contact person: Daytime 637.0344 (print) Jimmy age' phone: ( 303) Signed: ._ri Title: Chief Financial Officer Include one copy of this lax enA(ry's comp ,form wh filing the local government's budget by January 31st,per 29-1-113 C,R.S, with the ,')Ivi.rion of Local jvernm nt(DLG).Roam ' 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, a Levies must be rounded to dare decimal places and revenue must be calculated from the total rL+"1'assessed valuation(Line 4 of Form 171„O57 on the County Assessor's FINAL certification of valuation). Page I of 4 DLG 70(Rev 6/16) 12/15/2017 FRI 10: 21 FAX (]003/00$ CERTIFICATION OF TAX LEVIES, continued THIS SECTION APPLIES TO TITLE 32, ARTICLE 1 SPECIAL DISTRICTS THAT LEVY TAXES FORJAYMENT 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 ofthis page as necessary to separately report all bond and contractual obligations per 32-1-1603, C.R.S. page 2 of 4 DL.G 70(Rev 6/16) 12/15/2017 FRI 10: 21 FAX fZI004/00$ 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 l-i 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 governmento, a 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 of1jQ 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 DLO 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. D GROSS Assessed Value-'Chere 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. 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 10a• Each entity must use the FINAL valuation provided by assessor when certifying a tax levy. P 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 DLO 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, r'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 TJF area and/or have a URA TIF Area within the DDA's boundaries. As a result l7DAs may both receive operating revenue from their levy applied to their certified NET assessed value and also receive TiP 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 7O(Rev 5/16) 12/15/2017 FRI 10: 22 FAX U005/00$ i'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), r 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-l-302(2)(b), C.R.S. a 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 DLO 70, x 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. I-'Capital Expenditures(OLG 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 hearin pursuant to 29-1- 301(1.2)C.R.S. and for special districts tough approval from thelLyIsion of Let lj overnment 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 (DLO 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 DIA157 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 ¢own 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. 14 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 DLO 70(Rev.6/16) 12/15/2017 FRI 10: 22 FAX U006/008 CERTIFICATION OF VALUATION BY WELD COUNTY ASSESSOR Nam of Jurisdiction: 1471 - MEAD PLACE METRO#'I IN WELD COUNTY ON 11/27/2017 New Entity:No I USE FOR STATUTORY PROPERTY TAX REVENUE LIMIT CALCULATIONS(5.5% LIMIT) ONLY rN ACCORDANCE WITII 39-5-121(2)(e)AND 39-5-128(l),C.R.S.AND NO LATER TI IAN AIJOUST 25,TIE ASSESSOR CERTIFIES THE TOTAL VALUATION FOR ASSESSMENT FOR TI lE TAXABLE YEAR 2017 IN WELD COUNTY.COLORADO 1, PREVIOUS YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: 112 2. CURRENT YEAR'S GROSS TOTALTAXABLE ASSESSED VALUATION: * tit 3. LESS TIF DISTRICT INCREMENT, IF ANY: -51711 4. CURRENT YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: $10 5. NEW CONSTRUCTION: B, INCREASED PRODUCTION OF PRODUCING MINES: # 7. ANNEXATIONS/INCLUSIONS: 8. PREVIOUSLY EXEMPT FEDERAL PROPERTY; # 0� .g, NEW PRIMARY OIL OR GAS PRODUCTION FROM ANY PRODUCING OIL AND GAS LEASEHOLD ## I OR LAND (20-1-301(1)(b)C.R.S.): 10.TAXES COLLECTED LAST YEAR ON OMITTED PROPERTY AS OF AUG. 1 (2e1-1.301(1))(a) $1L,Q,Q 11 TAXES ABATED AND REFUNDED AS OF AUG. 1 (29-1-301(1)(a)C.R.S.)and (39-10-114(1)(a)(I)(B)C.R.S-): ILO • This value reflects personal property exemptions IF enacted by the Jurisdiction as authorised by Art.X,Seo,20(9)(b),Colo, "New oonalruetion la defined ea:Taxable reel property structures end the personal property connected with the structure. ff Jurisdiction must submit respective certifications(Forma DLG 52 AND 52A)to the Division of Local Government in order for the veluec to be treated ee growth in the limit calculation. #fl Jurledlallon must apply(Forme DLG 528)to the Division of Local Government before the value can be treated es growth In the limit calculation. USE FOR'TABOR' LOCAL GROWTH CALCULATIONS ONLY IN ACCORDANCE WITH THE PROVISION OF ARTICLE X,SECTION 20,COLO CONST,AND 39.5.121(2)(b),C,R.S,MB ASSESSOR CERTIFIES THE TOTAL ACTUAL VALUATION FOR'i t-I}i TAXAHLF.YEAR 2017 IN WELL]COUNTY,COLORADO ON AUGUST 25,2017 1. CURRENT YEAR'S TOTAL ACTUAL VALUE OF ALL REAL PROPERTY, ADDITIONS TO TAXABLE REAL PROPERTY: 2. CONSTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS; 112 3. ANNEXATIONS/INCLUSIONS. 4. INCREASED MINING PRODUCTION: % 5, PREVIOUSLY EXEMPT PROPERTY: 5.Q 3, OIL OR GAS PRODUCTION FROM A NEW WELL: �Q 7, TAXABLE REAL PROPERTY OMITTED FROM THE PREVIOUS YEAR'S TAX WARRANT: L0 (If lend endfor p structure la plaited up ea omitted properly for multiple years,only the most current year's actual value can he reported as emitted property.) DELETIONS FROM TAXABLE REAL PROPERTY' 8. DESTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS; 11Q 9. DISCONNECTIONS/EXCLUSION: 10. PREVIOUSLY TAXABLE PROPERTY: `_ Q This Includes the actual Value of all taxable reel property plus the ectu&value of religious,private schools,end charitable reel property. I Conatruellon Is defined es newly constructed tumble real properly structures. %Includes production from new mines end increases in production of existing producing mines. • IN ACCORDANCE WITH 39-5-128(1),C,R,S,AND NO LATER THAN AUGUST 25,THE ASSESSOR CERTIFIES TO SCHOOL DISTRICTS: 1.TOTAL ACTUAL VALUE OF ALL TAXABLE PROPERTY: Data Date; '11/27/2017 12/15/2017 FRI 10: 22 FAX U007/00$ Mead Plaae Metropolitan DI#trtot No.1 Apr pvipo=um GI Aatual Adopted Aotual Estimated Approved Zall Budget To Date 2017 Budget 2L7 0/00(2077 &tYol ?018 11!1712419 1211/2017 Beginning tuna balance $ ,,,A02$94)(60,994) _(0 mm_ (41,488) 41 066 s Revenue : Transfer tram MPMD 112 27,41T 9,061 0 9,061 2,666 Developer Adv.rlo6 35,076 Intar$6t I other Incom9 72 Total revenues 9 27 419 0061 79 44,157 9,ea6 Tcta1 fund*available 6. .,,,,., 02,17,41 .... . 9,061, _ „140,9031_.-----.,3 0°02 . _._ .._._ 2 005.. Expendltur66: Insurance 8 Bonds 600 600 600 600 600 LapR! 6.691 6.500 1,60 2,492 2,200 1696L Publications AdmInItlr$pve costs 0 Yransler la MPMD N2 Total 4spendlturae Ending fund b6I6Aae A66f8E1!o VALUATION 10 10 MILL LEVY 0 0 12/15/2017 FRI 1 0 t 29 FAX f]008/00$ Mall Piece Metropolilerl DiatrFCl No.1 A raved 2016 Budget Actual AdoptId Actual ENlmatod Approved Mk Cudgel To Dela 9017 Budget RIZ 9!34!21117 @d6f1.a$1 2019 12/11/2017 Beginning fund Mince E 0 0 0 0 -- -___0. R4V4nuee. Developer advances Interest Income Other inGartte Transfer In Total revenues 0 0 0 0 Total funda available $ d 4 • • 0 Expenditures; Trdnarer Out Interest Expense I Dank Fees Capital Imprdvomenle Expendlturo ".. .•.�:. -- ,� Told'0xpandeuree �..,., 0.., ..w.,,..,,...... Q.. .. 0 0 w,..,„�R;•a t::,o Ending fund Silence S. 4 0 - 0 4 mead plow Metropalllan District No.1 • A proved 2010 Bud al Actual Adapted Actual Estimated Approved 11111 Budget To Date 2017 Budget ' BE 9180/2017 Mqi milli 1₹/1112017 Beginning tend balance 0 „„„„ 0 0 0 0- .— ,„,,,, .—. 9 Hevenues; fieeldenl'al Oeve'opmanl Peee Property Texee ,9pecll'c Ownership Tax Intareal Income Leiter of Credit Praneede Translare In ..., •• • ,. „ ...�,,.---- ...� 6.,.. .M.........,.6.-, Total revenues $ 0 0 0 Tela 0 a 0 funds available �,—. ,.,....,• ... 4... ..�:,:•,,.m ---Q- . .,.. ..,,� ,. .. Expenditures: Transfer 10 Operating Fund Gran Enhancement Fee Note Interest Trustee AdminlelraIIon Fee Total eapendlluras „, ......... ...0 „. .. �, ....ww . ...0 d, �. Ending fund balance $ d 4 0 t - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0423 County Tax Entity Code DOLA LGID/SID 62046/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PIERCE TOWN A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the TOWN OF PIERCE, COLORADO (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 9292180 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 9292180 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 10.454 mills $ 97140 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.454 mills $ 97,140 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements' 0.027 mills $ 251 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 10.481 97,391 Subtotal and Lines 3 to 7 mil1S $ Contact person: Daytime (print) Pat Larson phone: ( ) 970 834-2851 ��{TaRroN TOWN CLERK Signed: PAT LARSON(Dec 12,2017) Title: 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0424 County Tax Entity Code DOLA LGID/SID 62050/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PLATTEVILLE TOWN A (taxing entity) the Board of Trustees (governing body)B of the Town of Platteville (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 37739040 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 37739040 Increment Financing(TIF)Areal'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: 12/05/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 18.385 mills $ 693832 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 18.385 mills $ 693,832 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum ofaGeneral Operating 1 I 18.385693,832 Subtotal and Lines 4 to 7 mills $ Contact person: Daytime (print) Troy Renken phone: ( ) 970-785-2245 Signed: T�0 ,FDec5 71 Troy R₹nke Town Manager n(Dec5,201017) Title: g 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0425 County Tax Entity Code DOLA LGID/SID 62051/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the NEW RAYMER E R TOWN A (taxing entity) the Trustees (governing body)B of the Town of Raymer (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 557580 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 557580 Increment Financing(TIF)Areal'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: 12/11/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 22.733 mills $ 12,676 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 22.733 mills $ 12,676 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 22.733 12,676 Subtotal and Lines 3 to 7 Mills $ Contact person: Daytime (print) Tammy L.Heppner phone: ( ) 720-480-9888 Tait L. h`e eet Signed: �� Title: Town Clerk/Treasurer Tammy L.Heppner(Dec 1,2 17) 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver, CO 8Q,2Q3_Q1ieligits? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) Town of P.O. Box 146 Raymer New Raymer, CO 80742 Cary Lambert, Mayor Tammy Heppner,ClerkTreasurer The Town of Raymer operates with a modified accrual accounting system. The amounts budget for 2018 represent amounts deemed necessary to operate the regular month to month town operations. These operations include but are not limited to street and park lighting, street maintenance, building operating costs and maintenance, water department operations, insurance and wages. I, Tammy Heppner, Certify that the attached is a true and accurate copy of the adopted 2018 budget of the Town of Raymer. /-/) Tammy Heppner, Clerk/Treasurer HECEW DEC 1 4 2011 WELD COUNTY ASSESSOR GREELFY. COIORAfO Town of P.O. Box 146 Raymer New Raymer, CO 80742 Cary Lambert, Mayor Tammy Heppner, ClerkTreasurer A RESOLUTION APPROPRIATING SUMS OF MONEY TO THE VARIOUS FUNDS AND SPENDING AGENCIES, IN THE AMOUNTS AND FOR THE PURPOSES AS SET FORTH BELOW, FOR THE TOWN OF RAYMER, COLORADO FOR THE 2018 BUDGET YEAR. WHEARAS, the Town Council has adopted the annual budget in accordance with the Local Government Budget Law,on December 4,2017 and WHEARAS, the Town Council had made provisions herein for revenue in an amount equal to or greater than the total proposed expenditures as set forth in said budget,and WHEARAS, it is not only required by law, but also necessary to appropriate the revenue provided in the budget to and for the purposes described below,so as not to impair the operation of the Town. Section 1. That the following sums are hereby appropriated from the revenue of each fund, to each fund for the purpose stated. General Fund $ 35,818.00 Water Department $ 21,000.00 Conservation Trust Fund $ 700.00 Total Appropriated Funds$ 57,518.00 ADOPTED THIS 4TH DAY OF DECEMBER,2017 Cary Lambert, Mayor tVn," 0,0p2tiv Tammy Heppner, Clerk/Treasurer 18 61 : OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 r _ FAX(970)304-6433 WEBSITE: WELD COUNTY ADMINISTRATIVE OFFICES G ✓ - v 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, or Dee Kayl at(970) 400-3655, with any questions. 0425 County Tax Entity Code DOLA LGID/SID 62051/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the NEW RAYMER TOWN (taxing cnlily)A the Trustees (governing body)B of the Town of Raymer (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 557580 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 557580 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 l)LG 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: 12/11/2017 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" 22.733 mills $ 12,676 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $< > SUBTOTAL FOR GENERAL OPERATING: 22.733 mills $ 12,676 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTALTOTAL • Sum of General Opt3.rating 1 22.733 12,676 : l Subtotal and 1 ins to 7 mills Contact person: Daytime 720-480-9888 (print) Tammy L.Heppner phone: ( ) Signed: Taffy "p2` Title: Town Clerk/Treasurer Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 CRS,with the pivisinn of Local Government(1)LG1.Room 52L 1313 Sherman Street.Denver.CO 80203. Ouestions? Call l)LG 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 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. D 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 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 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) "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. a 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 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) Town of Raymer Budget for General Fund For the year ending December 31, 2018 Actual Estimated Budgeted 2016 2017 2018 Beginning Fund Balance $ 119,380.75 $ 147,051.49 $ 167,581.49 Revenue *** *** *** Colorado Cigarette Tax $ 755.10 $ 960.00 $ 500.00 Donations *** *** *** Cemetery $ - $ - $ - Trees $ - $ - $ - Franchise Fees *** *** *** Viaero $ 935.80 $ - $ - Highway Users Tax $ 8,433.86 $ 7,730.50 $ 7,500.00 Interest/Other Income *** *** *** Interest $ 54.08 $ - $ 30.00 Severance Tax $ 8,433.86 $ 3,518.48 $ 3,000.00 Colorado Trst Fund-Gen $ $ - Refunds orTransfers $ 7.50 *** *** Transfer $ - $ - $ - - Royalties *** *** *** Community Bldg. $ 200.00 $ 220.00 $ 200.00 Fire Dept.-Dumpster $ - $ - $ - Verizon Lease I $ 27,285.32 $ 27,859.54 $ _ 7,600.00 State of Colo/Mineral lease _ $ 1,036.47 $ 997.27 $ 800.00 Oil&Gas: Noble Energy $ - $ _ 90.00 $ 25.00 Liquor License $ 25.00 $ - $ 25.00 Pasture Lease _ $ 1,200.00 $ 1,208.00 $ 1,050.00 AT&T Lease $ 3,208.46 $ 2,917.06 $ - Energy Impact-State of Co. $ - $ - $ - Weld County Taxes *** *** *** Road and Bridge $ 556.44 $ 576.28 $ 580.00 Current Taxes $ 10,599.69 $ 10,125.14 $ 13,000.00 Delinquent $ 6.02 $ - $ 8.00 Senior Veteran's _ $ 339.35 $ 178.02 ' $ 400.00 Motor Vehicle 1 $ 344.50 $ 495.50 $ 350.00 Prior Year Tax $ 22.75 $ - $ - Current Interest $ - $ - $ - Specific Ownership $ 626.72 $ 632.75 $ 850.00 Treassurer's Fee _ $ (48.40) $ (35.25) $ (100.00) Total Revenue $ 58,608.03 $ 57,473.29 _ $ 35,818.00 Total Revenue+Beg. Fund Balance $ 177,988.78 $ 204,524.78 $ 203,399.49 Total projected income excluding general property tax I $ 22,818.00 Town of Raymer Budget for General Fund For the year ending December 31, 2018 Actual Estimated Budgeted 2016 2017 2018 Expenditures *** *** *** Accounting&Office *** *** *** Accounting Fees $ 550.00 $ 550.00 $ 1,000.00 Equipment $ - $ 500.00 Postage $ - $ - $ - Supplies $ 132.56 $ 543.36 $ 500.00 legal fees $ 218.75 $ - $ 125.00 Cemetery $ - $ - $ - Community Bldg. *** *** *** Dumpster $ 827.40 $ 420.23 $ 2,000.00 Maintenance $ 4,625.62 $ 4,074.68 $ 4,000.00 Phone $ 601.02 $ 651.22 $ 700.00 Propane $ 3,856.60 $ 6,175.00 $ 7,000.00 Donations $ 100.00 $ - $ 100.00 Dues *** *** *** Municipal League $ 235.00 $ 224.00 $ 250.00 Election $ - $ - $ 200.00 General Supplies, Equip., Repairs $ 901.80 $ - $ - Insurance $ 4,660.00 $ 4,386.00 $ 5,100.00 Street& Park Lighting *** *** *** Street Lighting $ 5,510.93 $ 5,768.05 $ 6,000.00 Park Lighting $ 516.27 $ 444.49 $ 900.00 Street and Alley *** *** *** Equipment $ - $ - $ 1,000.00 Fuel $ - $ - $ 500.00 Labor $ - $ - $ 1,000.00 Maintenance $ - $ 4,124.68 $ 400.00 Snow Removal $ 58.64 $ 1,560.00 $ 2,000.00 Street Maintenance *** *** *** Materials $ - $ - $4,000.00 Contract Labor $ - $ - $ 3,000.00 Town Hall *** *** *** Electric $ 162.70 $ 181.76 $ 250.00 Maintenance $ - $ 139.82 $ 200.00 Wages Paid *** *** *** Clerk and Treasurer $ 5,280.00 $ 4,200.00 $ 4,500.00 Council $ 300.00 $ 1,300.00 **** Mayor $ 2,400.00 $ 2,200.00 $ 2,500.00 Refunds or Transfers $ - $ - $ - Total Expenditures $ 30,937.29 $ 36,943.29 $ 47,725.00 Ending Fund Balance $ 147,051.49 $ 167,581.49 $ 155,674.49 Town of Raymer Budget for Water Department For the year ending December 31, 2018 Actual Estimated Budgeted 2016 2017 2018 Beginning Fund Balance $ 71,561.93 $ 75,065.75 $ 75,983.68 Revenue *** *** *** Non-Metered Water $ - $ - $ - Metered Water $ 15,784.74 $ 13,277.26 $ 19,000.00 Other-Tap Fees, etc. $ - $ - $ 2,000.00 Interest $ 52.92 $ - Total Revenue $ 15,837.66 $ 13,277.26 $ 21,000.00 Total Revenue+ Beginning Fund Balance $ 87,399.59 $ 88,343.01 $ 96,983.68 Expenditures 2016 2017 2018 Equipment $ - $ - $ 800.00 Capital Expenditures $ - $ - $ 25,000.00 Legal Expense $ - $ - $ 4,000.00 Insurance $ - $ - $ - Office Expense &Supplies $ 143.00 $ 95.73 $ 225.00 Supplies-Chlorine, etc. $ 1,271.70 $ 1,292.70 $ 1,700.00 Repair and Maintenance $ 2,199.00 $ 1,812.31 $ 2,500.00 Wages $ 2,678.90 $ 2,400.00 $ 2,600.00 Fuel &Power $ 5,825.24 $ 6,119.59 $ 9,000.00 Water Testing $ 216.00 $ 639.00 $ 3,000.00 Refunds and Transfers $ - $ - $ - Total Expenditures $ 12,333.84 $ 12,359.33 $ 48,825.00 Ending Fund Balance $ 75,065.75 $ 75,983.68 $ 48,158.68 Town of Raymer Budget for Conservation Trust Fund For the year ending December 31, 2018 Actual Estimated Budgeted 2016 2017 2018 Beginning Balance $ 20,272.45 $ 21,398.55 $ 21,898.75 Revenue *** *** *** Lottery Receipts $ 1,126.10 $ 500.20 $ 700.00 Interest $ - $ - $ - Total Revenue $ 1,126.10 $ 500.20 $ 700.00 Total Revenue+ Beg. Balance $ 21,398.55 $ 21,898.75 $ 22,598.75 Expenditures 2016 2017 2018 Parks& Recreation $ - $ - $ 10,000.00 Total Expenditures $ - $ - $ 10,000.00 Ending Fund Balance $ 21,398.55 $ 21,898.75 $ 12,598.75 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0427 County Tax Entity Code DOLA LGID/SID 62053/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SEVERANCE TOWN A (taxing entity) the Board of Trustees (governing body)B of the Town of Severance (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 56704810 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 56704810 Increment Financing(TIF)Areal'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: 12/06/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 12.635 mills $ 716,465 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 12.635 mills $ 716,465 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 12.635 716,465 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Nicholas..Wharton phone: ( ) 970-686-1218 /y/GhD�GII,7 WLIGIl' oe,, Ri f� Nicholas J.Wharton, Title: Assistant Town Administrator Signed: 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 l?lvi�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0428 County Tax Entity Code DOLA LGID/SID 64225/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WINDSOR TOWN , A (taxing entity) the Town Board (governing body)B of the Town of Windsor (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 366691750 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 366342930 Increment Financing(TIF)Areal'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: 12/04/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 12.030 mills $ 4,407,105 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 00.00 > mills $ < 00.00 > SUBTOTAL FOR GENERAL OPERATING: 12.03 mills $ 4,407,105 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1Sum ofGeneralOperating 1 12.03 4,407,105 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Dean Moyer phone: ( ) (970) 674-2418 Dealt N%�et Director of Finanance Signed: Dean Moyer(Dec A,2017) Title: 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 I?ivl�l�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpellg s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 0429 County Tax Entity Code DOLA LG1D/SID 64029/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the BRIGHTON TOWN (taxing entity) A the City Council (governing body) of the City of Brighton (focal govenunent)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 63,994,540 assessed valuation of: (GROSS'assessed valuation,Line 2 of the 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)Area'the tax levies must be $ 23,611,720 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) (mtn/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 6.6500 mills $ 157,000.00 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' C > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 6.6500 mills $ 157,000.00 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements"' mills $ 7. Other' (specify): mills $ mills $ TOTAL: r Bum of General Operating 1 I 6.6500 $ 157,000.00 L I S»htrttal and nes 3 to 7 mills $ Contact person: Daytime (print) ,/�Jjean Starr phone: ( 303) 655-2128 Signed: `� Title: City of Brighton Finance Director Include one copy of this tax en ty'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) Roam 521 1313 Sherman Street._Denver. CO 80203 Ouestions7 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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0431 County Tax Entity Code DOLA LGID/SID 64198/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the NORTHGLENN TOWN A (taxing entity) the CITY COUNCIL (governing body)B of the CITY OF NORTHGLENN (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1309620 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 1309620 Increment Financing(TIF)Areal'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: 12/11/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 7.597 mills $ 9949.18 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 7.597 mills $ 9,949 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL 4.000 mills $ 5238.48 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I 11.59715,187 Subtotal and Lines 4 to 7 mills $ Contact person: Daytime (print) JOHANNA SMALL phone: ( ) 303-450-8757 Signed: ,7olhaella SivaCG Title: CITY CLERK Johanna Small(Dec 14,2017) 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 l?lvl�i�n of L Goygntcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0433 County Tax Entity Code DOLA LGID/SID 64205/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the LONGMONT TOWN A (taxing entity) the Longmont City Council (governing body)B of the City of Longmont, Colorado (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 14047460 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 14047460 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating Expenses' 13.420 mills $ 188,517 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 13.42 mills $ 188,517 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 13.42 188,517 Subtotal and Lines 3 to 7 I mil1S $ Contact person: Daytime (print) Teresa Molloy phone: ( ) 303-651-8970 Signed: T2-erafria,o Title: Budget Manager Teresa Molloy(Dec 13,20 ) 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0434 County Tax Entity Code DOLA LGID/SID 64237/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the BERTHOUD TOWN A (taxing entity) the Board of Trustees (governing body)B of the Town of Berthoud (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 6467040 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 6467040 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 6.636 mills $ 42915 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.530 > mills $ < 3427 > SUBTOTAL FOR GENERAL OPERATING: 6.106 mills $ 39,488 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM .030 mills $ 194 7. OtherN (specify): Police 3.000 mills $ 19401 mills $ TOTAL: 1 Sum of General Operating 1 Subtotal and Lines 3 to 7 I 9.136 mills $ 59,083 Contact person: Daytime (print) Jeremy Olinger phone: ( ) 970-532-2643 Signed: hiv Jeremy linger nger(De 13,2017) Title: Town Administrator 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1"' INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY "" TIME RECEIVED REMOTE CSID DURATION PAGES STATUS December 13, 2017 at 3:46:44 PM MST 47 2 Received DEC.13.2017 14:15 #0292 P.001 /002 County Tax Entity Code DOLA D/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: (.'C!unl), (_,uir11111SS1ollertil c)f Weld County , Colorado. • 0 behalf of the Ault Fire Protection District • (I++wink acuity) A the Board of Directors (l:uverninl;body) fl of the Ault Fire Protection District _ _..... (local Movernment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 98,332,550 assessed valuation of: (GROSS AAIP,RAtid valuation,Line 2 of the Certification of Valuation Foam r)I.CO S7) Nutt: i i the assessor certified a N I i't'assessed valuation (AV)different than the(MOSS AV due to a Tax Increment Financing('r1r)Areal'the tax levies must be $ 98,332,550 calculated using,the NET AV. The taxing entity's total r; � (NhT assessed valuation,l,in+:','of the t':ealificntiuu of Valuation Donn DL(;57) property tax revenue will be derived from the mill levy 100;VALul:FROM FINAL C'ER'1'IFICA'I'ION OF VALTJATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER'11IAN I) CIi lIIICRif) Submitted: 12/12/2017 for budget/fiscal year —._ . 2018 (no later than 1)oo 15) (muildd/yyyy) (YYyy) PURPOSE(see end notes fir tietinitions and examples) LEVY' REVENUE2 1. General Operating Experisesw 2.940 1111115 $ 289,098 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 2.940 Jmills $ 289,098 3. General Obligation Bonds and interest' mills $ • 4. Contractual Obligations' 1.105 mills $ 108,657 5. Capital Expenditures" mills $ 6. Refunds/Abatements' 'mills $ 7. Other" (specify): Voter Approved Tax Increase 4.000 mills $ 393,330 mills $ TOTAL: r Sum of lOeuaril<)paratulg 1 8.045 $ 791,085 I tiuhlaital Anrl l,incs 3 to 7 .I Contact person: Daytime (print) , Roxxifi}}Alleen phone: ( 470) 454.6627 Signed: t Tide: Accountant Include one copy o/'this'tax entit)-'s completed firm w/wn flin f;the local government's budget by-hominy 31st,per 29-1.113 C.h'.,S„with the /)ivislun o!'1-oc:ul Government fDLGJ.Room 52/. 1313 Sherman,Street. 1)envrr. !"l7.S0203_ C1reecliun.c%' ('..'utt L)LC:ct!/303),Yli4-7T.?ll. ' I I'l.he taxing entity's boundaries'include more than one county,you must certify the levies to each county. Ilse a separate form ioi'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 1.o three decimal places and revenue must he calculated from the total NA"l'imes4e4f valuation(t,ine 4 of Form.Ul.,(_i57 On the County Assessor's FINAL certification of valuation). Pilee 1 0l'4 , " Dili 70(Rw.WiG) DEC.13.2017 14:15 #0292 P.002 /002 CERTIFICATION OF TAX LEVIES, continued • THIS SECTION APPLIES TO TITLE 32 ARTICLE 1 SPECIAL DISTRICTS 'MAT LEVY TAXES FOR PAYMENT OF GENERAL OBLIGATION DEBT (32-1-1603 C.R.S.). Taxing entities that arc 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 tier contractual obligations should he recorded on Page 1, 1•fines 3 and 4 respectively. CI RTIFY A SEPARATE MILL LEVY FOR EAC::FT BOND OR CONTRACT: BONDS': 1. Purpose of Issue; _ Series: Dale of Issue: • Coupon Rate: ' Maturity Date: _ Levy: Revenue: 2. Purpose of Issue: Series: a Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: • • CONTRACTS": 3. Purpose of Contract: . Acquisition of Land and Construction of 2 Fire Stations Note Payable - Farmers Bank "C'itle:Date: 4/7/2006 Principal Amount: $1,500,000 Maturity Date: .. June 1, 2027 Levy: _. 1.105 _ Revenue: $108,657 _ 4. Purpose of Contract: _ Title: _ Date: Principal Amount: — maturity late: _Levy: — Revenue: _ — Lise mii!tiple copes of this page as necessary to separately report all bond and contractual obligations per 32-'1-16(13,C.R.S. • MG'10(Rcv.6/16) Ytigr.:�of 4 9705324744 Berthoud Fire 08:03:44 a.m. 12-13-2017 5/6 0502 County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Berthoud Fire Protection District (taxing entity)A the Board of Directors (governing body)$ of the Berthoud Fire Protection District (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 61,991,490.00 assessed valuation of: (GROSSO assessed valuation,Line 2 of the Certification of Valuation Form DLG 571") Note: If the assessor certified a NET assessed valuation (AV)different than the GROSS AV due to a Tax 61,991,490.00 Increment Financing(TIF)Area 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/ddiyyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses11 12.531 mills $ 776,815.00 2. <Minus>Temporary General Property Tax Credit/ - Temporary Mill Levy Rate Reduction' < > mills $< > SUBTOTAL FOR GENERAL OPERATING: 12.531 mills $ 776,815.00 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures" 1.243 mills $ 77,055.00 6. Refunds/Abatements" .042 mills $ 2,604.00 7. Other"(specify): mills $ mills $ TOTAL: Sum of General Operating 1 13.816 �• f $ 856,474.00 Suhtntal and[roes 3 to 7 1ItS J p Contact person: Daytime (print) Stephen Charles phone: ( 970) 532-2264 Signed: � 4e4 , L (i� p��Title: Fire Chief/Budget Officer Include one copy of this tax entity' completed forni when filing the local government's budget by January 31st,per 29-1-113 CR.S., with the pivision of Local Government(DLG).Room 521.1313 Sherman Street.Denver.CO 80203. Questions? Call DIG at(TO )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 fT(157 no the f nnnty Acrenr'c FTNAT,certification ofvr,liiptinrt) Page 1 of 4 DLG 70(Rev.6/16) 9705324744 Berthoud Fire 08:04:14 a.m. 12-13-2017 6/6 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0503 County Tax Entity Code DOLA LGID/SID 64028/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the GREATER BRIGHTON FIRE A (taxing entity) the Board of Directors (governing body)B of the Greater Brighton Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 225278490 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 185030670 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 11.795 mills $ 2,182,437 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 11.795 mills $ 2,182,437 3. General Obligation Bonds and Interests 0 mills $ 0 4. Contractual ObligationsK - mills $ 0 5. Capital ExpendituresL 0 mills $ 0 6. Refunds/AbatementsM 0 mills $ 0 7. OtherN (specify): - 0 mills $ 0 0 mills $ 0 TOTAL: I Sum of General Subtota and Operating sto17 11.795-0000 mills $ 2,182,437 Contact person: Daytime (print) Mark Bodane phone: ( ) 303-659-4101 Signed: /�Ia-k/4 Kodai?2 Title: Fire Chief Mark A Bodane(Dec 14,2017) 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0505 County Tax Entity Code DOLA LGID/SID 62009/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the EATON FIRE A (taxing entity) the Board of Directors (governing body)B of the Eaton Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 326624380 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 326624380 Increment Financing(TIF)Areal'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: 12/07/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 9.00 mills $ 2939619 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 9.0 mills $ 2,939,619 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 'i to 7 I 9.0 mills $ 2,939,619 Contact person: Daytime (print) Marcia Lutters phone: ( ) 9704542115 Signed: ��G�glt`2�f Title: Office Manager Marcia Lutters(Dec 7,2017) 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 piyi,F#gn of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0506 County Tax Entity Code DOLA LGID/SID 62013/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the FORT LUPTON FIRE , A (taxing entity) the District Board of Directors (governing body)B of the Fort Lupton Fire Protection District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 735700100 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 733824500 Increment Financing(TIF)Areal'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: 12/08/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 9.2950 mills $ 6,820,899 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 9.295 mills $ 6,820,899 3. General Obligation Bonds and Interests 0 mills $ 0 4. Contractual ObligationsK 0 mills $ 0 5. Capital ExpendituresL 0 mills $ 0 6. Refunds/AbatementsM .039 mills $ 28619.15 7. OtherN (specify): N/A 0 mills $ 0 N/A 0 mills $ 0 TOTAL; 1 Sum of General Operating 1 9.334 6,849,518 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Allyson J.Tkadlec phone: ( ) 303-857-4603 !{IZ,yfoi1 c7 7fGfdGec Executive Secretary mio nlmadfec(Dec8,2oro Title: y 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 piyi,F#gn of L Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver. CO 8Q,2Q3_Q1ieligits? Call DLG qt(3V)814:7729. 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 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0507 County Tax Entity Code DOLA LGID/SID 62015/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the FREDERICK-FIRESTONE FIRE , A (taxing entity) the Board of Directors (governing body)B of the Frederick-Firestone Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 532782960 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)Areal'the tax levies must be $ 523171665.2 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: 12/11/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 11.3600 mills $ 5,943,230.00 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 11.36 mills $ 5,943,230 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 11.36 5,943,230 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jeffrey Jurgena phone: ( ) 303-833-2742 (7e- t' c7��////[[[��- eia Board President Signed: Jeffrey Jurgena(Dec 17) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q„2.Q3_Qie tjo s? Call DLG qt(3_k3)814:772.Q. 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: xyz bond 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) GALETO 4 l nRE 5TATIOI Row \-101k 2018 BUDGET Galeton Fire Protection District 36060 County Road 49 Eaton, CO 80615 970-454-0681 — Office RECEIVE DEC 14 2011 WELD COUNTY ASSESSOR GREELEY, COLORADO GALETON FIRE PROTECTION DISTRICT 2018 BUDGET DECEMBER 12, 2017 TABLE OF CONTENTS SECTION I. Budget Certification SECTION II. District Operational Information SECTION III. Budget Message SECTION IV. General Fund SECTION V. Pension Fund SECTION VI. Resolutions and Certifications BUDGET.FS GALETON FIRE PROTECTION DISTRICT •36060 COUNTY ROAD 49,EATON,CO 80615 •970-454-0681• 1 December 12,2017 TO: Colorado Division of Local Government 1313 Sherman Street, Room 521 Denver,CO 80203 This is to certify the following as the 2018 Budget for the Galeton Fire Protection District as determined and established by the Board of Directors on December 12,2017. IN WITNESS WHEREOF, I have hereunto set my hand and the official seal of the Galeton Fire Protection District on this 12th day of December, 2017. G n Stille, President Board of Directors (SEAL) ATTEST: Uel& (Akita Marcia Lutters, Secretary Board of Directors GALETON FIRE PROTECTION DISTRICT BOARD OF DIRECTORS: President Gene Stille Vice President Dale Hill Secretary Marcia Lutters Asst. Secretary/Treasurer JD Wyatt Director OPEN DISTRICT FIRE CHIEF: Fire Chief IN PROCESS ADMINISTRATION OFFICE AND STATION: Administration Office and Fire Station 36060 County Road 49 Eaton,CO 80615 970-454-0681 GALETON FIRE PROTECTION DISTRICT 2018 BUDGET MESSAGE SUMMARY The role of the Budget is to provide an estimate of income and expenditures for a set period of time; showing an amount of money available for spending that is based on a plan, approved by the Board of Directors, for how it will be spent. The role of Galeton Fire Protection District is to provide citizens within an approximate 240 square mile area of portions Weld County, fire suppression, prevention, education and basic life support services. These services are supported with a volunteer staff of 19 fire officers and firefighters. These fire officers and firefighters staff one station and approximately four pieces of emergency apparatus. District personnel will respond to approximately 250 calls for emergency service in 2017. The District Board of Directors hired a Fire Chief Assessment firm in August, 2017 for the purposes of hiring a full-time career Fire Chief. The process may take six-eight months to complete. The 2018 Budget includes salary and benefits for the new Fire Chief, as well as salary and benefits for an anticipated Administrative Assistant to be hired in 2018. The adopted budget seeks to address the new and ongoing needs of the District as identified by the District's Board of Directors and to honor the commitments of providing the level and quality of service which the District residents deserve and have come to expect. The budget specifies revenues and expenditures in the General Fund and Pension Fund. Financial information provided includes all sources of revenue and expenditures;beginning and ending fund balances. The modified accrual method of accounting is used by the District's Accountant. The District complies with State statutes requiring a yearly audit, which audit is available upon request. GALETON FIRE PROTECTION DISTRICT GENERAL FUND MAJOR BUDGET CHANGES FROM PRIOR YEAR The 2018 Budget contains changes in each section,as follows: REVENUE: 1. Increase in property tax revenue projected pursuant to the Weld County Assessor's Certification of Valuation. 2. Increase in interest projected due to transfer of a majority of District funds from a local bank to ColoTrust. EXPENDITURES: 1. GENERAL ADMINISTRATION. The overall change in the administration budget reflects the increases in salaries and benefits for a career Fire Chief and Administrative Assistant. Tax collection fees increased due to increase in anticipated revenue. Election expenses are included in preparation of the bi-annual 2018 Board of Director election. Retirement contributions to volunteer pension were decreased based on the FPPA bi-annual actuarial study noting that the fund is currently over funded. Accounting, management and legal expenses were increased based on projected needs of the District for 2018. 2. FIREFIGHTING& EMERGENCY RESPONSE. The overall change in the firefighting budget reflects the addition of line items for Community PR/Awards/Holiday and Physicals/Return to Work Assessments. It also includes increases in EMS supplies and training based on projected needs of the District for 2018. 3. FIRE APPARATUS. The overall change in the fire apparatus budget reflects the addition of a snow plow attachment for 2751, as well as increase in fuel based on the projected needs of the District for 2018. 4. FIRE STATION & BUILDINGS. This budget reflects an increase in building repairs and improvements, janitorial and maintenance, and landscape maintenance and plantings based on the projected needs of the District for 2018. 5. CAPITAL OUTLAY/EQUIPMENT. Increases are directly related to apparatus budgeted for in 2017, i.e. pumper, brush truck and tender that were not purchased, which the District plans to purchase in 2018. In addition, increases to EMS Equipment and Office Equipment were included based on the projected needs of the District for 2018. The purchase of Self-contained Breathing Apparatus (SCBA)is budgeted to replace equipment that is near the end of its useful life. GALETON FIRE PROTECTION DISTRICT GENERAL FUND 2018 FINAL BUDGET-DECEMBER 12, 2017 2017 2018 2016 2017 Adopted FINAL Actual Estimated Actual Budget Budget REVENUES Property Taxes $ 3,038,905 $ 1,790,689 $ 1,790,689 $ 1,853,250 Specific Ownership Taxes 173,574 140,000 100,000 140,000 Interest 6,346 1,400 4,000 40,000 Sale of Building 311,243 - Donation 1,000 Miscellaneous 45,080 _ 387 5,000 - Total Revenues 3.575,148 1,933,476 1,899,689 2,033,250 EXPENDITURES General/Administration Audit 8,900 6,500 8,500 Accounting Services 10,000 6,000 10,000 Background Checks 1,500 1,000 Board administrator stipend - Board secretary stipend 750 - Board treasurer stipend 750 . Chief Salary 20,500 35,004 95,000 County Treasurer Fees 45,820 27,850 26,860 27,804 Directors'Fees 3,900 8,000 8,000 8,500 Dues and Subscriptions 1,500 1,500 2,000 Election 7,676 20,000 Fire Chief Fees 814 Insurance-health/dental, etc. for Chief&Admin 21,000 Insurance-bldg/business liability, etc. 20,381 26,000 26,000 28,000 Internet 1,740 10,000 10,000 10,000 Legal 35,000 20,000 40,000 Management 30,000 12,000 25,000 Miscellaneous 18,025 5,000 5,000 5,000 Office Payroll 11,831 7,500 30,000 35,000 Office Supplies 1,414 10,000 5,000 10,000 Officer Stipend 750 - Payroll Taxes 3,880 2,000 5,000 7,600 Other Professional Fees 61,236 17,000 - Retirement contribution - FPPA-vols 102,201 216,152 216,152 25,000 Retirement contribution - FPPA Chief&Admin 2,800 5,200 10,400 Utilities-Annex 1,424 Workers Compensation 6,000 6,000 12,000 Contingency(3%) 57,000 57,000 61,000 Total General Expenditures 303,092 _ 517,206 511,212 454,304 Fire Fighting and Emergency Response Contributions to Fire Department 4,380 - - Community PR/Awards/Holiday 3,500 County Fee and Communications - 2,000 Travel Per Diems 570 1,000 Rehab 2,000 2,000 Meals 2,500 2,500 Equipment Replacement 20,548 7,500 7,500 Fire Department($300 per month) 3,600 Gas detection/monitors 6,500 6,500 EMS: Medical Supplies 3,047 9,500 3,000 8,000 Operating Supplies 1,705 5,000 5,000 Pagers Lease 3,433 5,000 5,000 5,000 Physician Advisor 200 500 500 500 Physicals& Return To Work Assessments 5,000 Response Stipend 24,865 40,000 30,000 Training 4,075 5,000 5,000 10,000 Uniforms 2,40.7 5,000 5,000 5,000 Total Fire Fighting and Emergency Response Expenditures 64,660 37,570 83,100 84,000 GALETON FIRE PROTECTION DISTRICT GENERAL FUND 2018 FINAL BUDGET-DECEMBER 12, 2017 2017 2018 2016 2017 Adopted FINAL Actual Estimated Actual Budget Budget Fire Apparatus Truck Repairs 363 30,000 30,000 30,000 Fuel 2,091 3,500 7,000 7,000 Snow Plow-2751 1,500 Total Fire Apparatus Expenditures 2,454 33,500 37,000 38,500 Fire Station & Buildings Building Repairs and Improvements 11,754 8,000 5,000 10,000 Electricity 5,617 9,000 9,000 9,000 Emergency Reporting System 2,000 2,000 Janitorial and Maintenance 2.839 2,000 6,000 10,000 Landscape-Maintenance and Plantings 2,000 2,000 50,000 Propane 18,784 10,000 10,000 10,000 Telephone 3.497 7,500 10,000 10,000 Water, Sewer and Trash 4,000 4,000 4,000 Weld County Dispatch Contract 7,000 7,000 7,500 Total Fire Station Expenditures 42,491 51,500 53,000 112,500 Capital Outlay/Equipment Apparatus . 783 500,000 500,000 Brush Truck 180,000 180,000 Building Construction 2,473,593 PPE: Bunker gear and boots 67 40,000 40,000 37,155 FF Equipment 81,659 1,100 20,000 7,574 EMS Equipment 22,707 Furnishings/Office Equipment 400 - 10,000 Land and Building Improvements _ Repair& Maintenance Equipment 1,116 15,000 - 20,000 Communications: Radios/carriers and pagers 45,000 45,815 SCBA 170,740 Tender - 150,000 300,000 Total Capital Expenditures 2,556,435 57,283 935,000 1,293,991 Total Expenditures 2,969,132 697,059 1,619,312 1,983,295 NET CHANGE IN FUND BALANCE $ 606,016 1,236,417 280,377 49,955 BEGINNING FUND BALANCE 4,135,147 4,741,163 4,741,163 5,977,580 ENDING FUND BALANCE $ 4,741,163 $ 5,977,580 $ 6,027,535 GALETON FIRE PROTECTION DISTRICT PENSION FUND 2018 FINAL BUDGET-DECEMBER 12, 2017 2017 2018 2016 2017 Adopted Adopted Actual Estimated Actual Budget Budget REVENUE District Contribution $ 100,000 $ 216,152 $ 25,000 State Matching Funds $ 6,741 $ 6,741 $ 6,741 Investment Income $ 3,238 $ 3,656 $ 3,500 Dividends $ 9,139 $ 9,357 $ 9,000 Unrealized gain/loss $ 29,270 $ 78,385 $ 80,000 Realized gain/loss $ 26,087 $ 36,526 $ 40,000 Net change accrued income $ (79) $ 808 Other Income $ 4,913 $ 8,053 Total Revenues $ 179,309 $ 359,678 $ - $ 164,241 GENERAL/ADMINISTRATION Investment Expenses $ 9,654 $ 11,103 $ 11,500 Direct Expense Allocation $ 277 $ 903 $ 1,000 Allocated Fees and Expenses $ 1,859 $ 6,477 $ 7,000 Net Benefits $ 65,400 $ 67,350 $ 74.100 Total Expenditures $ 77,190 $ 85,833 $ - $ 93,600 NET CHANGE IN FUND BALANCE $ 102,119 $ 273,845 $ - $ 70,641 BEGINNING FUND BALANCE $ 1,184,293 $ 1,286,412 $ 1,560,257 ENDING FUND BALANCE $ 1,286,412 $ 1,560,257 $ 1,630,898 GALETON FIRE PROTECTION DISTRICT GIRIPD) •36060 COUNTY ROAD 49,EATON,CO 80615 •970-454-0681. December 12,2017 CERTIFICATION OF TAX LEVIES TO: County Commissioners of Weld County,Colorado This is to CERTIFY that the tax levies to be assessed by you upon all taxable property within the limits of the the Galeton Fire Protection District for the BUDGET YEAR 2018,as determined and established by the Board of Directors on December 12,2011, are as follows: General Operating Expense 3.911 Mils IN WITNESS WHEREOF, I have hereunto set my hand and the official seal of the Galeton Fire Protection District on this 12th day of December,2017. Gene Stifle, President Board of Directors (SEAL) ATTEST: alCIACICL Liketaa Marcia Lutters, Secretary Board of Directors CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners of Weld County, Colorado. ON behalf of the GALETON FIRE PROTECTION DISTRICT, taxing entity, The BOARD OF DIRECTORS,governing body, of the GALETON FIRE PROTECTION DISTRICT, local government, HEREBY officially certifies the following Mils to be levied against the taxing entity's $ 473,855,640 GROSS assessed valuation of: (GROSS assessed valuation) IF a Tax Increment Financing (TIF)Area Exists within the taxing entity's boundaries, The taxing entity's total property tax revenue $ N/A Will be derived from its mills levied against (NET assessed valuation) The NET assessed valuation of: SUBMITTED: December 12,2017 for budget/fiscal year 2018. PURPOSE LEVY REVENUE 1. General Operating Expenses 6.0 mils $ 2,843,134 2. (Minus) Temporary Property Tax Credit/Temporary Mill Levy Rate Reduction < 2.089 > mils $ $ <989,884 > SUBTOTAL 3.911 mils $ 1,853,250 3. General Obligation Bonds and Interest _ mils $ 4. Contractual Obligations mils $ 5. Capital Expenditures mils $ 6. Refunds/Abatements mils $ 7. Other (specify): mils $ TOTAL 3.911 mils $ 1,853,250 Contact person: Daytime (print) Donna L. Mullison _ _ phone: (303 ) 772-0710 Signed: Title: District Administrator Send one completed copy of this form to t e Division of Local Government(DLG),Room 521, 1313 Sherman Street,Denver, Colorado 80203 when the local government's adopted budget is submitted to DLG. Questions? Call DLG a!(303) 866-2156. NOTE: Certification must be carried to three decimal places only. NOTE: If you certify to more than one county,you must certify the same levy to each county. NOTE: If your boundaries extend into more than one county,please list all counties here: 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 of 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: NONE 1. Purpose of Issue: Se ----- --- -- rtes: - --- Date of Issue: — Coupon Rate:Maturity Date: - Levy: —Revenue: - 2. Purpose of Issue: Series: Date of Issue: — - —Coupon Rate: — Maturity Date: ---- - ---- - -- - -- -- - - - Levy: — Revenue: — — — CONTRACTS: NONE 3. Purpose of Contract: Title: -- --- -- --- ----- - - - - - ----- -- - --- -- - ------ --- - - - - ------ -----Date: Principal Amount: - Maturity Date: - Levy: -Revenue: - 4. Purpose of Contract: Title: - -- ----- - - --- Date: - - -Principal Amount: Maturity Date: Levy: Revenue: - GALETON FIRE PROTECTION DISTRICT RESOLUTION TO ADOPT BUDGETS RESOLUTION NO. 2017-006 A Resolution summarizing expenditures and revenues for each fund and adopting budgets for the Galeton Fire Protection District for the calendar year beginning on the first day of January,2018,and ending on the last day of December,2018. WHEREAS, the Board of Directors of the Galeton Fire Protection District has appointed its District Administrator, Donna L. Mullison, to prepare and submit proposed budgets to said governing body at the proper time;and WHEREAS, upon due and proper notice, published in accordance with the law, said proposed budgets were open for inspection by the public at a designated place, a public hearing was held on December 12, 2017,and interested taxpayers were given the opportunity to file or register any objections to said proposed budgets;and WHEREAS, whatever increases may have been made in the expenditures, like increases were added to the revenues so that the budgets remain in balance,as required by law;and NOW, THEREFORE, be it RESOLVED by the Board of Directors of the Galeton Fire Protection District: Section 1. The estimated expenditures for each budget are as follows: General Fund ($1,983,295) +Carry Over/Reserves($6,027,535) $ 8,010,830 Pension Fund($93,600)+Carry Over/Reserves($1,630,898) $ 1,724 498 TOTAL OPERATIONAL FUNDS $9,735,328 Section 2. The estimated revenues for each budget are as follows: GENERAL FUND BUDGET: From unappropriated surpluses(carry over) $ 5,977,580 From sources other than general property taxes $ 180,000 From the General Property Tax Levy $ 1,853,250 TOTAL $ 8,010,830 PENSION FUND BUDGET: From unappropriated surpluses(carry over) $ 1,560,257 From sources other than general property taxes $ 164,241 From the General Property Tax Levy $ 0 TOTAL $ 1,724,498 Section 3. Thai the budgets which were submitted and amended are hereby approved and adopted as the budgets of the Galeton Fire Protection District and made a part of the public records of the District. ADOPTED: December 12,2017. GALETON FIRE PROTECTION DISTRICT (SEAL) f� By_e� a� ��, Gene Stille,President ATTEST: Marcia Lutters, Secretary GALETON FIRE PROTECTION DISTRICT RESOLUTION TO APPROPRIATE SUMS OF MONEY RESOLUTION NO. 2017-007 A Resolution appropriating sums of money to the various budgets and spending agencies, in the amounts and for the purposes set forth below,for the Galeton Fire Protection District for the 2018 budget year. WHEREAS,the Board of Directors of the Galeton Fire Protection District has adopted the annual budgets of the District in accordance with the Local Government Budget Law on December 12,2017;and WHEREAS, the Board of Directors has made provision therein for revenues in an amount equal to or greater than the total proposed expenditures as set forth in said budgets; and WHEREAS, it is not only required by law, but also necessary to appropriate the revenues provided in the budgets to and for the purposes described below,so as not to impair the operations of the District; and NOW, THEREFORE, be it RESOLVED by the Board of Directors of the Galeton Fire Protection District: That the following sums are hereby appropriated from the revenue of each budget, for the purposes stated: General Fund($2,033.250)+Carry Over/Reserves($5,977,580) $ 8,010,830 Pension Fund($164,241)+Carry Over/Reserves($1,560,257) $ 1,724 498 ADOPTED: December 12,2017. GALETON FIRE PROTECTION DISTRICT (SEAL) �+ By [7 c Gene Stille, President ATTEST: MA Via Mkt-6d Marcia Lutters,Secretary GALETON FIRE PROTECTION DISTRICT RESOLUTION TO SET MIL LEVIES RESOLUTION NO. 2017-008 A Resolution levying general property taxes for the year 2017, to help defray the costs of government for the Galeton Fire Protection District,for the 2018 budget year. WHEREAS,on December 12,2017,the Board of Directors of the Galeton Fire Protection District adopted the District's annual budgets in accordance with the local government budget law; and WHEREAS,the amount of money necessary to balance the District's budget for general operating expense is$2,033,250;and WHEREAS, the 2017 valuation for assessment for the Galeton Fire Protection District as certified by the Assessors of Weld County for the General Fund is$473,855,640 and NOW, THEREFORE, be it RESOLVED by the Board of Directors of the Galeton Fire Protection District: Section 1. That, for the purpose of meeting all general operating expenses of the Galeton Fire Protection District's 2018 budget year,there is hereby levied a tax of 3.911 MILS upon each dollar of the total valuation for assessment of all taxable property within the District for the year 2017. Section 2. That the District's Secretary is hereby authorized and directed to immediately certify to the County Commissioners of Weld County, Colorado, the mil levies for the Galeton Fire Protection District as hereinabove determined and set. ADOPTED: December 12,2017. GALETON FIRE PROTECTION DISTRICT (SEAL) By Gene Stille, President ATTEST: (111.5.44 Marcia .utters, Secretary - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0509 County Tax Entity Code DOLA LGID/SID 62027/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the HUDSON FIRE A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the HUDSON FIRE (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 554301820 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 554301820 Increment Financing(TIF)Areal'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: 12/05/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 6.036 mills $ 3,345,766 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 6.036 mills $ 3,345,766 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM 0.003 mills $ 1,663 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 6.039 3,347,429 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Vicki Johann phone: ( ) 303-536-0161 VG�f/c70LlGeli District Administrator Signed: Vicki Johann(Dec 6,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0510 County Tax Entity Code DOLA LGID/SID 62030/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the FRONT RANGE FIRE RESCUE , A (taxing entity) the Board of Directors (governing body)B of the Front Range Fire Rescue Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 256298190 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 256298190 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 8.961 mills $ 2,296,688.08 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 8.961 mills $ 2,296,688 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL 2.000 mills $ 512,596.38 6. Refunds/AbatementsM 0.112 mills $ 28,705.40 7. OtherN (specify): Voter Approved Pension 0.500 mills $ 128,149.10 mills $ TOTAL: rSumofGeneralOperating 1 11.5732,966,139 Subtotal and Lines 4 to 7 I mills $ Contact person: Daytime (print) Ron Bateman phone: ( ) 970-587-4464 De ffate�ra�r Title: Fire Chief Signed: Ron Bateman(Dec 13,2017) 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0511 County Tax Entity Code DOLA LGID/SID 62036/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the LASALLE FIRE A (taxing entity) the (governing body)B of the (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 325214890 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 325214890 Increment Financing(TIF)Areal'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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 1.654 mills $ 537906.00 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 1.654 mills $ 537,906 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): VOTER APPROVED PENSION LEVY 0.5000 mills $ 162607.00 VOTER APPROVED OPERATING LEVY 3.0000 mills $ 975645.00 TOTAL; 1Sum ofGeneralOperating 1 5.154 1,676,158 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Vicki Hein phone: ( ) 9702849470 1W/77`&i SECRETARY Signed: Vicki Hein(Dec 14,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0512 County Tax Entity Code DOLA LGID/SID 64087/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the MOUNTAIN VIEW FIRE A (taxing entity) the Board of Directors (governing body)B of the Mountain View Fire Protection District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 847660230 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)Areal'the tax levies must be $ 819064083.4 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) LEVY REVENUE 1. General Operating Expenses' 11.747 mills $ 9,621,546 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 11.747 mills $ 9,621,546 3. General Obligation Bonds and Interests 0 mills $ 0 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General oeperati.g 1 11.7479,621,546 Subtotal and lines 4 to 7 I mills $ Contact person: Daytime (print) Tonya Olson phone: ( ) 303-772-0710 Signed: VONJ/� eaf.oni Title: 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 piyis#_qn of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp Street.Denver. CO 8Q,2Q3_Q1ieligits? Call DLG qt(3V)814:7729. 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: 1990 and 1993 Date of Issue: November 15,1993 Coupon Rate: Maturity Date: December 1,2008 Levy: 0 Revenue: 0 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0513 County Tax Entity Code DOLA LGID/SID 62041/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the MILLIKEN FIRE A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the MILLIKEN FIRE PROTECTION DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 144457010 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 144457010 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 11.461 mills $ 1,655,621.79 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 11.461 mills $ 1,655,622 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM 0.026 mills $ 3,755.88 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General oeperati.g 1 11.4871,659,378 Subtotal and Lines 4 to 7 I mills $ Contact person: Daytime (print) Ron Bateman phone: ( ) 970-587-4464 De ffate�ra�r FIRE CHIEF Signed: Ron Bateman(Dec 13,2017) Title: 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 piyi,F#gn of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 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 NUNN FIRE PROTECTION DISTRICT (taxing entity)' the BOARD OF DIRECTORS (governing body)B of the _ NUNN FIRE PROTECTION DISTRICT (local government)' Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 108,933,940 assessed valuation of: (GROSS''assessed valuation,Line 2 of the Certification of Valuation Form DLG 57 1 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 $ 108,933,940 calculated using the NET AV. The taxing entity's total (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 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" mills $ 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 3.485 mills $ 379,716 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures'' .321 mills $ 35,000 6. Refunds/Abatements' mills $ 7. Other's (specify): mills $ mills $ TOTAL: Sum of General Operating • Suht�tal and litte� ;rn 7 3.806 mills $ 414,716 Contact person: Daytime (print) JACK LAWRENCE phone: (970) 987-2220 Signed: tO �. � Title: �Y 2 Sd-re.r Include one copy of-this . entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S.,with the pivisiau of Local Government IDLCr1_Room 521. 1313 Sherman Sweet.Denver_CO 80203. Ouestions 1 Cal!DLG at 13031 X64-7720. 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. 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0515 County Tax Entity Code DOLA LGID/SID 62047/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PLATTE VALLEY FIRE A (taxing entity) the Board of Directors (governing body)B of the Platte Valley Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 692283240 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 692283240 Increment Financing(TIF)Areal'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: 12/08/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 5.165 mills $ 3,575,643 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 5.165 mills $ 3,575,643 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 5.165 3,575,643 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Barry A.Schaefer phone: ( ) 970-353-3890 �r�� ScGrae er Title: Chief Signed: Barry A. chaefer(Dec 12,201) 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver, CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 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 _ Platte Valley Fire Protection District (taxing entity)A the Board of Directors (governing body)B of the _ _ Platte Valley Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 692,283,240 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 $ 692,283,240 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 of: Submitted: _ 12/08/2017 for budget/fiscal year 2018 . (not later than Dec. 15) (mm/dd/yyyy) (yY5.y) - PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 5.165 mills $ 3,575,643 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < SUBTOTAL FOR GENERAL OPERATING: _ 5.165 mills $ 3,575,643 3. General Obligation Bonds and Interest' mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements"' .006 mills $ 4,047 7. Other' (specify): mills $ mills $ TOTAL: Sum of General Operating Subtotal and Lines 3 to 7 ] 5.171 mills $ 3,579,690 Contact person: Daytime (print) Barre Schaefer phone: (970) 353-3890 Signed: Title: Chief Include one copy of this tax entity's completed form whng 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)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 final certification of valuation). Form DLG 70(rev 7/08) Page 1 of 4 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0516 County Tax Entity Code DOLA LGID/SID 62049/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PLATTEVILLE-GILCREST FIRE A (taxing entity) the Board of Directors (governing body)B of the Platteville-Gilcrest Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 862254500 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 862254500 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 2.803 mills $ 2416899 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 2.803 mills $ 2,416,899 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital ExpendituresL 1.00 mills $ 862255 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 3.803 3,279,154 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Dan Durkee phone: ( ) 970-785-2232 Signed: Title: District Chief 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 piyi,F#_qn of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0517 County Tax Entity Code DOLA LGID/SID 64113/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the POUDRE VALLEY FIRE A (taxing entity) the Board of Directors (governing body)B of the Poudre Valley Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 5422660 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 5422660 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 10.595 mills $ 57,453 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.595 mills $ 57,453 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 10.595 57,453 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Beverly R.McBride phone: ( ) (970) 416-2837 Seve�G ti1��i�e District Coordinator Signed: Beverly R.McBride(Dec 13,2017) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0518 County Tax Entity Code DOLA LGID/SID 64127/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the S. E. WELD FIRE A (taxing entity) the Board of Directors (governing body)B of the Southeast Weld Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 239771510 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 239771510 Increment Financing(TIF)Areal'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: 12/07/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 7.764 mills $ 1861586 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 7.764 mills $ 1,861,586 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM 0.011 mills $ 2637 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 7.775 1,864,223 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Irene M.Burke phone: ( ) 303-732-4203 Signed: �"2' Title: 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 piyis#_qn of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0519 County Tax Entity Code DOLA LGID/SID 62059/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WESTERN HILLS FIRE A (taxing entity) the Board of Directors (governing body)B of the Western Hills Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 209146360 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 209146360 Increment Financing(TIF)Areal'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: 12/15/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 10.085 mills $ 2,109,290 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.085 mills $ 2,109,290 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatementsm .002 mills $ 4,848 7. Other' (specify): mills $ mills $ TOTAL; 1Sum ofGeneralOperating 1 10.087 2,114,138 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Janice Perekrestenko phone: ( ) 970-350-9507 ,7aere 2t2kt2It2l1`(0 Sr.Administrative Specialist Signed: Janice Perekrestenko(Dec 15,2017) Title: p 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 0519 County Tax Entity Code DOLA LGID/SID 62059/1 CERTIFICATION OF TAX LEVIES for NON-SC OOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Western Hills Fire A (taxing entity) the Board of Directors (governing body) of the Western Hills Fire Protection District (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 209,146,360 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 $ 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: 12/15/2017 for budget/fiscal year 2018 (no later than Dec. 15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE' 1. General Operating Expenses" 10.085 mills $ 2,109,290 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPE' -TING: 10.085 mills $ 2,109,290 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements"t .020 mills $ 4,848 7. Other" (specify): mills $ mills $ T T�T r Sum of General Operating 1 10.105 2,114,138 1 L I Subtotal and Lines 310 7 mills Contact person: Daytime (print) Janice Perekrestenko phone: ( 970) 350-9507 Signed: Title: Sr. Administrative Specialist G �:�L t� I -c �';C �� 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 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 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 GENE' £.L 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 SEPA TE MILL LEVY FOR EACH BOND OR CONT CT: 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: CONT CTS": 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 governments. 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. D 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 25111 each year and may amend it, one time, prior to December 101x'. 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) " 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). 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)—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. 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. nt 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 1L 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) County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld , Colorado. On behalf of the Wiggins Rural Fire Protection District (taxing entity). the Board of Directors (governing body)" of the Wiggins Rural Fire Protection District (local government)L Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 107,850,670.00 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 $ 107,850,670.00 calculated using the NET AV. The taxing entity's total (NETC 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: December 11, 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" 7.000 mills $ 754,955.00 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: mills $ 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements'" mills $ 7. Others (specify): mills $ mills $ TOTAL' Sum of General Operating 1 7.000 754,955.00 • subt: Genera. 3 tn, mills $ Contact person: Daytime (print) Lynnette Jo Rogers phone: ( 970) 768.1966 Signed: qu�, Title: Treasurer if Include one copy of this tax en'i 's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S.,with the j)ivision ofl.nrral Government If l,G) Room 571 1313 Sherman Street Denver CO 80203 Ouertions' Call DIG 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 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) 2018 BUDGET WIGGINS RURAL FIRE PROTECTION DISTRICT BOARD MEMBERS Joe King — President Landre Walker — Vice President Lynnette Jo Rogers — Treasurer Andy Rasmussen — Board Member Cheryl Baumgartner — Board Member LETTER OF BUDGET TRANSMITTAL To: Division of Local Government 1313 Sherman School, Room 521 Denver, CO 80203 Attached is a copy of the 2018 Budget for Wiggins Rural Fire Protection District in Morgan and Weld Counties,submitted pursuant to Section 29-1-113, C.R.S. This budget was adopted on December 7, 2017. If there are any questions on the budget, please contact Vai Loose at 970.768.1044. I, Val Loose, Secretary for the Wiggins Rural Fire Protection District, hereby certify that the enclosed is a true and accurate copy of the 2018 Adopted Budget. )11 /wa Val Loose Jo ing—President Form DLG 54 Appendix—revised 3/03 C-2 BUDGET MESSAGE (Pursuant to 29-1-103) (1)(e,)C.R.S. WIGGINS RURAL FIRE PROTECTION DISTRICT The attached 2018 Budget for Wiggins Rural Fire Protection District: the important features;* GENERAL FUND The General Fund is the operating fund for the District. The District maintains three fire stations; located at Wiggins, Hoyt and Goodrich, Colorado. PENSION FUND Firemen must be fifty years of age and have served the Wiggins Rural Fire Protection District for twenty years to earn full benefits from the pension fund. Partial benefits are paid to retired firemen who have served ten or more years. Pension benefits are based on 16 retired firemen. Total budgeted expenditures for the pension fund are $ 90,345.00. The Fire and Police Pension Association of Colorado administers the Pension Fund. CAPITAL OUTLAY Capital Outlay expenditures are budgeted at$ 858,711.00. The Wiggins Rural Fire Protection District is planning on purchasing one pumper, radios, bunker gear, SCBA equipment and Extrication equipment. This capital outlay will be used to purchase this equipment. Additional fund have also been accumulating in the savings account for these purchases as well. The estimated expenditures for each fund are as follows: General Fund: General Operating Expenses $ 262,500.00 Pension Fund: Pension Fund Expenditures $ 90,345.00 Capital Outlay: Capital Outlay Expenditures $ 858,711.00 The budget is prepared on the modified accrual basis. The services to be provided during the budget year are firefighting and emergency assistance. Volunteers that are properly trained and equipment perform all services. The elected Board of Directors of the Wiggins Rural Fire Protection District serve without compensation. Dated: 7 December 2017 "important features"are not defined in statues:however features of the budget would include/ending a service,;increases or decreases in levels of service,increases/decreases and/or expenditures;acquisition of new equipment;start or end of a capital project,etc. Appendix—Revised 3/03 C_3 NOTICE OF BUDGET (Pursuant to 29-1-106,C.R.S.) Notice is hereby given that a proposed budget has been submitted to the Wiggins Rural Fire Protection District Board of Directors for the ensuing year of 2018; a copy of such proposed budget has been filed in the office of the Wiggins Rural Fire Protection District, where the same has been open to the public for public inspection; such proposed budget will be considered at a special meeting of the Wiggins Rural Fire Protection District Board of Directors to be held at the fire hall, 701 Central, in Wiggins, Colorado on December 7, 2017 at 7 p.m. Any interested elector of Wiggins Rural Fire Protection District may inspect the proposed budget and file or register any objections thereto at any time prior to the final adoption of the budget. RESOLUTION TO ADOPT BUDGET (Pursuant to 29-1-108 C.R.S.) A RESOLUTION SUMMARIZING EXPENDITURES AND REVENUES FOR EACH FUND AND ADOPTING A BUDGET FOR THE WIGGINS RURAL FIRE PROTECTION DISTRICT, WIGGINS, COLORADO, FOR THE CALENDAR YEAR BEGINNING OF THE FIRST DAY OF JANUARY, 2018 AND ENDING THE LAST DAY OF DECEMBER, 2018. WHEREAS,The Wiggins Rural Fire Protection District Board of Directors of the Wiggins Fire Protection District has appointed Val Loose, Secretary, to prepare and submit a proposed budget to said governing body on December 7, 2017 at 7 p.m. for its consideration, and; WHEREAS, upon due and proper notice, published or posed in accordance with the law, said proposed budget was open for public inspection by the public at a designated place, a public hearing was held December 7, 2017, at 7 p.m., and taxpayers were given the opportunity to file or register any objections to said proposed budget, and; WHEREAS, whatever increases may have been made in expenditures, like increases were added to the revenues or planned to be expanded from reserves/fund balances so that the budget remains in balance, as required by law. Section 1. That the budget as submitted, amended, and summarized by fund, hereby is approved and adopted as the budget of The Wiggins Rural Fire Protection District for the year stated above. Section 2. That the budget hereby approved and adopted shall be signed by the President and Treasurer and made a part of the public records of the Wiggins Rural Fire Protection District. Adopted this 7th day of December A.D., 2017 ,1 ATTEST: 1 Joe 'i•g-Presiide-Y cA,AAanear- Lynrieitte Jo Rog s-Treasurer Appendix—Revised 3/03 C-4 RESOLUTION TO APPROPRIATE SUMS OF MONEY (Pursuant to Section 29-1-108 C.R.S.) A RESOLUTION APPROPRIATING SUMS OF MONEY TO THE VARIOUS FUNDS AND SPENDING AGENCIES, IN THE AMOUNT AND FOR THE PURPOSE AS SET FORTH BELOW. FOR THE WIGGINS RURAL FIRE PROTECTION DISTRICT, WIGGINS, COLORADO, FOR THE 2018 BUDGET YEAR. The Wiggins Rural Fire Protection District has adopted the annual budget in accordance with the Local Government Budget Law, on December 7, 2017, and: WHEREAS, it is not only required by law, but also necessary to appropriate the revenue and reserves or fund balances provided in the budget to and for the purposed described below, thereby establishing a limitation on expenditures for the operation of the Wiggins Rural Fire Protection District. NOW, THEREFORE BE IT RESOLVED BY THE WIGGINS RURAL FIRE PROTECTION DISTRICT BOARD OF DIRECTORS OF THE WIGGINS RURAL FIRE PROTECTION DISTRICT, WIGGINS, COLORADO. Section 1. That the following sums are hereby appropriated from the revenue of each fund, to each fund, for the purposes stated: FUNDS, General Fund Expenses $ 262,500.00 Capital Outlay $ 858,711.00 Pension Fund $ 90,345.00 TOTAL FUNDS $ 1,211,556.00 ADOPTED THIS 7th day of December, A.D., 2017 /Z--- ____— Joe King resident Lynn`ette Jo RogeYs—Treasurer Appendix—Revised 3/03 C-7 RESOLUTION TO SET MILL LEVIES (Pursuant to 39-5-238,C.R.S.and 39-2-222 C.R.S.) A RESOLUTION LEVING PROPERTY TAX FOR THE YEAR 2018 TO HELP DEFRAY THE COSTS OF GOVERNMENT FOR THE WIGGINS RURAL FIRE PROTECTION DISTRICT, WIGGINS, COLORADO FOR THE 2018 BUDGET YEAR. WHEREAS, The Board of Directors of the Wiggins Rural Fire Protection District has adopted the annual budget in accordance with the Local Governments Budget Law, on December 7, 2017, and; WHEREAS, the amount of money necessary to balance the budget for general operating purposes from property tax revenue is$1,211,556.00 and; WHEREAS, the 2017 valuation for assessment for the Wiggins Rural Fire Protection District as certified by the Morgan County Assessor is $51,851,510.00 and the Weld County Assessor is $107,850,670.00. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS OF THE WIGGINS RURAL FIRE PROTECTION DISTRICT, WIGGINS, COLORADO; Section 1. That the purpose of the meeting all general operating expenses of the Wiggins Rural Fire Protection District during the 2018 Budget Year, there is hereby levied a tax of 7.000 mills upon each dollar of the total valuation for assessment of all taxable property within the Wiggins Rural Fire Protection District for the year 2018. Section 2. The Secretary is hereby authorized and directed to immediately certify to the County Commissioners of Morgan and Weld Counties, Colorado,the mill levies for the Wiggins Rural Fire Protection District as hereinabove determined and set. ADOPTED, this 7th day of December A.D., 2017 ATTEST: Joe King—P sident 0-0 Lyn tte Jo Rogers—Treasurer CERTIFICATION OF VALUATION BY WELD COUNTY ASSESSOR Name of Jurisdiction: 0520-WIGGINS FIRE New Entity:No IN WELD COUNTY ON 8/21/2017 USE FOR STATUTORY PROPERTY TAX REVENUE LIMIT CALCULATIONS (5.5%LIMIT)ONLY IN ACCORDANCE WITH 39-5-121(2)(a)AND 39-5-128(1),C.R.S.AND NO LATER THAN AUGUST 25,THE ASSESSOR CERTIFIES THE TOTAL VALUATION FOR ASSESSMENT FOR THE TAXABLE YEAR 2017 IN WELD COUNTY.COLORADO 1. PREVIOUS YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: $129,524,130 2. CURRENT YEAR'S GROSS TOTALTAXABLE ASSESSED VALUATION: * $107,850,670 3. LESS TIF DISTRICT INCREMENT,IF ANY: 4. CURRENT YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: $107,850,670 5, NEW CONSTRUCTION: .. $1,435,093 6. INCREASED PRODUCTION OF PRODUCING MINES: # 7. ANNEXATIONS/INCLUSIONS: 8. PREVIOUSLY EXEMPT FEDERAL PROPERTY: # 9. NEW PRIMARY OIL OR GAS PRODUCTION FROM ANY PRODUCING OIL AND GAS LEASEHOLD #f $12,087,575 OR LAND (29-1-301(1)(b)C.R.S.): 10.TAXES COLLECTED LAST YEAR ON OMITTED PROPERTY AS OF AUG.1 (29-1-.301(1))(a)C.R.S.): l_ 0,o0I 11 TAXES ABATED AND REFUNDED AS OF AUG.1 (29-1-301(1)(a)C.R.S.)and (39-10-114(1)(a)(I)(B)C.R.S.): 0.00 ' This value reflects personal property exemptions IF enacted by the jurisdiction as authorized by Art.X,Sec,20(8)(b),Colo. "New construction Is defined as:Taxable real property structures and the personal property connected with the structure. #Jurisdiction must submit respective certifications(Forms DLG 52 AND 52A)to the Division of Local Government in order for the values to be treated as growth in the limit calculation. ##Jurisdiction must apply(Forms DLG 52B)to the Division of Local Government before the value can be treated as growth in the limit calculation. USE FOR'TABOR' LOCAL GROWTH CALCULATIONS ONLY I IN ACCORDANCE WITH THE PROVISION OF ARTICLE X,SECTION 20,COLO CONST,AND 39-5-121(2)(b),C.RS.THE ASSESSOR CERTIFIES THE TOTAL ACTUAL VALUATION FOR THE TAXABLE YEAR 2017 IN WELD COUNTY,COLORADO ON AUGUST 25,2017 1. CURRENT YEAR'S TOTAL ACTUAL VALUE OF ALL REAL PROPERTY: @ $118,837,247 ADDITIONS TO TAXABLE REAL PROPERTY: 2. CONSTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS: ! $342,910 3. ANNEXATIONS/INCLUSIONS: SO 4. INCREASED MINING PRODUCTION: % $� 5. PREVIOUSLY EXEMPT PROPERTY: 51) 6. OIL OR GAS PRODUCTION FROM A NEW WELL: $13,814,372. 7. TAXABLE REAL PROPERTY OMITTED FROM THE PREVIOUS YEAR'S TAX WARRANT: (If land andlor a structure Is picked up as omitted property for multiple years,only the most current years actual value can be reported as omitted property,) DELETIONS FROM TAXABLE REAL PROPERTY: 8. DESTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS: $194 9. DISCONNECTIONS/EXCLUSION: 10. PREVIOUSLY TAXABLE PROPERTY: @ This Includes the actual value of all taxable real property plus the actual value of religious,private schools,and charitable real property. !Construction is defined as newly constructed taxable real property structures. %Includes production from new mines and increases in production of existing producing mines. IN ACCORDANCE WITH 39-5-128(1),C.R.S.AND NO LATER THAN AUGUST 25,THE ASSESSOR CERTIFIES TO SCHOOL DISTRICTS: 1.TOTAL ACTUAL VALUE OF ALL TAXABLE PROPERTY:----- LNOTE: All levies must be Certiflea to the Board of County Commissioners NO LATER THAN DECEMBER 15,2017 Data Date: 8/24/2017 • County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Morgan , Colorado. On behalf of the Wiggins Rural Fire Protection District ' (taxing dntity) the Board of Directors (governing body)B of the Wiggins Rural Fire Protection District (local government)L Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 51,851,510.00 assessed valuation 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)AreaF the tax levies must be $ 51,851,510.00 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: December 11, 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'-' 7.000 mills $ 362,960.00 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $< > SUBTOTAL FOR GENERAL OPERATING: mills $ 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements'" mills $ 7. Other' (specify): mills $ mills $ TOTAL' Sum of General Operaung 1 7.000 362,960.00 • ,Subtotal and'mines 3 lo tin, mills Contact person: Daytime (print) Lynnette Jo Rogers phone: ( 970) 768.1966 Signed: , rxi L Qt. Title: Treasurer Include one copy of this tax entity completed firm when filing the local goverrunent's budget byJanuwy 31st,per 29-1-113 CRS.,with the pivision o(Local Government(DU Room 521. 1313 Sherman Strew!Denver.CO 80203 Ouestione Call DLO al(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 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) AMENDED CERTIFICATION OF VALUES Name of Jurisdiction:WIGGINS RURAL FIRE DISTRICT New District: USE FOR STATUTORY PROPERTY TAX REVENUE LIMIT CALCULATIONS (5.5% LIMIT) ONLY In accordance with 39-5-121(2)(a)and 39-5-128(1), C.R.S.The total Assessed Valuations for taxable year 2017 In Morgan County On 11/21/2017 Are: Previous Year's Net Total Assessed Valuation: $48,614,910 Current Years Gross Total Assessed Valuation: $51,851,510 (-) Less TIF district increment,if any: $0 Current Years Net Total Assessed Valuation: $51,851,510 New Construction*: $1,153,830 Increased Production of Producing Mines*": $0 ANNEXATIONS/INCLUSIONS: $0 Previously Exempt Federal Property**: $0 New Primary Oil or Gas production from any Oil and Gas leasehold or land(29-1-301(1)(b)C.R.S.)***: $0 Taxes Received last year on omitted property as of August 1 (29-1-301(1)(a)C.R:S.)Includes all revenue $0.00 collected on valuation not previously certified. Taxes Abated or Refunded as of August 1 $98.63 (39-10-114(1)(a)(I)(B)C.R.S.): This value reflects personal property exemptions IF enacted by the jurisdicti as authorized by Art.X, Sec.20(8)(b),Colo.Constitution *New Construction is defined as:Taxable real property structures and the r •sonal property connected with the structure. **Jurisdiction must submit a certification to the Division of Local Governme in order for a value to be accrued(DLG52&52A) ***Jurisdiction must submit an application to the Division of Local Governrr nt in order for a value to be accrued. (DLG 52B) USE FOR 'TABOR' LOCAL GRO\N -H CALCULATIONS ONLY In accordance with the Art X,Sec.20,Colorado Constitution and 39-5-12'(2)(b),C.R.S. The Actual Valuations for the taxable year 2017 In Morgan County On 11/21/2017 Are: Current Years Total Actual Value of All Real Property*: $309,716,060 ADDITIONS TO TAXABLE REAL PROPERTY: Construction of taxable real property improvements"*: $6,971,730 ANNEXATIONS/INCLUSIONS: $0 Increased Mining Production***: $0 Previously exempt property: $126,350 Oil or Gas production from a new well: $0 Taxable real property omitted from the previous year's tax $7,070 warrant. (Only the most current year value can be reported): DELETIONS FROM TAXABLE REAL PROPERTY IMPROVEMENTS: $49,560 Destruction of taxable property improvements. Disconnections/Exclusions: $0 Previously Taxable Property: $0 *This includes the actual value of all taxable real property plus the actual value of religious,private schools,and charitable real property. **Construction is defined as newly constructed taxable real property structures. ***Includes production from a new mine and increase in production of a producing mine. NOTE:All levies must be certified to the Board of County Commissioners no later than December 152017 WIGGINS RURAL FIRE PROTECTION DISTRICT 2018 Capital Fund-Proposed Budget 2016 2017 Projected 2017 2017 Proposed Account# Description Actual Year End Budget Budget 03.311.01 Morgan County Prop Tax-73% $ 144,793.00 $ 115,598.27 $ 140,850.00 $264,975.00 03.311.02 Weld County Prop Tax-73% $ 416,691.00 $ 378,769.58 $ 375,250.00 $551,116.00 03.312.01 Morgan County Specific Own $ 13,735.00 $ 10,722.19 $ 11,000.00 $14,000.00 03.312.02 Weld County Specific Own $ 23,036.00 $ 21,846.62 $ 10,000.00 $25,000.00 03.313.01 Morgan County Delinquent $ 2.00 $ - $0.00 03.313.02 Weld County Delinquent $0.00 03.314.01 Morgan County Interest $ 428.00 $ 74.28 $ - $300.00 03.314.02 Weld County Interest $ 33.00 $ 17.52 $ - $20.00 03.330.01 State Grants- Energy Impact Lease/Loan Proceeds 03.365.00 Sale of Fixed Assets $ 8,700.00 03.330.03 Individual Private Grants 03.342.50 Misc. Income $ 2,265.89 $ - $2,200.00 03.361.00 Interest $ 1,097.00 $ 549.05 $ 1,200.00 $1,100.00 03.361.10 Transfers $ 179,700.00 TOTAL REVENUES $ 608,515.00 $ 529,843.40 $718,000.00 $858,711.00 03.422.01 Principal Payments $ 194,461.00 03.422.02 Interest Payments $ 5,360.00 03.422.06 Vehicle Lease $ - 03.422.04 High Plains Bank- BLDG LOAN 03.422.05 High Plains Bank- LAND LOAN Land Purchase 03.422.07 Office Equipment $ 761.89 $ 2,000.00 $ 1,000.00 03.422.09 Morgan County Treas Fees $ 1,650.52 $ 3,700.00 $ 3,700.00 03.422.09 Weld County Treas Fees $ 5,480.41 $ 5,300.00 $ 5,300.00 03.422.11 Flre Bunker Gear $ 20,909.00 $ 912.00 $ 10,000.00 $ 15,000.00 03.422.21 SCBA Equipment $ - $ 25,052.84 $ 36,000.00 $ 30,000.00 03,422.22 Fire Fighting Equipment $ 25,000.00 03.422.23 Extrication Equipment $ 70,210.00 $ 1,000.00 $ 50,000.00 03.422.24 Hazmat Equipment I $ - 03.422.50 Communication Equipment $ 9,094.33 $ 9,000.00 $ 57,000.00 03.422.55 Vehicle Purchases $ 7,500.00 $ 613,672.83 $ 600,000.00 $ 650,000.00 03.422.80 Building Repairs& Maint. $ 4,185.00 $ 15,000.00 $ 15,000.00 03.422.81 Grounds Repairs & Maint. $ 4,050.00_ $ 30,000.00 $ 5,000.00 03.422.82 Other Capital Outlay $ 3,130.00 $ 1,711.00 Reserves TOTAL EXPENSES $ 309,805.00 $ 656,624.82 $712,000.00 $ 858,711.00 WIGGINS RURAL FIRE PROTECTION DISTRICT GENERAL FUND INCOME 2018 Budget 2016 Actual 2017 2017 2018 Account# Description Amount Projected Budget Proposed Year End Budget REVENUES 01.311.01 Morgan County Property Tax 19.5% $ 183,353.00 $ 178,438.54 $ 173,860.00 $ 70,782.00 01.311.02 Weld County Property Tax19.5 $ 514,322.00 $ 469,950.95 $ 463,190.00 $ 147,218.00 01.312.01 Morgn County Specific Own. $ 16,953.00 $ 11,811.52 $ 13,000.00 $ 15,000.00 01.312.02 Weld County Specific Own $ 28,433.00 $ 26,966.62 $ 10,000.00 $ 27,000.00 01.330.03 Forest Service Grant 01.342.20 Special Services 01.342.50 Misc. Income $ 1,159.00 $ 1,144.13 $ 500.00 $ 1,000.00 01.342.51 Meeting Room Rental 01.361.10 Interest Income $ 1,661.00 $ 1,243.50 $ 1,000.00 $ 1,500.00 01.314.01 Morgan County Interest $ 526.00 01.314.02 Weld County Interest $ 41.00 01.367.00 Donations $ 50.00 $ - 01.367.01 Insurance Payments & Refund 01.368.00 Colo Fuel Tax Refund 01.368.11 Fuel Federal Tax Refund 01.392.10 Sale of Fixed Assets TOTAL REVENUE $746,448.00 $ 689,605.26 $ 661,550.00 $ 262,500.00 WIGGINS RURAL FIRE PROTECTION DISTRICT 2018 General Fund Proposed Budget 2018 Budget 2016 Actual 2017 Budget 2017 2018 Proposed Account# Description Budget to Date Budget Budget 01.422.00 Bookkeeping Services $ 7,920.00 $ 7,370.00 $ 8,000.00 $ 8,000.00 01.422.01 Insurance $ 29,606.00 $ 29,542.00 $ 30,000.00 $ 32,000.00 01.422.02 Workmens Comp Insurance $ 3,723.00 $ 1,719.00 $ 3,000.00 $ 3,700.00 01.422.03 Board Seminar Expenses $ - $ - $ 200.00 $ 200.00 01.422.04 Entertainment& Meals $ - $ - $ 300.00 $ 300.00" 01.422.05 Dues&Subscriptions $ 3,429.00 $ 2,497.86 $ 1,200.00 $ 3,500.00 01.422.06 Legal &Audit $ 4,275.00 $ 7,475.00 $ 5,000.00 $ 4,500.00 01.422.07 Office Supplies $ 1,338.00 $ 1,914.26 $ 5,000.00 $ 1,000.00 01.422.08 Rent $ - $ - $ - $ - 01.422.09 Morgan County Treas Fee $ 7,008.00 $ 7,500.00 $ 6,000.00 $ 7,900.00 01.422.10 Weld County Treas Fee $ 14,797.00 $ 15,000.00 $ 8,000.00 $ 15,500.00 01.422.11 Postage & Handling $ 274.00 $ 305.00 $ 300.00 $ 500.00 01.422.12 Copying& Printing $ 212.00 $ - $ - $ 250.00 01.422.13 Community Outreach $ 91.00 $ 200.00 $ 1,000.00 $ 1,400.00 01.422.14 Election Expense $ 306.00 $ - $ - $ 5,000.00 01.422.15 Travel Expense $ - $ - $ 2,500.00 $ 500.00 01.422.16 Refreshments $ 470.00 $ 1,689.34 $ 1,500.00 $ 1,750.00 01.422.17 Contracts& Leases $ - $ - $ 200.00 $ 200.00 01.422.18 Misc. Expense $ 4,198.00 $ 286.77 $ 2,500.00 $ 500.00 01.422.19 Uniforms &Awards $ 389.00 $ 1,866.12 $ 2,000.00 $ 3,000.00 Cadet Program $ - $ 1,000.00 $ 1,000.00 01.422.20 Fire Fighting Equipment $ - $ 3,412.85 $ 15,000.00 $ 15,000.00 y 01.422.21 Fuel &Oil $ 8,420.00 $ 7,950.73 $ 15,000.00 $ 15,000.00 01.422.22 Station Supplies $ 5,927.00 $ 3,398.45 $ 5,000.00 $ 5,000.00 01.422.23 Extraction Supplies $ - $ - $ 5,000.00 $ 3,500.00 01.422.30 Fire &Accident Safety $ 1,434.00 $ 1,500.00 $ 2,000.00 $ 1,200.00 01.422.35 ISO Testing& Repairs & Pump $ 4,270.00 $ 8,686.43 $ 7,500.00 $ 10,000.00 01.42240 Training $ 5,407.00 $ 4,236.80 $ 5,000.00 $ 9,000.00 01.422.41 Fireman Exams $ 3,274.00 I $ 480.72 I $ 4,000.00 $ 3,500.00 01.422.50 Communications(battery,maintenance contract $ 13,984.00 $ 10,306.65 $ 8,000.00 $ 10,000.00 01.422.60 Machinery Repairs & Maint $ 3,336.00 $ 1,182.51 $ 2,000.00 $ 5,000.00 01.422.61 Vehicle Repairs & Maint $ 33,185.00 $ 19,221.11 $ 40,000.00 $ 50,000.00 01.422.62 Cascade Systems Repairs&Main $ - $ 438.72 $ 2,500.00 $ 3,500.00 01.422.63 Annual Firemen's Dinner $ 780.00 $ 1,700.00 $ 3,000.00 $ 1,200.00 01.422.70 Medical Supplies $ 199.00 $ - $ - $ - 01.422.80 Building Repairs & Maint $ 3,766.00 $ 6,326.96 $ 15,000.00 $ 5,000.00 01.422.81 Grounds Repairs & Maint $ - $ 1,743.70 $ 5,000.00 $ 5,000.00 01.422.82 Utilities- Electric $ 6,157.00 $ 6,092.80 $ 6,500.00 $ 7,000.00 01.422.83 Utilities-Telephone $ 4,220.00 $ 2,475.30 $ 3,500.00 $ 3,000.00 01.422.84 Utilities-Nat.Gas/Propane $ 6,210.00 $ 4,492.52 $ 13,000.00 $ 10,000.00 01.422.85 Utilities-Water/Sewer $ 1,844.00 $ 1,824.75 $ 2,000.00 $ 1,200.00 01.422.86 Trash Disposal $ 753.00 $ 859.00 $ 455.00 $ 600.00 01.422.87 Television $ - $ 736.44 $ 840.00 $ 840.00 01.422.88 Cleaning $ 1,100.00 $ 1,200.00 $ 1,200.00 $ 1,560.00 01.422.89 Internet Service $ 449.00 $ 490.00 $ 540.00 $ 500.00 01.422.980 Reserve $ 415,430.00 1422.5 Wellness & Fitness $ 8,079.00 $ 1,595.00 $ 7,000.00 $ 5,000.00 14222.26 Advertising $ 13.00 $ 200.00 T(1TAI FYPFNSFS S 190.830.00 5 167.716.79 5 662.165.00 5 262,500.00 WIGGINS RURAL FIRE PROTECTION DISTRICT 2018 Proposed Budget PENSION FUND 2016 Actual 2017 Projected 2017 2018 Proposed Account# Description Amount Amount Budget Budget Revenues 02.311.01 Morgan County Prop.Tax-7.5% $ 26,231.00 $ 27,314.00 $ 25,520.00 $ 27,223.00 02.311.02 Weld County Prop. Tax- 7.5% $ 73,287.00 $ 68,379.50 $ 67,980.00 $ 56,622.00 02.312.01 Morgan County Specific Own $ 2,488.00 $ 1,539.78 $ 1,800.00 $ 2,500.00 02.312.02 Weld County Specific Own $ 4,173.00 $ 3,037.12 $ 2,200.00 $ 4,000.00 02.313.01 Morgan Cty Deliquent Tax 02.313.02 Weld Cty Delinquent Tax $ 15.00 02.314.01 Morgan Cty Tax Interest $ 77.00 $ 9.90 $ - 02.314.02 Weld Cty Tax Interest $ 6.00 $ 1.36 $ - 02.350.00 State Conribution $ 45,000.00 02.361.00 Interest $ 87.00 $ 29.33 $ 20.00 02.361.01 FPPA Investment Earning 02.361.11 FPPA Dividends 02.390.10 Misc. Income $ 2,032.00 $ 27.86 02.361.13 FPPA Other Income _ 02.361.14 FPPA Net Change Accured Income 02.361.15 FPPA Unrealized Gain/Loss 02.361.16 FPPA Realized Gain/Loss TOTAL REVENUES $ 153,396.00 $ 100,338.85 $ 97,520.00 $ 90,345.00 Expenses 02.410.01 _Retirement Payments $ 60,000.00 02.401.10 District Contribution $ 145,000.00 $ 36,820.00 $ 90,320.00 02.422.09 Treasurer's Fee $ 1,572.13 $ 700.00 02.410.00 Pension Benefits 02.422.18 Misc. Expenses 326.00 $ 25.00 02.405. FPPA Fees & Expenses $ 25.00 TOTAL EXPENSES $ 145,351.00 $ 1,572.13 $ 97,520.00 $ 90,345.00 WIGGINS RURAL FIRE PROTECTION DISTRICT 2018 Budget COMMUNITY ASSISTANCE FUND 2016 2017 2017 2018 Account# Description Budget Estimate Budget Budget Revenue 06.342.50 Misc. Income 200.00 06.361.10 Interest $ 2.00 $ 2.51 $ 2.00 $ 2.50 06.367.00 Donations $ - $ 06.367.01 Ins. Payments& Refunds $ - 06.637.10 Cadet Program Donations $ - $ 250.00 06.391.10 Transfers $ TOTAL REVENUE $ 2.00 $ 252.51 $ 2.00 $ 202.50 Expenses 06.422.05 Community Donations $ - $ 200.00 $ 200.00 06.422.06 Legal &Audit $ - 06.422.07 Office Supplies $ - 06.422.11 Postage & Handling $ - 06.422.12 Copying& Printing $ - 06.422.15 Travel Expenses $ - 06.422.16 Refreshments $ - 06.422.17 Contracts & Leases $ - 06.422.18 Misc. Expenses $ - $ 2.00 $ 2.50 06.422.20 Cadet Expenses $ 1,000.00 06.422.22 Supplies $ 1,000.00 06.422.90 Tabor 3% Energency Fund $ - 06.422.99 Transfers Reserves TOTAL EXPENSES $ 2,000.00 $ 200.00 $ 2.00 $ 202.50 WIGGINS RURAL FIRE PROTECTION DISTRICT 2018 Budget FIREMEN'S ASSISTANCE 2016 2017 2017 2018 Account# Description Budget Estimated Budget Budget Revenue 05.342.05 Misc. Income $ 500.00 05.361.10 Interest $ - $ 1.68 $ 1.50 $ 2.00 05.367.00 Donations $ 200.00 05.391.10 Transfers TOTAL REVENUE $ 200.00 $ 1.68 $ 1.50 $ 502.00 Expenses 05.422.06 Legal &Audit 05.422.07 Office Supplies 05.422.11 Postage & Handling 05.422.12 Copying & Printing 05.422.13 Scholarship Donations $ 500.00 05.422.14 Firefighter Donations 05.422.18 Misc. Expenses $ 250.00 $ 1.50 $ 2.00 05.422.90 Tabor 3% Energeny Fund 05.422.99 Transfers Reserves TOTAL EXPENSES $ 250.00 $ - $ 1.50 $ 502.00 WIGGINS RURAL FIRE PROTECTION DISTRICT 2018 Budget (Fireworks Fund) 2017 2018 Acct. # Description Actual Budget REVENUE 04.342.50 Misc. Income 04.361.10 Interest Income $ 3.00 $ 2.00 04.367.00 Donations $ 2,235.00 $ 2,500.00 04.391.10 Transfers Total Revenues $ - $ - $ 2,238.00 $ 2,502.00 EXPENSES 04.422.07 Office Supplies 04.422.11 Postge& Handling 04.422.12 Copying&Printing $ 683.24 $ 700.00 4th of July Breakfast $ 1,067.16 $ 1,200.00 04.422.17 Misc. Expenses $ 302.00 04.422.22 Supplies $ 300.00 04.422.90 Tabor 3% Emergency Reserve 04.422.99 Transfers Reserves Total Expenses $ - $ - $ 1,750.40 $ 2,502.00 0521 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 Windsor-Severance Fire Protection District (taxing entity)A the Board of Directors (governing body)B of the Windsor-Severance Fire Protection District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 623,850,320 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 Increment Financing(TIF)AreaF the tax levies must be $ 623,501,500 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 of: Submitted: December 14, 2017 for budget/fiscal year 2018 (not later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE2 1. General Operating Expenses"' 7.194 mills $4,485,469.79 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. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatementsm mills 7. OtherN (specify): mills $ mills $ TOTAL • Sum of Generai Operating TOTAL:• Subtotal and Lines 3 to 7 7.194 mills $ 4,485,469.79 Contact person: Daytime (print) Jim Abbott phone: (970) 686-2626 Signed: Title: Board President 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)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 valuation(Line 4 of Form DLG57 on the County Assessor's final 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: Buildings,Apparatus &Improvements Series: 2009 Date of Issue: May 13, 2009 Coupon Rate: 3.5% - 5.0% Maturity Date: 12/1/2009— 12/1/2023 Levy: .505 Revenue: $315,461.48 for Weld County($395,678.71 for Weld&Larimer Counties) 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 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 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 governments. 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. s Local Government-For 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, 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. 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 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. 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). Form DLG 70(rev 7/08) Page 3 of 4 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 necessary for 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. a 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 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: 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. Form DLG 70(rev 7/08) Page 4 of 4 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0522 County Tax Entity Code DOLA LGID/SID 62075/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PAW NEE E E FIRE A (taxing entity) the Board of Directors (governing body)B of the Pawnee Fire Protection District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 244537220 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 244537220 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 1.25 mills $ 305,672 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 1.25 mills $ 305,672 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 1.25 mills $ 305,672 Contact person: Daytime (print) Randy Chapin phone: ( ) 970-895-3340 Signed: �Q`!dy Chap)! )! Randy Chapin(Dec 12,201 Title: Secretary/Treasurer g 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 piyi,F#gn of L Goygntcnt(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver. CO 8Q,2Q3_Q1ieli ls? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0523 County Tax Entity Code DOLA LGID/SID 64180/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the RAYMER-STONEHAM FIRE A (taxing entity) the (governing body)B of the (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 250063440 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 250063440 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 2.0880 mills $ 522132.46 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 2.088 mills $ 522,132 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ PENSION 0.5000 mills $ 125031.72 TOTAL; 1Sum ofGeneralOperating 1 2.588 647,164 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Robert E.Willich phone: ( ) 970-520-9013 ,oObeWt E �'U/�/Gh Board President Signed: Robert E.Willich(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0524 County Tax Entity Code DOLA LGID/SID 62087/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the BRIGGSDALE FIRE (taxing entity) A the Board of Directors (governing body)B of the Briggsdale Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 178342300 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 178342300 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating Expenses' 4.002 mills $ 713,726.00 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 4.002 mills $ 713,726 3. General Obligation Bonds and Interests 0 mills $ 0 4. Contractual Obligations" 0 mills $ 0 5. Capital ExpendituresL 0 mills $ 0 6. Refunds/AbatementsM 0 mills $ 0 7. Other' (specify): 0 mills $ 0 0 mills $ 0 TOTAL; 1 Sum of General Operating 1 4.002 713,726 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Shari Lueking phone: ( ) 308-991-7627 Si ned: shati 1�� Title: Treasurer g Shari Lueking(Dec 13,20 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 0532 County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD , Colorado. On behalf of the North Metro Fire Rescue District (taxing entity)A the Board of Directors (governing body)B of the North Metro Fire Rescue District (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1,284,400 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 Increment Financing(TIF)Area' the tax levies must be $ 1,284,400 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: 12/14/2017 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" 13.226 mills $ 16,987 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 13.226 mills $ 16,987 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures`' mills $ 6. Refunds/Abatements" 0.084 mills $ 108 7. Other"(specify): mills $ mills $ TOTAL' r Sum of General Operating 1 I 13.310 I I 17,095 • R�htotal and i.inPs 7 rn 7 mills Contact person: Daytime (pmt) D vid A. Ramos phone: ( 303) 452-9910 Signed: Title: Fire Chief 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 pivision 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 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. El 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. 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 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) 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). '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)—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 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 6116) 9705324744 Berthoud Fire 08:02:50 a.m. 12-13-2017 3/6 Into 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 Berthoud Fire Protection District Bond Fund (taxing entity)A the Board of Directors (governing body)a of the Berthoud Fire Protection District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 73,658,460.00 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 F V due to a Tax 73,658,460.00 Increment Financing(TIF)Area the tax levies must be $ calculated using the NET AV. The taxing entity's total (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 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) (tnm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" mills $ 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0000 mills $ 0.00 3. General Obligation Bonds and Interests 0.0000 mills $ 0.00 4. ContractualObligations't mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements"` mills $ 7. Other"(specify): mills $ - mills $ TOTAL.T . r Sum of General Operating 1 0.0000 0.00 1 fiL Subtotal and I Ines 3 to 7 mills $ Contact person: Daytime (print) Stephen Charles phone: ( 970) 532-2264 Signed: ,40,74d40( dap,ax.A., Title: Fire Chief/Budget Officer Include one copy of this tax entity's co4leted form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the �ivislon of.Lt gu Govenuti E(ALG).Room 521.1313 Sltetnrtrn Ste��t,Detsvt r, Ct?BQ . Qyg gg�s? Cti((DLG.nt(Q3)8k4 77�Q. '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 DT(357 on the("minty ASct'sanr's FINAT.rertifiration ofvahtatinn't. Page 1 of 4 DLG 70(Rev.6/16) 9705324744 Berthoud Fire 08:03:20 a.m. 12-13-2017 4/6 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 I, Lines 3 and 4 respectively. CERTIFY A SEPARATE MILL LEVY FOR EACH BOND OR CONTRACT: BONDS': I. Purpose of Issue: New Fire Station (Station #2), apparatus, hydrants Et equipment Series: Refunding Series 2011 Date of Issue: Oct. 15, 2011 Coupon Rate: Average Rate of 2.4114989 Maturity Date: December 1,2018 Levy: 0.00 Revenue: 0.00 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0529 County Tax Entity Code DOLA LGID/SID 62041/3 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the MILLIKEN FIRE (BOND 2024) A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the MILLIKEN FIRE PROTECTION DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 179240860 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 179240860 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating Expenses' mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0.687 mills $ 123,138.47 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM 0.001 mills $ 179.24 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 0.688 123,318 Subtotal and Lines 3 to 7 I mil1S $ Contact person: Daytime (print) Ron Bateman phone: ( ) 970-587-4464 De ffate�ra�r FIRE CHIEF Signed: Ron Bateman(Dec 13,2017) Title: 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 l?lvl�i�n of.1,201 Goygntcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_QLie tjo s? Call DLG qt(3V)86477x. 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: Repay Milliken Fire Protection District 2012 General Obligation Refunding Bond Series: 2012 Date of Issue: 8/15/2012 Coupon Rate: Various Maturity Date: 12/1/2024 Levy: 0.688 Revenue: $123,317.71 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0530 County Tax Entity Code DOLA LGID/SID 62013/2 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the FORT LUPTON FIRE (BOND 2022) , A (taxing entity) the District Board of Directors (governing body)B of the Fort Lupton Fire Protection District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 805814790 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)Areal'the tax levies must be $ 803478716.1 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 USE VALUE FROM FINAL 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 than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests .643 mills $ 516636.81 4. Contractual Obligations' 0 mills $ 0 5. Capital ExpendituresL 0 mills $ 0 6. Refunds/AbatementsM 0 mills $ 0 7. OtherN (specify): 0 0 mills $ 0 0 0 mills $ 0 TOTAL; 1 Sum of General Operating 1 0.643 516,637 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Allyson J.Tkadlec phone: ( ) 303-857-4603 !{IZ,yfoit c7 7fGfdGec Executive Secretary mio nlmadfec(Dec8,2oro Title: y 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 piyi,F#gn of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 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: Refinance a portion of the 2002 Bond Series: 2011 Date of Issue: October 26,2011 Coupon Rate: 2.94% Maturity Date: December 1,2022 Levy: .643 Revenue: 516,637 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0531 County Tax Entity Code DOLA LGID/SID 62015/2 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the FREDERICK-FIRESTONE FIRE (BOND 2022) A (taxing entity) the Board of Directors (governing body)B of the Frederick-Firestone Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 532782960 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)Areal'the tax levies must be $ 523171665.2 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: 12/11/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0.6980 mills $ 365,173.00 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 0.698 365,173 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jeffery Jurgena phone: ( ) (303) 833-2742 (let t' c7��////[[[��- eia Board President Signed: Jeffrey Jurgena(Dec 17) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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: Construction of fire station,purchase of general firefighting equipment and apparatus. Series: 2002 Date of Issue: 12/11/2002(Refinanced in 2011) Coupon Rate: 3.0% Maturity Date: 12/11/2022 Levy: 2.000 Voter approved.0.698 for Fiscal Year 2018 Revenue: $4,045,000 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 0527 County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD , Colorado. On behalf of the North Metro Fire Rescue District - Bond 2025 • (taxing entity) A the Board of Directors (governing body)B of the North Metro Fire Rescue District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1,284,400 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 Increment Financing(TIF)Area"the tax levies must be $ 1,284,400 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: 12/14/2017 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" 0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0 mills $ 0 3. General Obligation Bonds and Interest' 1.400 mills $ 1,798 4. Contractual Obligations" mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements" mills $ 7. Other"(specify): mills $ mills $ TOTAL: r Sum of Oerat 1 SubtotalGeneral and Linesp 3 to 7ing 1.400 mills $ 1,798 Contact person: Daytime (print) Dar A. mos phone: ( 303) 452-9910 Signed: Cv Title: Fire Chief 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 pivision 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 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 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: BONDS': 1. Purpose of Issue: Fire Facilities Construction and Equipment Purchase Series: 2015 Date of Issue: October 28, 2015 Coupon Rate: 2.15% Maturity Date: 2025 Levy: 1.40 Revenue: $1,798 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.•r16) 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. Es 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. 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 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) 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 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)—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 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) 0533 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 Windsor-Severance Fire Protection District (taxing entity)` the Board of Directors (governing body)B of the Windsor-Severance Fire Protection District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 625,025,020 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 Increment Financing(TIF)AreaF the tax levies must be $ 624,676,200 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 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) LEVY' REVENUE2 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 Interest' .505 mills $315,461.48 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatementsm mills 7. OtherN (specify): mills $ mills $ TOTAL: O TAT • Sum of Operating 1 L• SubtotalGeneral and Lines 3 to .505 mills $315,461.48 Contact person: Daytime (print) Jim Abbott phone: ( 970 ) 686-2626 Signed: Title: Board President 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)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 valuation(Line 4 of Form DLG57 on the County Assessor's final 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: Buildings,Apparatus &Improvements Series: 2009 Date of Issue: May 13, 2009 Coupon Rate: 3.5% - 5% Maturity Date: 12/1/2009 - 12/1/2023 Levy: .505 Revenue: $315,461.48 for Weld County($395,678.71 for Weld&Larimer Counties) 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 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 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 governments. 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. s Local Government-For 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, 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. 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 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. 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). Form DLG 70(rev 7/08) Page 3 of 4 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 necessary for 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. a 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 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: 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. Form DLG 70(rev 7/08) Page 4 of 4 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0534 County Tax Entity Code DOLA LGID/SID 66332/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the EVANS FIRE , A (taxing entity) the Board of Directors (governing body)B of the Special District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 135299600 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 135299600 Increment Financing(TIF)Areal'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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 15.5 mills $ 2091351 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 15.5 mills $ 2,091,351 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General oeperati.g 1 I 15.52,091,351 Subtotal and lines 4 to 7 I mills $ Contact person: Daytime (print) Sharon Bowles phone: ( ) 9703393920 Signed: Title: Business Manager 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 piyi,F#gn of L Goygjtcnt(DLG)..Rogin 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qiellg s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0534 County Tax Entity Code DOLA LGID/SID 66332/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the EVANS FIRE , A (taxing entity) the Board of Directors (governing body)B of the Evans Fire Protection District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 135,299,600 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 135 299 600 Increment Financing(TIF)Areal'the tax levies must be $ 135,299,600 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: 12/06/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 15.5 mills $ 2097144 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 15.5 mills $ 2,097,144 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General oeperati.g 1 I 15.52,097,144 Subtotal and lines 4 to 7 I mills $ Contact person: Daytime (print) Sharon Bowles phone: ( ) 9703393920 Signed: 1@ Title: Business Manager 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 piyi,F#gn of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qiellg s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0606 County Tax Entity Code DOLA LGID/SID 62086/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the GALETON SANITATION A (taxing entity) the Board of Directors (governing body)B of the Galeton Water&Sanitation District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 826420 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 826420 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating ExpensesH 0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0 mills $ 0 4. Contractual Obligations' mills $ 0 5. Capital ExpendituresL 0 mills $ 0 6. Refunds/AbatementsM 0 mills $ 0 7. OtherN (specify): 0 mills $ 0 mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 o•o mills $ o Contact person: Daytime (print) William W.Warren phone: ( ) 9704543998 WairM lvatre�r Board President Signed: William W.Warren(Dec 14,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0620 County Tax Entity Code DOLA LGID/SID 62080/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ST VRAIN SANITATION A (taxing entity) the Board of Directors (governing body)B of the StVrain Sanitation District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 774350240 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)Areal'the tax levies must be $ 761050537.7 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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH .517 mills $ 393,463.13 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.517 mills $ 393,463 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 0.517 393,463 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Jon Peterson phone: ( ) 303-776-9570 Signed: J Jon Peterson(Dec 14,2017)�eteY10� Title: Finance Manager et 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0622 County Tax Entity Code DOLA LGID/SID 35002/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the BOXELDER SANITATION A (taxing entity) the Board of Directors (governing body)B of the Boxelder Sanitation District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1934720 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 1934720 Increment Financing(TIF)Areal'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: 12/08/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 o.o mills $ o Contact person: Daytime (print) Karen L.Reynolds phone: ( ) 970-498-0604 �atee ,F�/% oldr District Mana er Signed: Karen L.Reynolds(Dec 15,2017) Title: g 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 l?lvi�i�n of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Q1ieligits? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 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 Aims Community College (taxing entity)A the Board of Trustees (governing body)® of the Aims College District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 7,958,322,870 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 Increment Financing(TIF)AreaF the tax levies must be $ 7,829,735,801 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: 12/14/17 for budget/fiscal year 2019 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses' 6.299 mills $ 49,319,507 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: mills $ 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/AbatementsM .018 mills $ 140,935 7. Other' (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 6.317 49,460,442 Subtotal and Lines 3 to 7 1 mill S Contact person: Daytime (print) Chuck Jensen phone: ( 970) 339-6509 Signed: L� / Title: Vice President of Administrative Services Include one copy of this tax entity's c mpleted form when filing the local government's budget by January 31st,per 29-1-113 C.R.S.,with the `)it icu>n oft oral Government tDLGi Room 521 1313 Sherman Street Denver Co 80'03 Questions? ('all 1)l G at t 103 864--"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. 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0802 County Tax Entity Code DOLA LGID/SID 65675/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the DOWNTOWN DEVELOPMENT AUTHORITY A (taxing entity) the Downtown Development Authority Board of Directors (governing body)B of the City of Greeley (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 29851510 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 23655440 Increment Financing(TIF)Areal'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: 12/01/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 5 mills $ 23655440 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 5.0 mills $ 23,655,440 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 571.50 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General oeperati.g 1 I 5.023,656,012 Subtotal and Lines 4 to 7 I mills $ Contact person: Daytime (print) Pam Bricker phone: ( ) 970-356-6775 Signed: avn,l4cC¢ti Title: Executive Director 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 piyis#gn of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Deaver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) City of aft Certificate of Autlienticthj STATE OF COLORADO ) COUNTY OF WELD ) SS. CITY OF GREELEY ) I, Betsy D. Holder, City Clerk of the City of Greeley do hereby certify that the attached is a true and correct copy of Resolution No. 100, 2017, as passed and adopted by the City Council of the City of Greeley on the 5th day of December, 2017. IN WITNESS WHEREOF I have hereunto set my hand and the seal of the City of Greeley this 7th day of December, 2017. Betsy D. H der, City lerk CITY SEAL City of Greeley,Colorado • City Clerk's Office • 100010kb Street • Greeley,CO 80631 • 970.350-9742 CITY OF GREELEY RESOLUTION NO. 100 , 2017 RESOLUTION ESTABLISHING THE 2017 DOWNTOWN DEVELOPMENT AUTHORITY TAX LEVY AND DIRECTING THE CERTIFICATION OF THE SAME TO THE BOARD OF COUNTY COMMISSIONERS. WHEREAS, the Downtown Development Authority (the "DDA") in the City of Greeley, Colorado, was created under the provisions of Part 8 of Article 25 of Title 31, C.R.S.; and WHEREAS, by special election held November 4, 2008, the qualified electors of the DDA approved a five mill ad valorem tax on real and personal properties within the District; WHEREAS, pursuant to said election approval and the provisions of Section 31-25-817 C.R.S., the City Council of the City of Greeley is authorized, in addition to the regular ad valorem tax and special assessments for improvements, to impose and levy an ad valorem tax on all real and personal property within the boundaries of the DDA not exceeding five mills on the valuation for assessment of such property; and WHEREAS, the Board of Directors of the DDA in the City of Greeley, Colorado, considered a proposed budget on November 16, 2017 and recommended to the Greeley City Council that it impose and levy five mills on all real and personal property within the boundaries of the DDA; and WHEREAS, the City Council considered the proposed DDA budget, and has considered the certificate from the Weld County Assessor showing that the total assessed valuation of property attributable to the five mill ad valorem property tax by the Downtown Development Authority District in the City of Greeley for the year of 2017 is $23,896,360; and, WHEREAS, based upon consideration of the data referred to above, the City Council has determined that the additional rate of taxation necessary to produce the required tax revenues for the 2018 DDA budget is 5.000 mills. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF GREELEY, COLORADO: Section 1. The tax levy to be applied to the valuation for assessment of property subject to taxation by the City of Greeley, Colorado as certified by the County Assessor for the current year, for the properties located within the DDA boundaries is hereby established at 5.000 mills, in addition to all regular ad valorem tax and special assessments. Section 2. The Mayor is hereby authorized and directed to sign a statement certifying to the Board of County Commissioners that the tax levy for 2017 for the DDA has been established at 5.000 mills, in addition to all other regular ad valorem taxes and special assessments. PASSED AND ADOPTED, SIGNED AND APPROVED THIS 5TH DAY OF DECEMBER, 2017. ATTEST: THE CITY OF GREELEY 6,,,,t1 City Clerk ayor CITY OF GREELEY FOR THE DOWNTOWN DEVELOPMENT AUTHORITY DISTRICT CERTIFICATION OF TAX LEVY FOR 2017 STATE OF COLORADO ) COUNTY OF WELD ) CITY OF GREELEY ) The undersigned Mayor of the City of Greeley, Colorado hereby certifies that the City Council of the City of Greeley, on December 5, 2017, established by resolution that the 2017 tax levy for property in the Downtown Development Authority in the City of Greeley will be 5.000 mills in addition to all regular ad valorem taxes and special assessments. All steps and hearings required to be conducted and completed prior to the establishment of the tax levy were in fact taken and concluded, in accordance with law. A true copy of the resolution establishing said levy is attached hereto. Dated this 5th day of December, 2017. k . d.P06,) City Cler ay•r NOTICE OF TAX LEVY FOR 2017 (Downtown Development Authority Property in the City of Greeley, Colorado) STATE OF COLORADO ) COUNTY OF WELD ) CITY OF GREELEY ) Whereas, at the regular meeting of the Council of the City of Greeley held at 1025 9th Avenue, in the City of Greeley, on the 5th day of December, 2017,the following resolution was unanimously adopted: "Be it Resolved and Ordered by the City Council, that upon valuation of assessable property within the boundaries of the Downtown Development Authority in the City of Greeley as certified by the County Assessor for the current year, in addition to all regular and ad valorem taxes and special assessments, there be and is hereby levied for: Purposes authorized by 31-25-817. C.R.S. 5.000 mills Interest mills Payment of Bonds mills Outstanding Warrants mills Special Improvements mills Parks mills Library mills Streets and Alleys mills Contingent mills TOTALS 5.000 mills Passed by the City Council of Greeley, Colorado and approved this 5th day of December, 2017. ATTEST: 4 • 4-ictii) City Clerk ayo (Seal) Note: The Clerk or Secretary will immediately upon passage of this resolution deliver or cause to be delivered to the County Commissioners of the County and State aforesaid, a certified copy of said resolution with the seal thereto attached; also signed by the Mayor or President and Clerk or Secretary of Board. CERTIFICATION OF VALUATION BY WELD COUNTY ASSESSOR Name of Jurisdiction: 0802 -DOWNTOWN DEVELOPMENT AUTHORITY New Entity:No IN WELD COUNTY ON 8/21/2017 USE FOR STATUTORY PROPERTY TAX REVENUE LIMIT CALCULATIONS (5.5% LIMIT) ONLY IN ACCORDANCE WITH 39-5-121(2)(a)AND 39-5-128(I).C.R.S.AND NO LATER THAN AUGUST 25,THE ASSESSOR CERTIFIES THE TOTAL VALUATION FOR ASSESSMENT FOR THE TAXABLE YEAR 2017 IN WELD COUNTY.COLORADO 1. PREVIOUS YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: $20.449.580 2. CURRENT YEAR'S GROSS TOTALTAXABLE ASSESSED VALUATION: * $28.025.000 3. LESS TIF DISTRICT INCREMENT,IF ANY: $4.128,640 4. CURRENT YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: $23,896.360 5. NEW CONSTRUCTION: ** $521.054 6. INCREASED PRODUCTION OF PRODUCING MINES: # 7. ANNEXATIONS/INCLUSIONS: 8. PREVIOUSLY EXEMPT FEDERAL PROPERTY: # $0 9. NEW PRIMARY OIL OR GAS PRODUCTION FROM ANY PRODUCING OIL AND GAS LEASEHOLD ## $0 OR LAND (29-1-301(1)(b)C.R.S.): 10.TAXES COLLECTED LAST YEAR ON OMITTED PROPERTY AS OF AUG.1 (29-1-301(1))(a)C.R.S.): $249.50 11 TAXES ABATED AND REFUNDED AS OF AUG.1 (29-1-301(1)(a)C.R.S.)and (39-10-114(1)(a)(I)(B)C.R.S.): $571.50 * This value reflects personal property exemptions IF enacted by the jurisdiction as authorized by Art.X,Sec.20(B)(b),Colo. **New construction is defined as:Taxable real property structures and the personal property connected with the structure. #Jurisdiction must submit respective certifications(Forms DLG 52 AND 52A)to the Division of Local Government in order for the values to be treated as growth in the limit calculation. ##Jurisdiction must apply(Forms DLG 528)to the Division of Local Government before the value can be treated as growth in the limit calculation. USE FOR'TABOR' LOCAL GROWTH CALCULATIONS ONLY IN ACCORDANCE WITH THE PROVISION OF ARTICLE X,SECTION 20,COLO CONST.AND 39-5-121(2)(b),C.R.S.THE ASSESSOR CERTIFIES THE TOTAL ACTUAL VALUATION FOR THE TAXABLE YEAR 2017 IN WELD COUNTY,COLORADO ON AUGUST 25,2017 1. CURRENT YEAR'S TOTAL ACTUAL VALUE OF ALL REAL PROPERTY: @ $138.395.714 ADDITIONS TO TAXABLE REAL PROPERTY: 2. CONSTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS: I $1,721.411 3. ANNEXATIONS/INCLUSIONS: $0 4. INCREASED MINING PRODUCTION: % $0 5. PREVIOUSLY EXEMPT PROPERTY: $0 6. OIL OR GAS PRODUCTION FROM A NEW WELL: 7. TAXABLE REAL PROPERTY OMI I I ED FROM THE PREVIOUS YEAR'S TAX WARRANT: $0 (If land and/or a structure is picked up as omitted property for multiple years,only the most current year's actual value can be reported as omitted property.) DELETIONS FROM TAXABLE REAL PROPERTY: 8. DESTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS: $1.090.552 9. DISCONNECTIONS/EXCLUSION: $0 10. PREVIOUSLY TAXABLE PROPERTY: $0 @ This includes the actual value of all taxable real property plus the actual value of religious,private schools,and charitable real property. !Construction is defined as newly constructed taxable real property structures. %Includes production from new mines and increases in production of existing producing mines. IN ACCORDANCE WITH 39-5-128(1),C.R.S.AND NO LATER THAN AUGUST 25,THE ASSESSOR CERTIFIES TO SCHOOL DISTRICTS: 1.TOTAL ACTUAL VALUE OF ALL TAXABLE PROPERTY: NOTE: All levies must be Certified to the Board of County Commissioners NO LATER THAN DECEMBER 15,2017 Data Date: 8/24/2017 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0833 County Tax Entity Code DOLA LGID/SID 66331/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WINDSOR DOWNTOWN DEVELOPMENT (WDDA) (taxing entity) n the Board of Directors (governing body)B of the Windsor Downtown Development Authority (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 5186840 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 4838020 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 5 mills $ 23,944 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 5.0 mills $ 23,944 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 'i to 7 I 5.0 mills $ 23,944 Contact person: Daytime (print) Patti Garcia phone: ( ) 970 674 2400 Signed: Gatti 6s-al Town Clerk Patti Garcia(Dec 12,2017) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG).RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 900 County Tax Entity Code DOLA LGID/SID 62074 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners1 of WELD COUNTY , Colorado. On behalf of the CARBON VALLEY PARKS AND RECREATION DISTRICT (taxing entity)A the BOARD OF DIRECTORS (governing body)B of the CARBON VALLEY PARKS AND RECREATION DISTRICT (local govemment)C • Hereby officially certifies the following mills • to be levied against the taxing entity's GROSS $ 696,784,390 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 $ 687,469,297 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: 12/15/2017 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' 4.427 mills $ 3,043,427 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 4.427 mills $ 3,043,427 3. General Obligation Bonds and Interest' 1.528 mills $ 1,050,453 4. Contractual Obligations" mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements"' mills $ 7. OtherN (specify): - mills $ mills $ TOTAL: r Sum of General Oa . 55 I Subtotal and i,inesper�to 7ting 59 � mills 4,093,880 Contact person: Daytime (print) JACQUELYN TRAMPER phone: ( 303) 833-3660 Signed: Title: FINANCE MANAGER Include one copy of this tax i ' co ed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S.,with the pivision of Local Government(DI.G). Room 521. 1313 Sherman Street. Denver.CO 80203. Questions? Call DIG 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 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: GENERAL OBLICATION BONDS Series: 2010 Date of Issue: AUGUST 31, 2010 Coupon Rate: .75%TO 4.00% Maturity Date: DECEMBER 1, 2023 Levy: 1.528 Revenue: 1,050,453 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0901 County Tax Entity Code DOLA LGID/SID 62104/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the THOMPSON RIVER REC A (taxing entity) the Board of Directors (governing body)B of the Thompson Rivers Parks and Recreation District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 370644460 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 370644460 Increment Financing(TIF)Areal'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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 3.594 mills $ 1,322,096.19 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 3.594 mills $ 1,322,096 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 3.594 1,322,096 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Clint Dudley phone: ( ) 9706608750 Signed: Clint Dudley(Dec 11,2017) Title: Executive Director 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0911 County Tax Entity Code DOLA LGID/SID 66593/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the EATON REC DISTRICT A (taxing entity) the Board of Directors (governing body)B of the Eaton Area Park& Recreation District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 313048630 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 313048630 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 3.000 mills $ 939,146 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 3.0 mills $ 939,146 3. General Obligation Bonds and Interests 5.959 mills $ 1,865,200 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM .006 mills $ 1815 7. OtherN (specify): mills $ mills $ TOTAL; 1Sum ofGeneralOperating 1 8.965 2,806,161 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Alan Holmberg phone: ( ) (970) 304-2251 Si ned: team h�G�tbe�� Title: Financial Advisor g Alan Holmberg(Dec 14,201 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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: Construction of community center Series: 2015 Date of Issue: June 30,2015 Coupon Rate: 5.36% Maturity Date: December 1,2038 Levy: 5.959 Revenue: $1,865,200 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 0911 County Tax Entity Code DOLA LGID/SID 66593/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the EATON REC DISTRICT A (taxing entity) the Board of Directors (governing body)B of the Eaton Area Park& Recreation District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 313048630 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 313048630 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 3.000 mills $ 939,146 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 3.0 mills $ 939,146 3. General Obligation Bonds and Interests 5.959 mills $ 1,865,200 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM .006 mills $ 1815 7. OtherN (specify): mills $ mills $ TOTAL; 1Sum ofGeneralOperating 1 8.965 2,806,161 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Alan Holmberg phone: ( ) (970) 304-2251 Si ned: team h�G�tbe�� Title: Financial Advisor g Alan Holmberg(Dec 14,201 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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: Construction of community center Series: 2015 Date of Issue: June 30,2015 Coupon Rate: 5.36% Maturity Date: December 1,2038 Levy: 5.959 Revenue: $1,865,200 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1050 County Tax Entity Code DOLA LGID/SID 62079/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the HIGH PLAINS LIBRARY A (taxing entity) the Board of Trustees (governing body)B of the High Plains Library District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 8438202960 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 8262460811 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 3.249 mills $ 26844735 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 3.249 mills $ 26,844,735 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM .007 mills $ 57837 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 3.256 26,902,572 Subtotal and Lines 3 to 7 mills . Contact person: Daytime (print) Natalie G.Wertz phone: ( ) (970) 506-8566 Natalie G W2tta Finance Mana er Signed: Natalie G.Wertz(Dec 12,2017) Title: g 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3_k3)814:7729. 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: N/A 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: N/A 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1051 County Tax Entity Code DOLA LGID/SID 62078/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the CLEARVIEW LIBRARY A (taxing entity) the Cleaview Library District Board of Trustees (governing body)B of the Clearview Library District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 699793490 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 699444670 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 3.546 mills $ 2,480,230 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 3.546 mills $ 2,480,230 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM .024 mills $ 16,786 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I 3.572,497,016 Subtotal and lines 4 to 7 I mills $ Contact person: Daytime (print) Ann Kling phone: ( ) (970) 686-5603 Signed: x,2017) Title: Library Director 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 piyis#_qn of.1,201 Goygntcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)814:77a. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1200 County Tax Entity Code DOLA LGID/SID 62058/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WEST GREELEY CONSERVATION A (taxing entity) the (governing body)B of the (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2618496700 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 2618384859 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 0.414 mills $ 1084011 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.414 mills $ 1,084,011 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 0.414 1,084,011 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Kandee Nourse phone: ( ) (970)356-8097 �aedee N6 re District Managaer Signed: Kandee Nourse(Dec 6,2017) Title: b 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 l?lvl�i�n of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) CANINO Tam Flat.CAS 1XLA L® z CERTIFICATION OF TAX LEVIES for NON-SCHOOL Govern meets TO: CM-:y G+ --, sL of /4./e1.1Cep _ s1 ,±w.,at=at! t„dt of the Hereby, o _l cafe-the folk tv h 1_72:.77.4_ the tie ri:'s GROSS S s sset .zti"ixz of �i�."'� ��}mtr�La= zit i e+be:f 1'atzems Rine `�M Not= if> certifiedaNTT:e� sallusxo (AV)Altairut goal the GROSS AV tine so a Tax Incronc r Vim— (1TJ)_Jots'toe am leWics awl be S BLii�i avnr z3r\}i AV'_ The t =i''s mod IVETG asesxd mot Lac 4 t f�t aacaMlakm VaLm7 Rum DEG-P ;scsac� t tE revenue w a be ciai al Era dr NO 1ny 3 mast dr NIT a��edeAneiaoof /Z - /j-7 /7 for buieeti %er 2 _ Amt ba slam gum did Va..i Zz a Y PURPOSE -kr:1_ .-7=r IJ:Vv REVENUE: E' C»lO r E B mills S <M a >Te i General Pn rpt_v Tax Credit' T -� Mil Levy Raze Re -iii o' < > mills S< > SUBTOTAL FOR GE1`£Rr►L OPERATL\G: ,milk r 3_ General Oblizazion Bad and Inter mills S 4_ C Ofili_ztios Zero Mill Levy per mills S 3 ('s. Expesalitur district completed mills S (_ Re-i wkwAhmrnrris" "gong mills S 7. Othee( C;): Mills S ---- ---- mills S TOTAL: [ ,e�� c �nius [S Cwt - Davtime (print) t ) /7/,tj� '+� +moo z�7il C`� )Amish ssr cam-(flies ar outer ringYrand-.Irst saes Alm tie lend karat's lain hr JT 31st per.94-1-113 C.R S nob mkt azzEsin flaccid t,aignemur(ariGi Ape= 1 131333nmao.]brae:anew.O)911.X14. 0Nrmao•is' C.aB DLG rrr(Nth 6.'1 6 'If the t etz's kmlsrirs ockaie parr than one count.,.a a roust ce if% the lees to eat count). Use a separate fins kr eadt ate. salthe sane levies t> to exth court. per Article tle X.S 3 oldie Colorado C nation I.e+ia mitt be trandei so tree derinaI Masts and revenue west be calculated front the total r. .1 ItA 6.t►,0,kLne of Farts DLG57 as dr Unary ms 's=•u'caQfl&Zk'a of‘ahationl. Fsa.L'Z; ,Ica 7 CC, E`ttt 1014 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1202 County Tax Entity Code DOLA LGID/SID 64268/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the LONGMONT CONSERVATION A (taxing entity) the Board of Supervisors (governing body)B of the Longmont Conservation District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 659,427,750 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 647 728 514 Increment Financing(TIF)Areal'the tax levies must be $ 647,728,514 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: 11/30/2018 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: I Sum f ra Oatng 1 I SubtotaloGene and l lines per 4 toi 7 I 0.0 mills $ 0 Contact person: Daytime (print) Elizabeth Northrup phone: ( ) 720-378-5521 CGrabetp( Nottht District Mana er Signed: ElizabethNorthrup(Nov30,2017) Title: g 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 l?lvl�i�n of L Goygntcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligas? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1203 County Tax Entity Code DOLA LGID/SID 62004/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the BIG THOMPSON CONSERVATION A (taxing entity) the State of Colorado (governing body)B of the (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 105503550 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 105503550 Increment Financing(TIF)Areal'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: 12/01/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating Expenses' 0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0 mills $ 0 4. Contractual Obligations' 00 mills $ 0 5. Capital ExpendituresL 0 mills $ 0 6. Refunds/AbatementsM 0 mills $ 0 7. OtherN (specify): N/A 0 mills $ 0 N/A 0 mills $ 0 TOTAL: r Sum of General Operating 1 I Subtotal and Lines 4 to 7 0.0 mills $ 0 Contact person: Daytime (print) Larry Lempka phone: ( ) 970-624-7570 LatSigned: e (Dec .4 �q Title: District Manager Larry Le pka Dec 1, 017) 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1204 County Tax Entity Code DOLA LGID/SID 64025/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the BOULDER VALLEY CONSERVATION (taxing entity) A the Board of Supervisors (governing body)B of the Boulder Valley Conservation District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 84,925,520 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 73,085,073 Increment Financing(TIF)Areal'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: 11/30/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: I Sum f ra Oatng 1 I SubtotaloGene and l lines per 4 toi 7 I 0.0 mills $ 0 Contact person: Daytime (print) Elizabeth Northrup phone: ( ) 720-378-5521 CGrabetp( Nottht District Mana er Signed: ElizabethNorthrup(Nov30,2017) Title: g 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Q1ieli ls? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1205 County Tax Entity Code DOLA LGID/SID 64036/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the CENTENNIAL CONSERVATION A (taxing entity) the Board of Directors (governing body)B of the (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 8752680 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 8752680 Increment Financing(TIF)Areal'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: 12/15/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 0.00 mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.00 > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0.00 mills $ 4. Contractual Obligations' 0.00 mills $ 5. Capital ExpendituresL 0.00 mills $ 6. Refunds/AbatementsM 0.00 mills $ 7. OtherN (specify): 0.00 mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 0.0 mills $ 0 Contact person: Daytime (print) Katy Barkley phone: ( ) 9705225762 Signed: Katy $�e Title: Accountant Katy Bar ley(Dec 15,201 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligas? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1206 County Tax Entity Code DOLA LGID/SID 64267/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the FORT COLLINS CONSERVATION (taxing entity) A the Larimer County (governing body)B of the State of Colorado (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 12944640 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 12944640 Increment Financing(TIF)Areal'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: 12/08/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 0.000 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and Lines 4 to 7 0.0 mills $ 0 Contact person: Daytime (print) Laura G Knox phone: ( ) 970-221-0611 Lama er District Manager Signed: Laura G Knox(Dec 8,2017) Title: g 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1207 County Tax Entity Code DOLA LGID/SID 64269/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the MORGAN CONSERVATION , (taxing entity) A the (governing body)B of the (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 15033580 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 15033580 Increment Financing(TIF)Areal'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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: I Sum f ra Oatng 1 I 1 L SubtotaloGene and l Lines per 4 toi 7 I 0.0 mills $ Contact person: Daytime (print) Krystal Benitez phone: ( ) 970-427-3362 Signed: c �,�, ` " \`' d Title: District manager 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 piyi,F#_qn of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q„2.Q3_Qie tjo s? Call DLG qt(3_k3)814:772.Q. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of fidtid 11,0V4,n, Colorado. On behalf of the SU. ,Q.a. t- \1,1 Gt taxing entity)A the Ord ow v�^"Oh T/,c_r. (governing body) of the (local government) Hereby officially certifies the following mills , to be levied against the taxing entity's GROSS $ assessed valuation 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 $ calculated using the NET AV. The taxing entity's total (NET€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: / i ct pl — for budget/fiscal year 620 1�- (not later than Dec. 15) (mrn/dd/yyyy) ()yyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 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 Interest' mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements" mills $ 7. Other"(specify): mills $ l mills $ TOTAL: L Sum of General Operatinggre L Subtotal and Lines 3 to 7 011US $ Contact person: �- Daytime (print) u rL r ►r � O - phone: { 3) 2 Zr! 6 26/ Signed: ti Title: 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)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. 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). Form DLG 70(rev 7/08) Page 1 of4 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1209 County Tax Entity Code DOLA LGID/SID 64270/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WEST ADAMS CONSERVATION A (taxing entity) the Board of Supervisors (governing body)B of the West Adams Conservation District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 189093690 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)Areal'the tax levies must be $ 171079560.1 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 USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 11/28/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 0 mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0 mills $ 4. Contractual Obligations' 0 mills $ 5. Capital ExpendituresL 0 mills $ 6. Refunds/AbatementsM 0 mills $ 7. OtherN (specify): 0 mills $ 0 mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 o•o mills $ o Contact person: Daytime (print) Rosalie Everson phone: ( ) 720-634-3923 Signed: agile Sven-o�1 Secretar Treasurer Rosalie Everson(Nov 28,2017) Title: y/ 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 piyis#gn of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)864.77 Q. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 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 Beebe Draw Law Enforcement Authority (taxing entity)A the Board of Weld County Commissioners (governing body)B of the County of Weld (local govemnrcnt)t Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 5,404,170 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 $ 5,404,170 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 of: 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) LEVY2 REVENUE2 1. General Operating ExpensesH 7.000 mills $ 37,829 2. <Minus> Temporary General Property Tax Credit/Temporary Mill Levy Rate Reduction' < 0> mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 7.000 mills $ 37,829 3. General Obligation Bonds and Interest' mills $ 4. ContractualObligations't mills $ 5. Capital Expenditures'. mills $ 6. Refunds/Abatements"' mills $ 7. Other" (specify): mills $ mills $ TOTAL: r Sum al Operating 7 1 L L Subtotal ofGener and Lines 3 to 7 J 7.000 mills $ 37,829 Contact person: Daytime (print) Donald Warden phone: ( 970) 356-4000 Extension 4218 Julie A. Cozad, Chair Signed: _ Title: Board of Weld Co. Commissioners ' 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). Form DLG 70(rev 7/08) Page 1 of 5 RESOLUTION TO SET MILL LEVY A RESOLUTION LEVYING GENERAL PROPERTY TAXES FOR THE 2018 BUDGET YEAR TO HELP DEFRAY THE COSTS OF GOVERNMENT FOR THE BEEBE DRAW LAW ENFORCEMENT AUTHORITY LOCATED IN WELD COUNTY, COLORADO, WHEREAS, the Board of County Commissioners, of Weld County, Colorado, ex-officio Beebe Draw Law Enforcement Authority Board has adopted the annual budget in accordance with the Local Government Budget Law, on December 13, 2017, and WHEREAS, the amount of money necessary to balance the budget or general operating expenses is $37,829, and WHEREAS, the 2017 valuation for assessment for the Beebe Draw Law Enforcement Authority District, as certified by the County Assessor, is $5,404,170. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners, ex- officio Beebe Draw Law Enforcement Authority Board: Section 1. That, for the purpose of meeting all general operating expenses of the Beebe Draw Law Enforcement Authority District during the 2018 budget year, there is hereby levied a tax of 7.0 mills upon each dollar of the total valuation for assessment of all taxable property within the District for the year 2018. Section 2. That the Chair of the Board of County Commissioners of Weld County, Colorado, serving as the Chair of the Beebe Draw Law Enforcement Authority Board, is hereby authorized and directed to immediately certify to the Board of County Commissioners of Weld County, Colorado, the mill levy for the Beebe Draw Law Enforcement Authority District as hereinabove determined and set. 2017-4190 SD0004 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 13th day of December, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO d ` 0/(!e-nc?-q/ ATTEST: �' ?..d24640_571.4 Julie A. Cozad, Chair Weld County Clerk to the BoardBY:P_C2C2AP_rZ Steve Moreno, Pro-Tem Deputy Clerk to the Board4.0141,a Sean P. Conway APPR D AS TO : :w3Ars i Freeman County ttorney .. O I p rbara Kirkmeyer Date of signature: 143/7 2017-4190 SD0004 CERTIFICATION OF TAX LEVY TO: Board of County Commissioners, Weld County, Colorado This is to certify that the tax levy to be assessed by you upon all property within the limits of the Beebe Draw Law Enforcement Authority District, based on a total assessed valuation of $5,404,170 for the year 2018, as determined and fixed by the Beebe Draw Law Enforcement Authority Board on December 14, 2017, is as follows: General Operating Expenses 7.0 mills $37,829 You are hereby authorized and directed to extend said levy upon your tax list. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of the Board of County Commissioners of Weld County, Colorado, ex-officio Beebe Draw Law Enforcement Authority Board, this 13th day of December, 2017. BEEBE DRAW LAW ENFORCEMENT AUTHORITY BOARD BY: Julie A. Cozad, C ai ATTEST: I"^ a"ft'1 ecit Weld County Clerk to the Board ■r 1111 t i ' .� � BY: • ( YCl "Y' 'erk 41‘,w Ile '� 2017-4190 SD0004 RESOLUTION RE: APPROVE BALLOT QUESTION FOR 1998 GENERAL ELECTION-BEEBE DRAW LAW ENFORCEMENT AUTHORITY WHEREAS,the Board of County Commissioners of Weld County,Colorado,pursuant to Colorado statute and the Weld County Home Rule Charter,is vested with the authority of administering the affairs of Weld County,Colorado,and WHEREAS,on August 10, 1998,the Board of County Commissioners did convene as the Board of Directors of the Beebe Draw Law Enforcement Authority,and WHEREAS,at said meeting,the Board deemed it advisable to set a ballot issue for vote by the electors of the area located within the jurisdictional boundaries of the Beebe Draw Law Enforcement Authority in Weld County,Colorado,on November 3,1998,general election regarding the Beebe Draw Law Enforcement Authority. NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld County.Colorado,ex-officio as the Beebe Draw Law Enforcement Authority Board,that the ballot question for vote by the electors of the area located within the jurisdictional boundaries of the Beebe Draw Law Enforcement Authority in Weld County,Colorado,on the general election ballot for November 3. 1998.regarding the Beebe Draw Law Enforcement Authority,shall be as follows: "SHALL BEEBE DRAW LAW ENFORCEMENT AUTHORITY (DISTRICT)BE AUTHORIZED TO COLLECT,RETAIN AND SPEND ALL PROPERTY TAXES COLLECTED FROM A LEVY OF SEVEN MILLS AND ALL OTHER DISTRICT REVENUE FROM SOURCES NOT EXCLUDED FROM FISCAL YEAR SPENDING, AND BY WHATEVER ADDITIONAL AMOUNTS ARE RAISED IN THE 1999 FISCAL YEAR AND ANNUALLY THEREAFTER FROM ALL SUCH REVENUE SOURCES, TO BE SPENT FOR SUCH DISTRICT PURPOSES AS ARE AUTHORIZED BY THE BOARD OF DIRECTORS AS A VOTER-APPROVED REVENUE CHANGE, OFFSET AND AN EXCEPTION TO THE LIMITS WHICH WOULD OTHERWISE APPLY, INCLUDING WITHOUT LIMITATION, ARTICLE X,SECTIONS 20 OF THE COLORADO CONSTITUTION, SECTIONS 29-1.301 AND 30-11-406.5, C,R.S.OR ANY OTHER LAW?" 981395 S O0001 e OR? rS 2017-4190 RE: BALLOT ISSUE-BEEBE DRAW LAW ENFORCEMENT AUTHORITY PAGE 2 The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 10th day of August,A.D., 1998. BOARD OF COUNTY COMMISSIONERS WELD COUNTY,COLORADO,ex-officio as the BOARD OF DIRECTORS OF THE BEEBE DRAW LAW ENFORCEMENT AUTHORITY • ATTEST: /adConstance L.Har ,Chair Weld County Clerk ` W H ebste ,P o-Tem Deputy Clerk to they eorge . Baxter �� O D M 4 / //j/ Dale K Hall ounty Atto ey —f arbara J Kirkmeye 981395 S00001 WELD COUNTY,COLORADO. TALLY SHEET 1991 GENERA!. .ECTION SPECIAL DISTRICT TOTAL VOTES ' NON-RESIDENT PROPERTY OWNERS p�AF DRAW LAW ENFORCE NT YES-5 NO- 1 STATE OF COLORADO)' )SS COUNTY OF WELD ) WE,THE UNI)ERSI NEED CANVPSS BOARD,IN THE COUNTY OF WELD,AND STATE OF COLORADO,DO HERBY CERTIFY THAT THIS I5 A TRUE AND CORRECT ABSTRACT OF THE VOTES CAST IN TILE NOVEMBER 3,1991,GENERA:.ELECTIO N HELD ON NOVEMEM 3,1995. CER1 i, -LLD TO THIS NOVEMBERS 19,2L. /1/4(27---Z51.11/„":„r2-__-4 CANVASS BOARD ---76C AS'S COUNTY C' CO ER 1301 County Tax Entity Code DOLA LGID/SID 62082 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Beebe Draw Farms Metropolitan District No. 1 (taxing entity)A the Board of Directors (governing body)'' of the Beebe Draw Farms Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 4,618,410 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 Increment Financing(TIF)AreaF the tax levies must be $ 4,618,410 calculated using the NET AV. The taxing entity's total (NETS'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: 12/15/17 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" 29.300 mills $ 135,319 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 29.300 mills $ 135,319 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements" mills $ 7. Other (specify): mills $ mills $ TOTAL:A Sum of General Operating 1 29.300 mills $ 135,319 1 L Subtotal and Lines 3 to 7 Contact person: Daytime (print) Lisa A. Johnson phone: ( 303) 987-0835 Signed: Title: 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/D/.G). Roan 521. 1313,Sherman Street. Denver. CO 80203. Guestions? 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 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) 1302 County Tax Entity Code DOLA LGID/SID 62101/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the POUDRE TECH METROPOLITAN DISTRICT (taxing entity)` the BOARD OF DIRECTORS (governing body)B of the POUDRE TECH METROPOLITAN DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1,670 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)Area"the tax levies must be $ 1,670 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: 12/06/2017 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" 0.000 mills $ 0.00 2. <Minus> Temporary General Property Tax Credit/Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00 3. General Obligation Bonds and Interest' 0.000 mills $ 0.00 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL OTATL Sum of al Operating $• SubtotalGener and Lines 3 to 7 0.000 mills $ 0.00 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 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 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: 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) 1303 County Tax Entity Code DOLA LGID/SID 62102 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WATER VALLEY METROPOLITAN DISTRICT NO. 1 (taxing entity)` the BOARD OF DIRECTORS (governing body)B of the WATER VALLEY METROPOLITAN DISTRICT NO. 1 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 43,490,270 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)Area'the tax levies must be $ 43,490,270 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' 20.070 mills $872,850 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 20.070 mills $872,850 3. General Obligation Bonds and Interest' 10.810 mills $470,130 4. Contractual Obligations' 8.120 mills $353,141 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of l Operating SubtotalGenera and Linespera 3 to 7 ] 39.000 mills $1,696,121 Contact person: Daytime (print) Gigi Pangindian phone: (303) 779-5710 Signed: 9t-/ 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 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: Public Improvements Series: General Obligation Refunding Bonds, Series 2016 Date of Issue: July 8, 2016 Coupon Rate: 2.00% - 5.25% Maturity Date: December 1, 2040 Levy: 10.810 mills Revenue: $470,130 CONTRACTK: 2. Purpose of Contract: Transfer revenues to Poudre Tech Metropolitan District to repay its Series 2010A Unlimited Property Tax Supported Revenue Refunding and Improvement Bonds ("2010A Bonds") Title: Second Amendment to Capital Pledge Agreement("Pledge Agreement") Date: April 21, 2015 (Pledge Agreement) October 22, 2010 (2010A Bonds) Principal Amount: $18,070,000 (2010A Bonds) Maturity Date: December 1, 2039 (2010A Bonds) Levy: 4.408 mills Revenue: $191,705 3. Purpose of Contract: Transfer revenues to Poudre Tech Metropolitan District to repay its Series 2010B Unlimited Property Tax Supported Revenue Refunding and Improvement Bonds ("2010B Bonds") Title: Second Amendment to Capital Pledge Agreement("Pledge Agreement") Date: April 21, 2015 (Pledge Agreement) October 22, 2010 (2010B Bonds) Principal Amount: $7,305,000 (2010B Bonds) Maturity Date: December 1, 2028 (2010B Bonds) Levy: 3.712 mills Revenue: $161,436 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) 1304 County Tax Entity Code DOLA LGID/SID 62103 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WATER VALLEY METROPOLITAN DISTRICT NO. 2 (taxing entity)` the BOARD OF DIRECTORS (governing body)B of the WATER VALLEY METROPOLITAN DISTRICT NO. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 57,038,740 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)Area'the tax levies must be $ 57,038,740 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' 11.554 mills $ 659,026 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 11.554 mills $ 659,026 3. General Obligation Bonds and Interest' 8.800 mills $ 501,941 4. Contractual Obligations' 18.646 mills $ 1,063,544 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of l Operating SubtotalGenera and Linespera 3 to 7 39.000 mills $2,224,511 Contact person: Daytime (print) Gigi Pangindian phone: (303) 779-5710 Signed: ,7i./c'adf-r;i-def- 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 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: Public Improvements Series: General Obligation Refunding Bonds, Series 2016 Date of Issue: July 8, 2016 Coupon Rate: 2.00% - 5.25% Maturity Date: December 1, 2040 Levy: 8.800 mills Revenue: $501,941 CONTRACTSK: 2. Purpose of Contract: Transfer revenues to Poudre Tech Metropolitan District to repay its Series 2010A Unlimited Property Tax Supported Revenue Refunding and Improvement Bonds ("2010A Bonds") Title: Second Amendment to Capital Pledge Agreement("Pledge Agreement") Date: April 21, 2015 (Pledge Agreement) October 22, 2010 (2010A Bonds) Principal Amount: $18,070,000 (2010A Bonds) Maturity Date: December 1, 2039 (2010A Bonds) Levy: 10.756 mills Revenue: $613,509 3. Purpose of Contract: Transfer revenues to Poudre Tech Metropolitan District to repay its Series 2010B Unlimited Property Tax Supported Revenue Refunding and Improvement Bonds ("2010B Bonds") Title: Second Amendment to Capital Pledge Agreement("Pledge Agreement") Date: April 21, 2015 (Pledge Agreement) October 22, 2010 (2010B Bonds) Principal Amount: $7,305,000 (2010B Bonds) Maturity Date: December 1, 2028 (2010B Bonds) Levy: 7.890 mills Revenue: $450,035 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 ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1306 County Tax Entity Code DOLA LGID/SID 62108/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the NEW WINDSOR METRO DIST A (taxing entity) the Board of Directors (governing body)B of the New Windsor Metropolitan District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 7046060 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 7046060 Increment Financing(TIF)Areal'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: 12/15/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 30.00 mills $ 211382 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 30.0 mills $ 211,382 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and Lines 'i to 7 30.0 mi11S $ 211,382 Contact person: Daytime (print) Tisha L.Higgins phone: ( ) 9704840101 Sig 7J�a L. /elf Accountant of the District gned: Tisha L.Higgins(Dec 017) Title: 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 l?lvl�i�n of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1307 County Tax Entity Code DOLA LG ID'5ID 62109 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners'of Weld County , Colorado. On behalf of the Jacoby Farm Metropolitan District (taxing entity)' the Board of Directors (governing body)E of the Jacoby Farm Metropolitan District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3,964,280 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 Increment Financing(TIF)Area' the tax levies must be $ 3,964,280 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 of: Submitted: 12/15/2017 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 Expenses" 30.000 mills $ 118,928 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 30.000 mills $118,928 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements" mills $ 7. Other1 (specify): mills $ mills $ TOTAL: [snbtotalanteral Q 3 to ] 30.000 mills $ 118,928 Contact person: Daytime (print) Tisha L. Higgins phone: (97u)484-0101 Signed: �, , Title: Accountant of 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 CR,S',with the Division of Local Government(DLG),Room 521,1313 Sherman Street,Denver,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 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). Form DLG 70(rcv 7/©t3) Page 1 of 4 1309 County Tax Entity Code DOLA LGID/SID62112/1 CERTIFICATION OF TAX LEVIES FOR NON-SCHOOL GOVERNMENTS TO: COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO On behalf of the SOUTH WELD METROPOLITAN DISTRICT the BOARD OF DIRECTORS of the SOUTH WELD METROPOLITAN DISTRICT Hereby officially certifies the following mills to be levied against the taxing entity's GROSS assessed $ 12,029,300 valuation 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 $ 12'875,153 (TIF)Area the tax levies must be calculated using the NET AV. The (NET assessed valuation.Line 4 of the Certification of Valuation Form DLG 57) taxing entity's total property tax revenue will be derived from the mill levy multiplied against the NET assessed valuation of: Submitted: December 15, 2017 for budget/fiscal year 2018. PURPOSE LEVY REVENUE 1. General Operating Expenses 40.000 mills $515,006 2. <Minus>Temporary General Property Tax Credit/Temporary Mill Levy Rate Reduction < > mills < $ > SUBTOTAL FOR GENERAL OPERATING: 40.000 mills $515,006 3. General Obligation Bonds and Interest mills $ 4. Contractual Obligations 50.000 mills $643,758 5. Capital Expenditures mills $ 6. Refunds/Abatements mills $ 7. Other mills $ TOTAL 90.000 mills $1,158,764 DN 287102 1)0 cl County Tax Entity Code DOLA LGID/SID 62112 Contact Person: Vispitt i ' Daytime Telephone: 3D 3 .. .%1.7-.131;4 Signed: A—,11\--fri\--- Title: 9-PIN Based on prior electoral approval, the property tax revenue IS NOT subject to statutory limitations imposed by Section 29-1-301, C.R.S. or limitations imposed by Article X, Section 20 of the Colorado Constitution. DN 1642787 1309 County Tax Entity Code DOLA LGID/SID62112/1 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.). 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: mills Revenue: $ 2. Purpose of Issue: Series: Date of Issue: Coupon Rate: Maturity Date: Levy: mills Revenue: $ CONTRACTS: 1. Purpose of Contract: Facilities Funding and Acquisition Title: Facilities Funding and Acquisition Agreement Date: October 1, 2012 Principal Amount: $1,532,883 Maturity Date: Unknown Levy: 50 mills Revenue: $ 643,758 DN 287102 1310 County Tax Entity Code DOLA LGID/SID 62113 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Beebe Draw Farms Metropolitan District No. 2 (taxing entity) ' the Board of Directors (governing body) of the Beebe Draw Farms Metropolitan District No. 2 (local government)c Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 9,074,140 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 Increment Financing(TIF)AreaF the tax levies must be $ 9,074,140 calculated using the NET AV. The taxing entity's total c y (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 CERTIFICATION OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/15/17 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" 39.300 mills $ 356,614 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 39.300 mills $ 356,614 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refiinds/Abatements'' mills $ 7. Other" (specify): mills $ mills $ TOTAL.. Sum of General Operating 1 39.300 mills $ 356,614 1 L Subtotal and Lines 3 to 7 Contact person: Daytime (print) Lisa A. Johnson phone: ( 303) 987-0835 Signed: Title: 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 of Local 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 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) 1311 County Tax Entity Code DOLA LGID/SID 62114/1 CERTIFICATION OF TAX LEVIES FOR NON-SCHOOL GOVERNMENTS TO: COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO On behalf of the TRI-POINTE COMMERCIAL METROPOLITAN DISTRICT the BOARD OF DIRECTORS of the TRI-POINTE COMMERCIAL METROPOLITAN DISTRICT Hereby officially certifies the following mills to be levied against the taxing entity's GROSS assessed $ 6,901,310 valuation 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 $ 6,901,310 Financing (TI F) Area the tax levies must be calculated using (NET assessed valuation,Line 4 of the Certification of Valuation Form DLG 57) the NET AV. The taxing entity's total property tax revenue will be derived from the mill levy multiplied against the NET assessed valuation of: Submitted: December 15, 2017 for budget/fiscal year 2018. PURPOSE LEVY REVENUE 1. General Operating Expenses 10.000 mills $ 69,013 2. <Minus> Temporary General Property Tax Credit/Temporary Mill Levy Rate < 0.000 > mills < $ -0- > Reduction SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $ 69,013 3. General Obligation Bonds and Interest 30.000 mills $ 207,039 4. Contractual Obligations 0.000 mills $ -0- 5. Capital Expenditures 0.000 mills $ -0- 6. Refunds/Abatements 0.000 mills $ -0- 7. Other 0.000 mills $ -0- TOTAL 40.000 mills $ 276,052 1311 County Tax Entity Code DOLA LGID.I SID 6211411 Contact Person Susan J. Schledorn, Paralegal Spencer Fane LLP Daytime Telephone:303-839-3873 Signed: .. Title: Secretary Based on prior electoral approval, the property tax revenue IS NOT subject to statutory limitations imposed by Section 29-1-301, C.R.S. or limitations imposed by Article X, Section 20 of the Colorado Constitution, 1311 County Tax Entity Code DOLA LGID/SID 62114/1 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.). 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: General Obligation Limited Tax Bonds ($14,220,000) Series: 2000 Date of Issue: October 15, 2000 Coupon Rate: 7.75% Maturity Date: December 1, 2019 Levy: 30.000 mills Revenue: $ 207,039 1312 County Tax Entity Code DOLA LGID/SID 62115/1 CERTIFICATION OF TAX LEVIES FOR NON-SCHOOL GOVERNMENTS TO: COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO On behalf of the TRI-POINTE RESIDENTIAL METROPOLITAN DISTRICT the BOARD OF DIRECTORS of the TRI-POINTE RESIDENTIAL METROPOLITAN DISTRICT Hereby officially certifies the following mills to be levied against the taxing entity's GROSS assessed $ 3,580,750 valuation 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 $ 3,580,750 Financing (TIF) Area the tax levies must be calculated using (NET assessed valuation,Line 4 of the Certification of Valuation Form DLG 57) the NET AV. The taxing entity's total property tax revenue will be derived from the mill levy multiplied against the NET assessed valuation of: Submitted: December 15, 2017 for budget/fiscal year 2018. PURPOSE LEVY REVENUE 1. General Operating Expenses 4.000 mills $ 14,323 2. <Minus> Temporary General Property Tax Credit/Temporary Mill Levy Rate < 0.000 > mills < $ -0- > Reduction SUBTOTAL FOR GENERAL OPERATING: 4.000 mills $ 14,323 3. General Obligation Bonds and Interest 44.479 mills $ 159,268 4. Contractual Obligations 0.000 mills $ -0- 5. Capital Expenditures 0.000 mills $ -0- 6. Refunds/Abatements 0.000 mills $ -0- 7. Other 0.000 mills $ -0- TOTAL 48.479 mills $ 173,591 1312 County Tax Entity Code DOLA LGID/SID 62115/1 Contact Person: Susan J. Schledorn, Paralegal Spencer Fane LLP Daytime Telephone:303-839-3873 Signed: Title: Secretary Based on prior electoral approval, the property tax revenue IS NOT subject to statutory limitations imposed by Section 29-'1-301, C.R.S, or limitations imposed by Article X, Section 20 of the Colorado Constitution. 1312 County Tax Entity Code DOLA LGID/SID 62115/1 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.). 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: General Obligation Limited Tax Bonds ($6,145,000) Series: 2001 Date of Issue: August 6, 2001 Coupon Rate: 9.00% Maturity Date: June 1, 2021 Levy: 44.479 mills Revenue: $ 159,268 1315 County Tax Entity Code DOLA LGID/SID 62123 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments 42/ TO: County Commissioners' of Weld County , Colorado. On behalf of the Vista Ridge Metropolitan District (taxing entity)A the Board of Directors (governing body)0 of the Vista Ridge Metropolitan District (local government)' Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 72,184,670 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 Increment Financing(TIF)Area''the tax levies must be $ 72,184,670 calculated using the NET AV. The taxing entity's total c y (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 CERTIFICATION OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/15/17 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' 13.000 mills $ 938,401 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 13.000 mills $ 938,401 3. General Obligation Bonds and Interests 34.827 mills $ 2,513,976 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements"' 0.371 mills $ 26,781 7. Other" (specify): mills $ mills $ TOTAL: . Sum of General Operating 1 48.198 mills $ 3,479,158 Subtotal and Lines 3 to 7 Contact person: Daytime (print) Lisa A. Johnson phone: ( 303) 987-0835 Signed: S, u,�,, Title: 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 pivision of Local 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 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: $33,415,000 General Obligation Refunding Bonds Series: 2016A Date of Issue: December 14, 2016 Coupon Rate: 4.125% - 5.000% Maturity Date: December 1, 2040 Levy: 22.289 Revenue: 51,508,924 2. Purpose of Issue: $3,785,000 Taxable General Obligation Refunding Bonds Series: 2016E Date of Issue: December 14, 2016 Coupon Rate: 1.950% - 3.320% Maturity Date: December 1, 2022 Levy: 12.538 Revenue: $905,052 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) 1321 County Tax Entity Code DOLA LGID/SID 62124/ CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WINTER FARM METROPOLITAN DISTRICT NO. 1 (taxing entity)` the BOARD OF DIRECTORS (governing body)B of the WINTER FARM METROPOLITAN DISTRICT NO. 1 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3,160 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)Area'the tax levies must be $ 3,160 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: 12/12/2017 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" 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. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of l Oting 1 L SubtotalGenera and Linespera 3 to 7 0.000 mills $0 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 of Local 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 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: 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) 1322 County Tax Entity Code DOLA LGID/SID 62125 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Winter Farm Metropolitan District No. 2 A (taxing entity) the Board of Directors (governing body)B of the Winter Farm Metropolitan District No. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 10,948,850 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)Areal'the tax levies must be $ 10,948,850 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: 12/15/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 6.000 mills $ 65,693 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 6.000 mills $ 65,693 3. General Obligation Bonds and Interests 41.900 mills $ 458,757 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 47.900 524,450 Subtotal and Lines 3 to 7 I m1IIS $ Contact person: Daytime (print) William P. Ankele, Jr. phone: ( 303) 858-1800 Signed: • Title: General Counsel 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 piyis n of L Goygttcnt(DLG).RQQzn 521.1313 Sllgppigy.Street.Denver. CO 8Q�Q3_Q11 times? Call DLG qt(3V)864779. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) Dee Kayl From: Tisha Higgins <tisha@ccgcolorado.com> Sent: Friday, December 15, 2017 3:18 PM To: Dee Kayl Cc: Metro District Management Subject: Re:Winter Farms MD 3 No mill levy will be certified by district 3. On Dec 15, 2017 2:50 PM, "Dee Kayl" <dkayl@weldgov.com>wrote: Good Afternoon, We are not showing that we have received your mill levy certification that is due today. Can you please advise when you will be submitting. Thank you! nee K.ajL AssesswLewt aoordi,wator P1-}ONE 070 .400-3055 FAX (970)304-043s wi igo ri DK.al,@weLofov coon. III%f}.J.VJ..=.ttiA'4F}:J-.SFJ.; Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action 1 concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1324 County Tax Entity Code DOLA LGID/SID 62118/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SILVER PEAKS METRO DIST #1 A (taxing entity) the Board of Directors (governing body)B of the Silver Peaks Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2330 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 2330 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 61.181 mills $ 142.55 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 61.181 mills $ 143 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: 1 Sum of General Operating 1 Subtotal and Lines 3 to 7 I 61.181 mills $ 143 Contact person: Daytime (print) Diane K Wheeler phone: ( ) (303)689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 12,2017) Title: 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 l?iyi #fin of.1,201 Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1325 County Tax Entity Code DOLA LGID/SID 62119/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SILVER PEAKS METRO DIST #2 A (taxing entity) the Board of Directors (governing body)B of the Silver Peaks Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 7198530 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 7198530 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 6.783 mills $ 48827.62 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 6.783 mills $ 48,828 3. General Obligation Bonds and Interests 60.429 mills $ 434999.96 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 67.212 483,828 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) Diane K Wheeler phone: ( ) (303)689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 12,2017) Title: 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 l?iyi #fin of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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: $7,440,000 General Obligation (Limited Tax Convertible to Unlimited Tax) BondsProposed Series: 2006 Date of Issue: December 28,2006 Coupon Rate: 5.75% Maturity Date: December 1,2036 Levy: 45.316 Revenue: $326,208.59 2. Purpose of Issue: Proposed$9,300,000 Limited Tax Convertible to Unlimited Tax General Obligation Refunding Bonds Series: Series 2018 Date of Issue: Proposed Coupon Rate: 6% Maturity Date: 12/1/2047 Levy: 15.113 Revenue: $108,791.37 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1326 County Tax Entity Code DOLA LGID/SID 62120/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SILVER PEAKS METRO DIST #3 A (taxing entity) the Board of Directors (governing body)B of the Silver Peaks Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 80 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 80 Increment Financing(TIF)Areal'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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 61.181 mills $ 4.89 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 61.181 mills $ 5 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 Subtotal and Lines 3 to 7 I 61.181 mills $ Contact person: Daytime (print) Diane K Wheeler phone: ( ) (303)689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 12,2017) Title: 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 l?iyi #fin of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1327 County Tax Entity Code DOLA LGID/SID 62121/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SILVER PEAKS METRO DIST #4 A (taxing entity) the Board of Directors (governing body)B of the Silver Peaks Metropolitan District No. 4 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 80 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 80 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 61.181 mills $ 4.89 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 61.181 mills $ 5 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 Subtotal and Lines 3 to 7 I 61.181 mills $ Contact person: Daytime (print) Diane K Wheeler phone: ( ) (303)689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 12,2017) Title: 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 l?iyi #fin of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1328 County Tax Entity Code BOLA LGID/SID 62122 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SILVER PEAKS METROPOLITAN DISTRICT NO. 5 A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the SILVER PEAKS METROPOLITAN DISTRICT NO. 5 (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2,820 assessed valuation of: (GROSSO 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 $ 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 CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/18 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mtn/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENL_JE2 1. General Operating Expenses' 61.181 mills $ 173.00 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < SUBTOTAL FOR GENERAL OPERATING: 61.181 mills $ 173.00 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatementsm mills $ 7. OtherN (specify): mills $ mills $ TOTAL: SUM tifGeneral. Operating 1 61.181 mills $173.00 Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: ; Title: District Manager Include one copy of this tax entity's completed fort))when filing the local government's budget by January 31st,per 29-1-113 C.F.S., with the pivision of Local Government(DIG)_ Room 521. 1313 Sherman Street.Denver. CO 80203. Oueslions?Call DLG at(3031 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 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 DUG 70(Rev.6/16) 1329 County Tax Entity Code DOLA LGID/SID 65038 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado On behalf of the Eagle Meadow Metropolitan District • (taxing entity)'4 the Board of Directors (governing body)" of the Eagle Meadow Metropolitan District (local government) C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1,970,930 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 Increment Financing(TIF)Areal'the tax levies must be $ 1,970,930 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 of: Submitted: 12/13/17 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 Expenses" 0.000 mills $ 0.00 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00 3. General Obligation Bonds and Interest' 50.000 mills $ 98,547 4. Contractual ObligationsK 0.000 mills $ 0.00 5. Capital ExpendituresL 0.000 mills $ 0.00 6. Refunds/AbatementsM 0.000 mills $ 0.00 7. OtherN (specify): 0.000 mills $ 0.00 mills $ TOTAL: SumofGeneralOperating Subtotal and Lines 3 to 7 50.000 mills $ 98,547 Contact person: Daytime (print) Alan D. Pogue phone: 303-292-9100 Signed: Title: General Counsel 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)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 final 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: Provide for the funding of infrastructure within the District Title: General Obligation Limited Tax Refunding Bond, Series 2016A Date of Issue: October 25, 2016 Coupon Rate: 3.20% Maturity Date: June 30, 2036 Levy: 50.000 Revenue: $98,547 2. Purpose of Issue: To refund Eagle Meadow Metropolitan District's Revenue Bonds, Series 2016A Title: Subordinate General Obligation Limited Tax Refunding Bond, Series 2016B Date of Issue: October 25, 2016 Coupon Rate: 6.5% Maturity Date: 12/15/2041 Levy: 50.000 Revenue: (To the extent funds are available after payment of the obligations described in No. 1 above, said funds shall be applied to the obligations described in this No. 2. Total Levy for the obligations is 50.000 Mills.) 3. Purpose of Issue: To refund Eagle Meadow Metropolitan District's Revenue Bonds, Series 2016A and 2016B Title: Junior Subordinate General Obligation Limited Tax Refunding Bond, Series 2016C Date of Issue: October 25, 2016 Coupon Rate: 6.5% Maturity Date: 12/15/2041 Levy: 50.000 Revenue: (To the extent funds are available after payment of the obligations described in Nos. 1 and 2 above, said funds shall be applied to the obligations described in this No. 3. Total Levy for the obligations is 50.000 Mills.) CONTRACTSK: 1. Purpose of Issue: Title: Date of Issue: 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 1333 County Tax Entity Code DOLA LGID/SID 65075 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Deer Trails Metropolitan District (taxing entity)A the Board of Directors (governing body)B of the Deer Trails Metropolitan District (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3,321,780 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 $ 3,321,780 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: 12/11/2017 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' 25.013 mills $ 83,088 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 25.013 Jmills $ 83,088 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL' r Sum ofa General Operating 1 25.013 $ 83,088 • I Subtotal and Lines 3 to 7 mills p Contact person: Daytime (print) Neil Schilling phone: ( 720) 348-1086 Signed: Title: 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.RS.,with the pivision of Local Government(DLG) Room 521 1313 Sherman Street. Denver.CO 80203 Ouestions2 Call DIG 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 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. D 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. 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 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) 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 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)—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 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) County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners) of , Colorado. THE GREENS METROPOLITAN DISTRICT On behalf of the (taxing entity)A the BOARD OF DIRECTORS (governing body)B of the THE GREENS METROPOLITAN DISTRICT (local govemment)C Hereby officially certifies the following mills 588,310 to be levied against the taxing entity's GROSS $ 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 588,310 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: 12/14/17 2018 for budget/fiscal year (no later than Dec.15) (minidd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 5.545 3,262 1. General Operating Expenses" mills $ 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $< > SUBTOTAL FOR GENERAL OPERATING: 5.545 mills $ 3,262 49.911 29,363 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures` mills $ 6. Refunds/Abatements' mills $ 7. Other" (specify): mills $ mills $ TOTAL: of Sum General Operating 55.456 Liiiis 32,625 • Contact person: CATHY Daytime 662-1999 ROMM(print) 303 phone: ( ) Signed: l c ,yt ,„ Title: DISTRICT ACCOUNTANT Include one copy of this tax entity's completed form wherdfiling the local government's budget by January 31st,per 29-1-113 CR.S.,with the pivision of Local Government(DIG).Room 521,1313 Sherman Street.Denver.CO 80203. Ouestionr? Call n1.G at(3031 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: BONDSJ: 1. Purpose of Issue: DEVELOPER REIMBURSEMENT Series: 2017 Date of Issue: DECEMBER 2017 Coupon Rate: 6.50% Maturity Date: DECEMBER 1,2047 Levy: 49.911 Revenue: $29,363 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1335 County Tax Entity Code DOLA LGID/SID 65035/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SWEETGRASS METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Sweetgrass Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 9049990 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)Areal'the tax levies must be $ 9049988.84 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) LEVY REVENUE 1. General Operating Expenses' 11.055 mills $ 100,048 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 11.055 mills $ 100,048 3. General Obligation Bonds and Interests 44.220 mills $ 400,190 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 500,238 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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: Limited Tax General Obligation Note Series: 2016 Date of Issue: 06/10/2016 Coupon Rate: Variable Maturity Date: 06/01/2046 Levy: 44.220 Revenue: $400,190 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1336 County Tax Entity Code DOLA LGID/SID 65036/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SWEETGRASS METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Sweetgrass Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2923670 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)Areal'the tax levies must be $ 2917060.29 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) LEVY REVENUE 1. General Operating ExpensesH 4.000 mills $ 11,668 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 4.0 mills $ 11,668 3. General Obligation Bonds and Interests 16.000 mills $ 46,673 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of Genanderalnes Operatingto 1 I Subtotal li 'i 7 20.0 mi]1S $ 58,341 Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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: Limited Tax General Obligation Loan Pledge Agreement Series: 2016 Date of Issue: 06/10/2016 Coupon Rate: N/A Maturity Date: 06/01/2046 Levy: 16.000 Revenue: $46,673 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1337 County Tax Entity Code DOLA LGID/SID 65034/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SWEETGRASS METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Sweetgrass Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 37940 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 37940 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 2,097 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 2,097 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: 1 Sum of General Operating 1 Subtotal and Lines 3 to 7 I 55.275 mills $ 2,097 Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1338 County Tax Entity Code DOLA LGID/SID 65130/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PINNACLE FARMS METROPOLITAN DISTRICT (taxing entity)` the BOARD OF DIRECTORS (governing body)B of the PINNACLE FARMS METROPOLITAN DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3,724,920 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 Increment Financing(TIF)Area'.the tax levies must be $ 3,717,683 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: 12/07/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating Expenses' 42.000 mills $ 156,143 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 42.000 mills $ 156,143 3. General Obligation Bonds and Interest' mills $ 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of General Operating 1 1 L• Subtotal and Lines e3 to I 42.000 mills $ 156,143 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).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 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: 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1339 County Tax Entity Code DOLA LGID/SID 65128/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the GREENSPIRE METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Greenspire Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 125,670 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 125 670 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 12.708 mills $ 1,597 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 12.708 mills $ 1,597 3. General Obligation Bonds and Interests 25.416 mills $ 3,194 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: 1 Sum of General Operating 1 Subtotal and Lines 3 to 7 I 38.124 mills $ 4,791 Contact person: Daytime (print) Colin B.Mielke phone: ( ) 303-770-2700 COn Re0h2 Attorney Re g.#41545 Signed: Colin B.Mielke(Dec 14,2017) Title: g• 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 l?lvl�i�n of L Goyg ,tent(DLG).RQQiE 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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: 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 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 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 behalf of the GREENSPIRE METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Greenspire Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2550 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 2550 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 12.708 mills $ 32 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 12.708 mills $ 32 3. General Obligation Bonds and Interests 25.416 mills $ 64 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (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 Cd/Mielke Re0h2 Attorne for District Signed: Colin B.Melke(Dec 14,2017) Title: y 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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: 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 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1341 County Tax Entity Code DOLA LGID/SID 65127/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the GREENSPIRE METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Greenspire Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2214150 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 2214150 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 12.708 mills $ 28,137 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 12.708 mills $ 28,137 3. General Obligation Bonds and Interests 25.416 mills $ 56,274 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 38.124 84,411 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Colin B.Mielke phone: ( ) 303-770-2077 Cd/Mielke Re0h2 Attorne for District Signed: Colin B.Melke(Dec 14,2017) Title: y 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 l?lvi�i�n of L Goyg ,tent(DLG).RQQiE 521.1313 Slleppjgp,Street.Denver. CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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: 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 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1342 County Tax Entity Code DOLA LGID/SID 01039/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Bromley Park Metropolitan District No. 2 (taxing entity)` the Board of Directors (governing body)B of the Bromley Park Metropolitan District No. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 645,490 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 Increment Financing(TIF)Area'the tax levies must be $ 645,490 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: 12/02/2017 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" 7.300 mills $4,712 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 7.300 mills $4,712 3. General Obligation Bonds and Interest' 78.725 mills $50,816 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of l Operating 1 L• SubtotalGenera and Linespera 3 to 7 I 86.025 mills $55,528 Contact person: Daytime (print) Jason Carroll phone: 303-779-5710 Signed: 94on_ Title: Accountant for the District Include one copy of this tax entity's completed f rm 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, 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 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: Refunding Series: Series 2007A General Obligation Refunding Bonds Date of Issue: July 31, 2007 Coupon Rate: 4.00% - 5.25% Maturity Date: December 1, 2037 Levy: 78.725 Revenue: $50,816 2. Purpose of Issue: Public Infrastructure Series: Series 2007B General Obligation Limited Tax Convertible Zero Coupon Bonds (Subordinate Bonds) Date of Issue: July 31, 2007 Coupon Rate: 0.00%until December 15, 2012 then 7.00% Maturity Date: December 15, 2037 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1343 County Tax Entity Code DOLA LGID/SID 65196/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ERIE COMMONS METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Erie Commons Metropolitan District No. 1 (local government)C 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 10 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 1 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 Subtotal and Lines 3 to 7 I 55.275 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1344 County Tax Entity Code DOLA LGID/SID 65197/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ERIE COMMONS METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Erie Commons Metropolitan District No. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 24686840 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 24686840 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 27.097 mills $ 668,939 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 27.097 mills $ 668,939 3. General Obligation Bonds and Interests 28.178 mills $ 695,626 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 1,364,565 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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: Limited Property Tax Supported Revenue Refunding Bonds Series: 2009 Date of Issue: 08/13/2009 Coupon Rate: 6.75% Maturity Date: 12/1/2034 Levy: 28.178 Revenue: $695,626 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1346 County Tax Entity Code DOLA LGID/SID 65190 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Saddler Ridge Metropolitan District (taxing entity)` the Board of Directors (governing body)B of the Saddler Ridge Metropolitan District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 995,410 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)Area'the tax levies must be $ 995,410 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: 12/11/2017 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" 21.111 mills $21,014 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 21.111 mills $21,014 3. General Obligation Bonds and Interest' 21.111 mills $21,014 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL • Sum of General Operating 1 TOTAL:• Subtotal and Lines 3 to 7 I 42.222 mills $42,028 Contact person: Daytime (print) Sarah Hunsche phone: ( 303 ) 779-5710 Signed: Aa,,fk 46./wAsz 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. 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 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: Public Improvements Series: 2017A General Obligation Limited Tax Bonds Date of Issue: January 26, 2017 Coupon Rate: 0.00%to 11/30/19 and 1.00%to 11/30/22 and 5.00%thereafter Maturity Date: December 1, 2046 Levy: 10.556 Revenue: $10,507 2. Purpose of Issue: Public Improvements Series: 2017B General Obligation Limited Tax Bonds Date of Issue: January 26, 2017 Coupon Rate: 0.00%to 11/30/19 and 1.00%to 11/30/22 and 5.00% thereafter Maturity Date: December 1, 2046 Levy: 10.555 Revenue: $10,507 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) Dee Kayl From: Jenkins, Cindy <Cindy.Jenkins@claconnect.com> Sent: Friday, December 15, 2017 4:30 PM To: Dee Kayl Cc: Denslow, Denise; Suazo, Kathy; Liesmaki, Megan; Hunsche, Sarah Subject: RE: [External] Ridge Lands Metro Mill Levy Certification Not Received Ridge Lands Metro District is currently inactive and will not be filing a mill levy. I I "` Cindy Jenkins,District Administrator Outsourcing,CliftonLarsonAllen LLP Direct 303-265-7921 cindy.jenkins@CLAconnect.com Main 303-779-5710 x77921,Fax 303-779-0348 8390 E Crescent Parkway,Suite 500,Greenwood Village,CO 80111 CLAconnect.com x❑ Investment advisory services are offered through CliftonLarsonAllen Wealth Advisors,LLC,an SEC-registered investment advisor. From: Dee Kayl [mailto:dkayl@weldgov.com] Sent: Friday, December 15, 2017 11:33 AM To: Denslow, Denise<Denise.Denslow@claconnect.com> Subject: [External] Ridge Lands Metro Mill Levy Certification Not Received Importance: High Good Morning! We are not showing that we have received the mill levy certification for the above-mentioned district. The mill levy certification is due today. Do you know when this will be submitted? Thank you! Dee K.aiu� AssessvintAt aoord'Lwator PHONE c9y-o)400-3656 FAX. 070)30.4-6433 K.G1 L@weLof ov.covu, 1 Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. The information (including any attachments) contained in this document is confidential and is for the use only of the intended recipient. If you are not the intended recipient,you should delete this message. Any distribution, disclosure, or copying of this message,or the taking of any action based on its contents is strictly prohibited. CliftonLarsonAllen LLP 2 1348 County Tax Entity Code DOLA LGID/SID 65241 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the STONERIDGE METROPOLITAN DISTRICT (taxing entity)A the BOARD OF DIRECTORS (governing body)B of the STONERIDGE METROPOLITAN DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 8,881,160 assessed valuation of: (GROSSO 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 $ calculated using the NET AV. The taxing entity's total (NE`fG 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 CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/17 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating Expenses" 8.000 mills $ 71,049 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 8.000 mills $ 71,049 3. General Obligation Bonds and Interest' 42.000 mills $ 373,009 4. Contractual Obligations" mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: 1 SuhtiLae d tan°p ,tni g 1 50.000 mills $444,058 Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: 842/14; Title: District Manager Include one copy of this lax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 C.R.S., with the Division otl,ocal Government/DLG), Room 521. 1313 Sherman Street. Denver, C7O 80203. Questions2 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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1349 County Tax Entity Code DOLA LGID/SID 65286/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ERIE CORP CENTER METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Erie Corporate Center Metropolitan District 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 10 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 1 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 Subtotal and Lines 3 to 7 I 55.275 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1350 County Tax Entity Code DOLA LGID/SID 65287/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ERIE CORP CENTER METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Erie Corporate Center Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 173180 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 173180 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 9,573 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 9,573 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: 1 Sum of General Operating 1 Subtotal and Lines 3 to 7 I 55.275 mills N 9,573 Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1351 County Tax Entity Code DOLA LGID/SID 65288/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ERIE CORP CENTER METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Erie Corporate Center Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 418420 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 418420 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 23,128 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 23,128 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 23,128 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpelica s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1352 County Tax Entity Code DOLA LGID/SID 65238 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the HUDSON HILLS METRO DISTRICT (taxing entity)` the BOARD OF DIRECTORS (governing body)B of the HUDSON HILLS METRO DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 247,590 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 Increment Financing(TIF)Area'the tax levies must be $ 247,590 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 USE VALUE FROM FINAL 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 than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 49.750 mills $ 12,318 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 49.750 mills $12,318 3. General Obligation Bonds and Interest' mills $ 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of l Operating 1 L• SubtotalGenera and Linespera 3 to 7 I 49.750 mills $12,318 Contact person: Daytime (print) Jason Carroll phone: ( 303 ) 779-5710 Signed: „ dim,tod Title: Accountant for the District Include one copy of this tax entity's complet d 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. 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 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: 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) 1353 County Tax Entity Code DOIA I.GID/SID 65235 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the BLUE LAKE METROPOLITAN DISTRICT NO. 1 A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the BLUE LAKE METROPOLITAN DISTRICT NO. 1 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 37,780 assessed valuation of: (GROSSD assessed valuation,Linen 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)Area'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 CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/17 for budget/fiscal year 2018 (not later than Dec. 15) (ddlnun/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses' 50.000 mills $ 1,889 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' > mills $ < SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 1,889 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements"' mills $ 7. Other' (specify): mills $ mills $ TOTAL: s„ht°a>aid Tan° Ian`g l 50.000 mills $ 1.889 I Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: ; (J Title: District Manager Include one copy of this tax entity's completed form when filing the local government's budget by Janua,y 31st,per 29-1-113 C.R.S., with the pivision of Local Government(DI.G). Room 521. 1313 Sherman Street. Denver CO 80203. Ouestiens7 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 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) 1354 County Tax Entity Code DOLA LGID/SID 65236 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the BLUE LAKE METROPOLITAN DISTRICT NO. 2 (taxing entity)A the BOARD OF DIRECTORS (governing body) of the BLUE LAKE METROPOLITAN DISTRICT NO. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3,440,040 assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57F) 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 $ calculated using the NET AV. The taxing entity's total (NETC 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 CERTIFICATTN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/18 for budget/fiscal year 2018 . (not later than Dec. 15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE2 1. General Operating Expenses" 5.000 mills $ 17,200 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 5.000 mills $ 17,200 3. General Obligation Bonds and Interest' 50.277 mills $ 172,955 4. Contractual ObligationsK mills $ 5. Capital Expenditures'- mills $ 6. Refunds/AbatementsM mills $ 7. Other"' (specify): mills $ mills $ TOTAL: Sum of General Operating 55.277 mills X19[1.155 Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: (4Title: District Manager 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 1,oral Government(DIG) Room 521 1313 Sherman Street Denver. CO 80203 Questions?C.'all Ow 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 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) 1355 County Tax Entity Code DOLA LGID/SID 65237 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the BLUE LAKE METROPOLITAN DISTRICT NO. 3 (taxing entity)A the BOARD OF DIRECTORS (governing body)" of the BLUE LAKE METROPOLITAN DISTRICT NO. 3 (local government)' Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2,530,190 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 Increment Financing(TIF)Area'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 CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/17 for budget/fiscal year 2018 (not later than Dec.15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE2 1. General Operating Expenses" 10.000 mills $ 25,302 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' C > mills $ < } SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $ 25,302 3. General Obligation Bonds and Interest' 45.277 mills $ 114,559 4. Contractual Obligations" mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements'" mills $ 7. Other' (specify): mills $ mills $ TOTAL- rSum of General Operating G�5.2 mi�1S 39erg{ 1 L C• tntai an i i rnac Z+n 7 Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: Title: District Manager Include one copy of this tax entity's completed form when filing the local government's budget by January 3I st, per 29-1-113 C.RS., with the /Division of Local Government(DWI_ Room 521 1313,Sherman Street, Denver CO 80203, Ouestions2 Call DLO-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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1356 County Tax Entity Code DOLA LGID/SID 65246/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WYNDHAM HILL METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Wyndham Hill Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 16740 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 16740 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 925 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 925 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: 1 Sum of General Operating 1 Subtotal and Lines 3 to 7 I 55.275 mills $ 925 Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1357 County Tax Entity Code DOLA LGID/SID 65247/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WYNDHAM HILL METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Wyndham Hill Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 17420320 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 17420320 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 11.055 mills $ 192,582 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 11.055 mills $ 192,582 3. General Obligation Bonds and Interests 44.220 mills $ 770,326 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 962,908 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG).RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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: Limited Tax General Obligation Note Series: 2016A Date of Issue: 06/10/2016 Coupon Rate: Variable Maturity Date: 12/01/2046 Levy: 44.220 Revenue: $770,326 2. Purpose of Issue: Limited Tax General Obligation Note Series: 2016B Date of Issue: 08/08/2016 Coupon Rate: Variable Maturity Date: 12/01/2046 Levy: 0.000 Revenue: $o 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1358 County Tax Entity Code DOLA LGID/SID 65248/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WYNDHAM HILL METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Wyndham Hill Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 849240 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 822370 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating Expenses' 55.275 mills $ 45,457 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 45,457 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 45,457 Subtotal and Lines 3 to 7 Mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) MCGEADY \Ifni B ECHER - '- 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: Resource Colorado Water and Sanitation 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. flA/14 Jennifer S. Henry Paralegal Enclosure FIECFAIED c: Weld County Assessor(via U.S. Mail) Weld County Clerk and Recorder (via U.S. Mail) DEC 14 2011 Weld County Treasurer (via U.S. Mail) WELD :u Y ASSESSOR GREEI,E, ::3LORADO 450 E. 17th Avenue, Suite 400, Denver, CO 80203-1254 ( 303.592.4380 I www.specialdistrictlaw.com (00594920.DOCX v:I } DOLA COLORADO CO 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 Resource Colorado Water and Sanitation Metropolitan District 65524 (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. District Contact Person: MarvAnn M.McGeady Phone: 303-592-4380 Contact Signature: ✓ Ne...A w-- - Date: Contact Email Address mmcgeady@specialdistrictlaw.com District Business Address: 450 E. 17`h Avenue. Suite 4OO Business Address(cont.) Address City/State/Zip: Denver, CO 80203 Elected or Term Directors Appointed Exp.Yr. 1. Board Chair: Toni Serra E 2O18 2. Director: John "Mick" Todd E 2O2O 3. Director: )oel Farkas E 2O18 4. Director: Vacant 2O2O 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 15m 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 Requested except where electronic filing is required-by the receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15th with: • the Office of the State Auditor; • the Division of Local Government(ELECTRONIC FILING REQUIRED—www.dola.colorado.gov/e-filing —);and • the Board of County Commissioners of each county in which the District is located as confirmation of the District's intent to not certify a mill levy for collection in the upcoming fiscal year. Rev. 6/ - �ti pF CQ�1Y Governor John W. Hickenlooper I Iry Halter, Executive Director Chantal Unfug, Division Director N v ' o 1313 Sherman Street, Room 521, Denver, CO 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.colorado.gov * Ekti,�a t Strengthening Colorado Communities ,'` 1876.. {00591814.DOCX v:1} - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1360 County Tax Entity Code DOLA LGID/SID 64116/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the RTD A (taxing entity) the Board of Directors (governing body)B of the Regional Transportation District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 212280780 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 160011442 Increment Financing(TIF)Areal'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: 12/07/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating ExpensesH 0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0 mills $ 0 4. Contractual Obligations' 0 mills $ 0 5. Capital ExpendituresL 0 mills $ 0 6. Refunds/AbatementsM 0 mills $ 0 7. OtherN (specify): 0 mills $ 0 0 mills $ 0 TOTAL: r Sum of General Operating 1 I Subtotal and Lines 4 to 7 o.o mills $ o Contact person: Daytime (print) Jannette Scarpino phone: ( ) 303-299-2314 ,7a�rerette`C7,2O '1a Signed: Title: Senior Manager Jannette Scarpino 7,20 ) 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1361 County Tax Entity Code DOLA LGID/SID 65409/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ALTAM IRA METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Altamira Metropolitan District 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 10 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 55.000 mills $ .55 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 55.0 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum oeneral Operating 1 I SubtotalfaG and lines 4 to 7 55.0 m111S $ 1 Contact person: Daytime (print) Diane K Wheeler phone: ( ) 303-689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 12,2017) Title: 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 l?iyi #fin of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1362 County Tax Entity Code DOLA LGID/SID 65410/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ALTAM IRA METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Altamira Metropolitan District No. 2 (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 10 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 55.000 mills $ .55 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 55.0 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum oeneral Operating 1 I SubtotalfaG and lines 4 to 7 55.0 m111S $ 1 Contact person: Daytime (print) Diane K Wheeler phone: ( ) (303)689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 12,2017) Title: 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 l?iyi #fin of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1363 County Tax Entity Code DOLA LGID/SID 65411/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ALTAM IRA METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Altamira Metropolitan District No. 3 (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 10 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 55.000 mills $ .55 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 55.0 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum oeneral Operating 1 I SubtotalfaG and lines 4 to 7 55.0 m111S $ 1 Contact person: Daytime (print) Diane K Wheeler phone: ( ) (303)689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 12,2017) Title: 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 l?iyi #fin of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_G1ieligis? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1364 County Tax Entity Code DOLA LGID/SID 65412/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ALTAM IRA METRO #4 A (taxing entity) the Board of Directors (governing body)B of the Altamira Metropolitan District No. 4 (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 10 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 55.000 mills $ .55 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 55.0 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum oeneral Operating 1 I SubtotalfaG and lines 4 to 7 55.0 m111S $ 1 Contact person: Daytime (print) Diane K Wheeler phone: ( ) (303)689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 12,2017) Title: 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 l?iyi #fin of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_G1ieligis? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1365 County Tax Entity Code DOtA LB ID/SIB 65413 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ALTAMIRA METROPOLITAN DISTRICT NO. 5 (taxing entity)' the BOARD OF DIRECTORS (governing body)' of the ALTAMIRA METROPOLITAN DISTRICT NO. 5 (local gavernment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1,860,1 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 Increment Financing(TIF)Area's the tax levies must be $ calculated using the NET AV. The taxing entity's total G y (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 CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/17 for budget/fiscal year 2018 (not later than Dec.15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 55.000 mills $ 102,306 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' > mills $ < SUBTOTAL FOR GENERAL OPERATING: 55.000 mills $ 102,306 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements" mills $ 7. Other' (specify): mills $ mills $ TOTAL: rSurnFihtntal ofGeneralTOperati'1 1 55.000 mills 5102.306 1 I i inPc to I Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: Ufec,.; Title: District Manager 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.RS., with the plvision ot'Lgcal Govgrnmettt(DLG).Room 521. 1313 Sherincp street.Dcnwer, C'O 80203. Questions?Cr�il 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 DLO 70(Rev.6/16) 1366 County Tax Entity Code D0LA LGID/51D 65414 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SAND HILLS METROPOLITAN DISTRICT (taxing entity) A the BOARD OF DIRECTORS (governing body) B of the SAND HILLS METROPOLITAN DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3,274,030 assessed valuation of: (GROSS assessed valuation,Linen 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(TIE)Areal'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 DLO 57) property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/17 for budget/fiscal year 2018 (not later than Dec. 15) (ddlmm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE 1. General Operating Expenses'' 55.000 mills $ 180,072 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 55.000 mills $ 180,072 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements"' mills $ 7. Other" (specify): mills $ mills $ TOTAL.AL: I sum aal General OF a'ng 1 55.000 mills 150.072 Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: Title: District Manager 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 pivision of Loral Government(MG). Room 521. 1313 Sherman Street. Denver. CO 80203. Questions?Call DI.G 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 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) County Tax Entity Code DOLA LG1D/SID EF65347CB5 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners] of County of Weld , Colorado. On behalf of the Cotton wood Hollow Commercial Metropolitan District (taxing entity)' the Board of Directors (governing body)B of the Cottonwood Hollow Commercial Metropolitan District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 15,656,490 assessed valuation of: (GROSS°assessed valuation,Line 2 of the Certification of Valuation Form DLG 578) 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 $ 13,035,139 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec.15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE` 1. General Operating Expenses' 46.000 mills $ 599,616 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 46.000 mills $ 599,616 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements" mills $ 7. Other' (specify): mills $ mills $ TOTAL: [SumofGeneraloepe3 tatting1 46.000 mills $599,616 Subtotal and Lines o 7 Contact person: Daytime (print) Marisa Davis phone: (303) 285-5320 Signed: /72/7,-, Title: Paralegal Include one copy of this tax entity's completed form when filing the local government's budget by Januaty 31'`x,per 29-1-113 C.R.S., with the Division of Local Government(DLG), Room 521, 1313 Sherman Street,Denver, Colorado 80203. Questions?Call DLG at(303)864-7720. 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. 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). Form DLG 70(rev 6/16) County Tax Entity Code DOLA LGID/SID EF65348E6S CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the Cottonwood Hollow Residential Metropolitan District (taxing entity)A the Board of Directors (governing body)° of the Cottonwood Hollow Residential Metropolitan District (local govcmment)c Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 9,194,430 assessed valuation 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(TIE)Area'the tax levies must be $ 7,664,003 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 1. General Operating Expenses" 61.911 mills $ 474,486 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 61.911 mills $ 474,486 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations" mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements" mills $ 7. Other' (specify): mills $ mills $ TOTAL: [gubtotal and LinOp3 toI 7 1 61.911 mills $474,486 Contact person: Daytime (print) Marisa Davis phone: (303) 285-5320 Signed: • 71 / .- Title: Paralegal Include one copy of this tax entity's c mpleted form when filing the local government's budget by January 31'",per 29-1-113 C.R.S.,with the Division of Local Government(DLG), Room 521, 1313 Sherman Street, Denver, Colorado 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). Form DLG 70(rev 6/16) 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 SMPG Metropolitan District No. 1 (taxing entity) A the Board of Directors (governing body)B of the SMPG Metropolitan District No. 1 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 240 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)Area"the tax levies must be $ 240 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 of: Submitted: 12/15/2017 for budget/fiscal year 2018 (not later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for defmitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 15.000 mills $ 3.60 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $< > SUBTOTAL FOR GENERAL OPERATING: 15.000 mills. $ 3.60 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK 50.000 mills $ 12.00 5. Capital Expenditures'' mills $ 6. Refunds/AbatementsM mills $ 7. Other'(specify): mills $ mills $ TOTAL: [sot General Operating 1 65.000 mills 15.60 Subtotal and Lines 3 to 7 J Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: 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 of Local Government(DLG),Room 521, 1313 Sherman 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 valuation(Line 4 of Form DLG57 on the County Assessor's final 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: To fund Capital Improvements for SMPG Metropolitan District No. 1. Title: Revenue and Limited Tax Obligation Subordinate Promissory Note Date: 11/10/2017 Principal Amount: $1,500,000 Maturity Date: 11/09/2057 Levy: 50.000 Revenue: $12.00 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 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 SMPG Metropolitan District No. 2 (taxing entity)A the Board of Directors (governing body)B of the SMPG Metropolitan District No. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 849,840 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)Area"the tax levies must be $ 849,840 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 of: Submitted: 12/15/2017 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 Expenses" 15.000 mills $ 12,747.60 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 15.000 mills $ 12,747.60 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK 50.000 mills $ 42,492.00 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ j4 7. OtherN(specify): mills $ mills $ TOTAL: rSum of General Operating Subtotal and Lines 3 to 7 65.000 mills $ 55,239.60 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: 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 of Local Government(DLG),Room 521, 1313 Sherman 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 valuation(Line 4 of Form DLG57 on the County Assessor's final 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: CONTRACTS": 3. Purpose of Contract: To fund Capital Improvements for SMPG Metropolitan District No. 1. Title: Revenue and Limited Tax Obligation Subordinate Promissory Note Date: 11/10/2017 c Principal Amount: $1,500,000 Maturity Date: 11/09/2057 Levy: 50.000 Revenue: $42,492.00 4. Purpose of Contract: Title: Date: Principal Amount: Maturity Date: Levy: i Revenue: Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S. a i 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 Commissioners1 of Weld County , Colorado. On behalf of the SMPG Metropolitan District No. 3 (taxing entity)A the Board of Directors (governing body)B of the SMPG Metropolitan District No. 3 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 480 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 $ 480 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 of: Submitted: 12/15/2017 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 Expenses" 15.000 mills $ 7.20 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 15.000 mills $ 7.20 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" 50.000 mills $ 24.00 5. Capital Expenditures" mills $ 6. Refunds/Abatements`'' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of Operating SubtotalGeneral and Lines 3 to 65.000 mills $ 31.20 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: 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 of Local Government(DLG),Room 521, 1313 Sherman 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 unifotiiily 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). 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: To fund Capital Improvements for SMPG Metropolitan District No. 1. Title: Revenue and Limited Tax Obligation Subordinate Promissory Note Date: 11/10/2017 Principal Amount: $1,500,000 Maturity Date: 11/09/2057 Levy: 50.000 Revenue: $24.00 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 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 SMPG Metropolitan District No. 4 (taxing entity)A the Board of Directors (governing body)B of the SMPG Metropolitan District No. 4 (local government)C 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 Increment Financing(TIF)Areal'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 of: Submitted: 12/15/2017 for budget/fiscal year 2018 (not later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 p ) 1. General Operating Expenses" 15.000 mills $ 0.15 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 15.000 mills $ 0.15 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK 50.000 mills $ 0.50 5. Capital Expenditures') mills $ 6. Refunds/Abatementsm mills $ 7. OtherN (specify): mills $ • mills $ TOTAL: Sum of General Operating Subtotal and Lines 3 to 7 65.000 mills $ 0.65 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: 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 of Local Government(DLG),Room 521, 1313 Sherman 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 valuation(Line 4 of Form DLG57 on the County Assessor's final 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: CONTRACTS K: 3. Purpose of Contract: To fund Capital Improvements for SMPG Metropolitan District No. 1. Title: Revenue and Limited Tax Obligation Subordinate Promissory Note Date: 11/10/2017 Principal Amount: $1,500,000 Maturity Date: 11/09/2057 Levy: 50.000 Revenue: $0.50 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 Commissioners' of Weld County , Colorado. On behalf of the SMPG Metropolitan District No. 5 (taxing entity)A the Board of Directors (governing body)B of the SMPG Metropolitan District No. 5 (local government)C 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 Increment Financing(TIF)Area"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 of: Submitted: 12/15/2017 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 Expenses" 15.000 mills $ 0.15 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 15.000 mills $ 0.15 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK 50.000 mills $ 0.50 5. Capital Expenditures' mills $ n Abatementsm 6. Refus d / mills 7. OtherN(specify): mills $ mills S TOTAL: r Sum of Ge ne ral Op e3,ating Subtota l and Line s to 7 65.000 mills $ 0.65 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: 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 of Local Government(DLG),Room 521, 1313 Sherman 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 valuation(Line 4 of Form DLG57 on the County Assessor's final 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: To fund Capital Improvements for SMPG Metropolitan District No. 1. Title: Revenue and Limited Tax Obligation Subordinate Promissory Note Date: 11/10/2017 Principal Amount: $1,500,000 Maturity Date: 11/09/2057 Levy: 50.000 Revenue: $0.50 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 Commissioners1 of Weld County , Colorado. On behalf of the SMPG Metropolitan District No. 6 (taxing entity)A the Board of Directors (governing body)B of the SMPG Metropolitan District No. 6 (local government)C 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 Increment Financing(TIF)Area'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 of: Submitted: 12/15/2017 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 Expenses"' 15.000 mills $ 0.15 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 15.000 mills $ 0.15 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK 50.000 mills $ 0.50 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of General Operating Subtotal and Lines 3 to 7 65.000 mills $ 0.65 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: 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 of Local Government(DLG),Room 521, 1313 Sherman 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 valuation(Line 4 of Faun DLG57 on the County Assessor's final 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: To fund Capital Improvements for SMPG Metropolitan District No. 1. Title: Revenue and Limited Tax Obligation Subordinate Promissory Note Date: 11/10/2017 Principal Amount: $1,500,000 Maturity Date: 11/09/2057 Levy: 50.000 Revenue: $0.50 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 EF65363V11X CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the The Peaks Industrial Metropolitan District (taxing entity) the Board of Directors (governing body)B of the The Peaks Industrial Metropolitan District (local government)c Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2,589,930 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 Increment Financing(TIF)AreaF the tax levies must be $ 2,584,213 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mm/yyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 1. General Operating Expenses" 25.000 mills $ 64,605 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ C > SUBTOTAL FOR GENERAL OPERATING: 25.000 mills $ 64,605 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations" mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements" mills $ 7. Other' (specify): mills $ mills $ L TOTAL: rSuofGeneperating 25.000 mills $64,605 1 L Subtotalm and ralOLines 3 to 7 J Contact person: Daytime (print) Marisa Davis phone: (303) 285-5320 Signed: 17,7 7 Title: Paralegal Include one copy of this tax entity's completed form when filing the local government's budget by January 31',per 29-1-113 C.R.S.,with the Division of Local Government(DLG),ROOM 521, 1313 Sherman Street, Denver, Colorado 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 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). Form DLG 70(rev 6/16) County Tax Entity Code DOLA LGID/SID EF65361KW8 CERTIFICATION OF TAX. LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the Neighbors Point Metropolitan District (taxing entity)" the Board of Directors (governing hody)a of the Neighbors Point Metropolitan District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 186,670 assessed valuation of: (GROSS°assessed valuation,Line 2 of the Certification of Valuation Form DLG 575) 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 $ 170,130 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER II, multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (ddlmnu'yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 1. General Operating Expenses" 45.000 mills $ 7,656 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 45.000 mills $ 7,656 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements" mills $ 7. Other' (specify): mills $ mills $ TOTAL: Su of Genel Oang �suhtmDtal and Linesraper toti 7 J 45.000 mills $7,656 Contact person: Daytime (print) Marisa D is ,, phone: (303) 285-5320 Signed: /71/7c-, Title: Paralegal Include one copy of this tax entity's complete form when filing the local government's budget by January 31S`,per 29-1-113 C R.S., with the Division of Local Government(DLG), Room 521, 1313 Sherman Street, Denver, Colorado 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 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). Form DLG 70(rev 6/16) County Tax Entity Code DOLA LGID/SID EF65459LG8 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners[ of County of Weld - , Colorado. On behalf of the The Springs Metropolitan District (taxing entity)A the Board of Directors (governing body)a of the The Springs Metropolitan District (local govemment)c Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 288,830 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 Increment Financing(TIE)AreaF the tax levies must be $ 241,227 calculated using the NET AV. The taxing entity's total (NET°assessed valuation,Line 4 of the Certification of Valuation Form DLG 57) property tax revenue will be derived from the mill levy USE VALVE FROM FINAL CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 1. General Operating Expenses" 42.000 mills $ 10,132 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 42.000 mills $ 10,132 3. General Obligation Bonds and interest' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements"' mills $ 7. Other" (specify): mills $ mills $ TOTAL: Sum General ng LSubtotal of and Linesoperati 3 to 7 42.000 mills S10,132 Contact person: Daytime (print) Marisa Davis � phone: (303)285-5320 Signed: 11,77 ` "� Title: Paralegal Include one copy of this tax entity's completed form when filing the local government's budget by January 31",per 29-1-113 C.R.S., with the Division of Local Government(DLG), Room 521, 1313 Sherman Street, Denver, Colorado 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 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 Fonn DLG57 on the County Assessor's FLNAL certification of valuation). Form DLG 70(rev 6/16) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1385 County Tax Entity Code DOLA LGID/SID 65616/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WINDSHIRE PARK METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Windshire Park Metropolitan District#1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 40 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 40 Increment Financing(TIF)Areal'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: 12/07/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 35.00 mills $ 1.00 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 35.0 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum ofaGeneral Operating 1 I Subtotal and Lines 4 to 7 35.0 m111S $ 1 Contact person: Daytime (print) Guy D.Johnson phone: ( ) 970-377-0609 Signed: G1by D. (7t'G2fo�r Title: District Manager Guy Johnson(Dec 8,.2017) 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 l?lvi�i�n of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver. CO 8Q,2Q3_G1ielio s? Call DLG qt(3V)814:7729. 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: 2017A&2017B Date of Issue: June 12,2017 Coupon Rate: 7.750% Maturity Date: June 7,2047 Levy: 35.000 Revenue: 1.00 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1386 County Tax Entity Code DOLA LGID/SID 65617/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WINDSHIRE PARK METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Windshire Park Metropolitan District#2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 6595630 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 6595630 Increment Financing(TIF)Areal'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: 12/07/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' mills $ 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 35.000 mills $ 230,847.00 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum oeneral Operating 1 I SubtotalfaG and Lines 'i to 7 35.0 mi11S $ 230,847 Contact person: Daytime (print) Guy D.Johnson phone: ( ) 970-377-0609 Signed: G1by D. (7t'G �r Title: District Manager 20 Guy Johnson(Dec 8,.2fo 2017) 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 l?lvi�i�n of L Goyg ,tent(DLG).RQQiE 521.1313 Slleppjgp,Street.Denver. CO 8Q,2Q3_G1ielio s? Call DLG qt(3V)814:7729. 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: indshire Park Metro District Bank Note of$5,765,000&$1,635,000 to fund infrastructure imr Series: 2017A&2017B Date of Issue: June 12,2017 Coupon Rate: 7.750% Maturity Date: June 7,2047 Levy: 35.000 Revenue: $230,847.00 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1387 County Tax Entity Code DOLA LGID/SID 65496 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY ,Colorado. On behalf of the LIBERTY RANCH METRO DISTRICT (taxing entity)`' the BOARD OF DIRECTORS (governing body)B of the LIBERTY RANCH METRO DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 10,435,570 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 Increment Financing(TIF)Area"the tax levies must be $ 9,241,217 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: 12/07/2017 for budget/fiscal year 2018 (no later than Dec. 15) (mm/d(/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 8.000 mills $73,930 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 8.000 mills $73,930 3. General Obligation Bonds and Interest' 55.277 mills $510,827 4. Contractual Obligations'` mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. Other" (specify): mills $ mills $ Sum of General Operating TOTAL: Subtotal and Lines 3 to? 63.277 mills $584,757 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),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 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 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: BONDS': 1. Purpose of Issue: Refunding and Capital Improvements Series: 2017A General Obligation Bonds Date of Issue: February 22, 2017 Coupon Rate: 5.00% Maturity Date: December 1, 2046 Levy: 30.840 Revenue: $285,000 2. Purpose of Issue: Capital Improvements Series: 2017B Subordinate Limited Tax General Obligation Bonds Date of Issue: February 22, 2017 Coupon Rate: 8.125% Maturity Date: December 15, 2054 Levy: 24.437 Revenue: $225,827 3. Purpose of Issue: Refunding and Capital Improvement Series: 2017C Junior Subordinate Cash Flow Bonds Date of Issue: February 22, 2017 Coupon Rate: 8.125% Maturity Date: December 15, 2056 Levy: 0.000 Revenue: $0 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 EF65453PED CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the Dacono Estates Metropolitan District (taxing entity) the Board of Directors (governing body)B of the Dacono Estates Metropolitan District (local government)c Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 176,280 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 Increment Financing(TIF)AreaF the tax levies must be $ 176,280 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (ddimmlyyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 50.000 mills $ 8,814 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' > mills $ < SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 8,814 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations" mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements"' mills $ 7. Other" (specify): mills $ mills $ TOTAL: sum of General Operating 7 _ 50.000 mills Ls8,814 L Subtotal and Lines 3 to 7 J Contact person: Daytime (print) risa Davis phone: (303)285-5320 Signed: / ''?r Title: Paralegal Include one copy of this tax entity's completed form when filing the local government's budget by January 31M,per 29-1-113 C.R.S.,with the Division of Local Government(DLG), Room 521, 1313 Sherman Street,Denver, Colorado 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 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 certification of valuation). Form DLG 70(rev 6/16) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1391 County Tax Entity Code DOLA LGID/SID 65542/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WILDFLOWER METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Wildflower Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 348160 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 348160 Increment Financing(TIF)Areal'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: 12/09/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 30.73 mills $ 10,699 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 30.73 mills $ 10,699 3. General Obligation Bonds and Interests 19.27 mills $ 6,709 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum ofaGenanderalnes Operating 1 I Subtotal li 3 to 7 50.0 m111S $ 17,408 Contact person: Daytime (print) Erika Volling phone: ( ) (303) 346-6437 Enka Erika 9,201 Title: District Manager/Executive Assistant Signed: 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 l?lvi�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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: 634,100 Wildflower Metropolitan District No. 1,Revenue Bond Series: Series 2011 Date of Issue: April 1,2011 Coupon Rate: 9.00% Maturity Date: December 1,2040 Levy: 19.27 mills Revenue: $6,709.00 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1392 County Tax Entity Code DOLA LGID/SID 65543/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WILDFLOWER METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Wildflower Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 295170 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 295170 Increment Financing(TIF)Areal'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: 12/09/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 30.73 mills $ 9,071 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 30.73 mills $ 9,071 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' 19.27 mills $ 5,688 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum ofaGenanderalnes Operating 1 I Subtotal li 'i to 7 50.0 mills $ 14,759 Contact person: Daytime (print) Erika Volling phone: ( ) (303) 346-6437 Enka Erika 9,201 Title: District Manager/Executive Assistant Signed: 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 l?lvi�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)86477x. 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: Financing of Wildflower Metropolitan District No.1 Revenue Bond,Series 2011 Title: Pledge Agreement Date: April 1,2011 Principal Amount: On-going revenues collected-not to exceed$629,100 Maturity Date: December 1,2040 or upon satisfaction of Revenue Bond,Series 2011 Levy: 19.27 mills Revenue: $5,688.00 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. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1393 County Tax Entity Code DOLA LGID/SID 65544/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the WILDFLOWER METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Wildflower Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 227870 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 227870 Increment Financing(TIF)Areal'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: 12/09/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 30.73 mills $ 7,002 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 30.73 mills $ 7,002 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' 19.27 mills $ 4,391 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum ofaGenanderalnes Operating 1 I Subtotal li 3 to 7 50.0 m111S $ 11,393 Contact person: Daytime (print) Erika Volling phone: ( ) (303) 346-6437 Enka Erika 9,201 Title: District Manager/Executive Assistant Signed: 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 l?lvi�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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: Financing of Wildflower Metropolitan District No.1 Revenue Bond,Series 2011 Title: Pledge Agreement Date: April 1,2011 Principal Amount: On-going revenues collected-not to exceed$629,100 Maturity Date: December 1,2040 or upon satisfaction of Revenue Bond,Series 2011 Levy: 19.27 mills Revenue: $4,391.00 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. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX ff ��LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Wci ci , Colorado. On behalf of the Leon /PN\f exv.. O, erne_1 l , (taxing entity)A the ��A' Of a Oh b ;rveming/ body)$ of the '� o 6/Gl� D (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 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 $ calculated using the NET AV. The taxing entity's total c ty' (NET 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: for budget/fiscal year (not later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 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 Interest' mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements"' mills $ 7. Others(specify): mills $ mills $ TOTAL: Sum of General Operating mills $ Subtotal and Lines 3 to 7 $ Contact person: f Daytime 2 (print) /ot� F� �- phone: (353) �� 3/ 7) Signed: Title: Include one copy of this tax entfty's comple 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),Roo 521, 1313 Sherman Street,Denver, 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 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). 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: 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. Form DLG 70(rev 7/08) Page 2 of 4 Notes: A Taxing Entity—A jurisdiction authorized by law to impose ad valorem property taxes on taxable property located within its territorial limits @lease 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 10t. 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 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. 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). Form DLG 70(rev 7/08) Page 3 of 4 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 necessary for 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)—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 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: 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. Form DLG 70(rev 7/08) Page 4 of 4 County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of , Colorado. On behalf of the L 2 ie. �A✓4 ,ro , (:lei ' ? A ' (taxing enrity) the �f��.ti. <4' IQ (0"-(1 (governing body)$ of the V `(�� e)-1 „oz./ (local(local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1� 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 $ calculated using the NET AV. The taxing entity's total c ty' (NET 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: / 1-1 i- '( for budget/fiscal year -2-0 (not later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 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 Interest) mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. Other'(specify): mills $ mills $ TOTAL• Sum of General Operati mills ng $ • Subtotal and Lines 3 to $ Contact person: Daytime _ (print) 1O /CALA phone: (Jo)) -9 51- Jl7/ Signed: Title: Include one copy of this tax entity's completed f 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, 313 Sherman Street,Denver, 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 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). 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: 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. Form DLG 70(rev 7/08) Page 2 of 4 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. E 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. 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 10`h. 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 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. 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). Form DLG 70(rev 7/08) Page 3 of 4 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 necessary for 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. a 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 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: 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. Form DLG 70(rev 7/08) Page 4 of 4 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1396 County Tax Entity Code DOLA LGID/SID 65618/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the COTTONWOOD GREENS #1 A (taxing entity) the Board of Directors (governing body)B of the Cottonwood Green Metropolitan District No. 1 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 20 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 20 Increment Financing(TIF)Areal'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: 12/15/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 43.000 mills $ .86 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 43.0 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 I 43.0 m111S $ 1 Contact person: Daytime (print) Diane K Wheeler phone: ( ) (303)689-0833 Signed: ✓�iq�re I(Wheeler District Accountant Diane K Wheeler(Dec 15,2017) Title: 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 l?iyi #fin of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) DLG 70 Electronic Filing Instructions NOY--- �------ - " -" Adobe Sign Document History 12/15/2017 Created: 11/28/2017 • • .=. By: Dee Kayl(Dkayl@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAAT6x-9LVxKeGfvdFhwHNO9pjcOGwBG-vO "DLG 70 Electronic Filing Instructions" History Document created by Dee Kayl (Dkayl@co.weld.co.us) 11/28/2017- 1:30:14 PM PST Document emailed to Diane K Wheeler(jtanaka@wbapc.com) for signature 11/28/2017-1:37:40 PM PST Document viewed by Diane K Wheeler(jtanaka@wbapc.com) 11/28/2017-1:45:22 PM PST-IP address:69.15.91.230 Document e-signed by Diane K Wheeler(jtanaka@wbapc.com) Signature Date: 12/15/2017-12:27:36 PM PST-Time Source:server-IP address: 174.209.25.74 © Signed document emailed to Dee Kayl (Dkayl@co.weld.co.us) and Diane K Wheeler(jtanaka@wbapc.com) 12/15/2017-12:27:36 PM PST Adobe Sign D Michael E. Davis Dianne D.Miller Admitted in Colorado and Admitted in Colorado New Mexico I« r Richard K. Sans Soucy Admitted in Colorado ssociates Chelsea W.Rengel Law Offices Admitted in Colorado and Idaho December 18, 2017 Via E-mail: dkayl(aiweldgov.com Weld County Assessor's Office 1400 N. 17th Avenue Greeley, CO 80631 RE: Cottonwood Greens Metropolitan District Nos. 2-4 Mill Levy Certifications To Whom It May Concern: On August 31, 2017 the property within the boundaries of Cottonwood Greens Metropolitan District Nos. 2-4 (the "Districts") was conveyed to a new owner. Upon such conveyance, all of the members on the Districts' Boards of Directors (the "Boards") became unqualified to serve on the Boards. Therefore, the Districts do not currently have duly constituted Boards that can certify any mill levies for the Districts. Our office is in the process of petitioning the City Council for the City of Fort Lupton to appoint qualified and willing individuals to the Boards. At this time we believe that the Boards may be reconstituted during the first calendar quarter of 2018. In light of the circumstances described above, please let this letter serve as notice that the above captioned Districts are not certifying mill levies for 2018. Should you have further questions or need additional information, please contact our office. Thank you. Very truly yours, MILLER&ASSOCIATES LAW OFFICES, LLC Marisa Davis Paralegal 1641 California St Suite 300 I Denver, CO 180202 p: (303) 285-5320 I f: (303) 285-5330 I www.ddmalaw.com Michael E. Davis Dianne D.Miller Admitted in Colorado and Admitted in Colorado New Mexico I« r Richard K. Sans Soucy Admitted in Colorado ssociates Chelsea W.Rengel Law Offices Admitted in Colorado and Idaho December 18, 2017 Via E-mail: dkayl(aiweldgov.com Weld County Assessor's Office 1400 N. 17th Avenue Greeley, CO 80631 RE: Cottonwood Greens Metropolitan District Nos. 2-4 Mill Levy Certifications To Whom It May Concern: On August 31, 2017 the property within the boundaries of Cottonwood Greens Metropolitan District Nos. 2-4 (the "Districts") was conveyed to a new owner. Upon such conveyance, all of the members on the Districts' Boards of Directors (the "Boards") became unqualified to serve on the Boards. Therefore, the Districts do not currently have duly constituted Boards that can certify any mill levies for the Districts. Our office is in the process of petitioning the City Council for the City of Fort Lupton to appoint qualified and willing individuals to the Boards. At this time we believe that the Boards may be reconstituted during the first calendar quarter of 2018. In light of the circumstances described above, please let this letter serve as notice that the above captioned Districts are not certifying mill levies for 2018. Should you have further questions or need additional information, please contact our office. Thank you. Very truly yours, MILLER&ASSOCIATES LAW OFFICES, LLC Marisa Davis Paralegal 1641 California St Suite 300 I Denver, CO 180202 p: (303) 285-5320 I f: (303) 285-5330 I www.ddmalaw.com Michael E. Davis Dianne D.Miller Admitted in Colorado and Admitted in Colorado New Mexico I« r Richard K. Sans Soucy Admitted in Colorado ssociates Chelsea W.Rengel Law Offices Admitted in Colorado and Idaho December 18, 2017 Via E-mail: dkayl(aiweldgov.com Weld County Assessor's Office 1400 N. 17th Avenue Greeley, CO 80631 RE: Cottonwood Greens Metropolitan District Nos. 2-4 Mill Levy Certifications To Whom It May Concern: On August 31, 2017 the property within the boundaries of Cottonwood Greens Metropolitan District Nos. 2-4 (the "Districts") was conveyed to a new owner. Upon such conveyance, all of the members on the Districts' Boards of Directors (the "Boards") became unqualified to serve on the Boards. Therefore, the Districts do not currently have duly constituted Boards that can certify any mill levies for the Districts. Our office is in the process of petitioning the City Council for the City of Fort Lupton to appoint qualified and willing individuals to the Boards. At this time we believe that the Boards may be reconstituted during the first calendar quarter of 2018. In light of the circumstances described above, please let this letter serve as notice that the above captioned Districts are not certifying mill levies for 2018. Should you have further questions or need additional information, please contact our office. Thank you. Very truly yours, MILLER&ASSOCIATES LAW OFFICES, LLC Marisa Davis Paralegal 1641 California St Suite 300 I Denver, CO 180202 p: (303) 285-5320 I f: (303) 285-5330 I www.ddmalaw.com 1400 County Tax Entity Code DOLA LGID/SID 65641 /1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Carriage Hills Metropolitan District (taxing entity)A the Board of Directors • (governing body)8 of the Carriage Hills Metropolitan District (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 5,048,790 assessed valuation of: (GROSS8 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)Area"the tax levies must be $ 5,048,790 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 of: Submitted: 12/15/17 for budget/fiscal year 2018 (not later than Dec.15) (mm/dd/yyyy) (YYYY) PURPOSE(see end notes for definitions and examples) LEVY2 Rte+VE UE2 1. General Operating Expenses" 23.000 mills $ 116,122 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < J SUBTOTAL FOR GENERAL OPERATING: 23.000 mills $116,122 3. General Obligation Bonds and Interestt' 32.275 mills $ 162,950 4. Contractual Obligations' mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatementsm mills $ 7. Other'(specify): mills $ mills $ TOT Subtotal7and Lin 3 to17 5.2 I5 mills $279,072 Contact person: Daytime (print) Bill Stopperan phone: (976)484-0101 x5 Signed: Title: Accountant for the District P � 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)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 final 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: Operational Funding Series: Series 2016,Taxable Limited Tax Revenue Bond Date of Issue: 4/20/2016 Coupon Rate: 4.07% Maturity Date: 12/1/2022 Levy: 23.000 Revenue: sir6,122 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. 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 Commissioners' of , Colorado. MEAD WESTERN MEADOWS METROPOLITAN DISTRICT On behalf of the (taxing entity)A the BOARD OF DIRECTORS (governing body)$ of the MEAD WESTERN MEADOWS METROPOLITAN DISTRICT (local government)c Hereby officially certifies the following mills 4,708,000 to be levied against the taxing entity's GROSS $ 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 4,708,000 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: 12/15/17 2018 for budget/fiscal year (no later than Dec. 15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for defmitions and examples) LEVY2 REVENUE2 5.000 23,540 1. General Operating ExpensesH mills $ 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $< > SUBTOTAL FOR GENERAL OPERATING: 5.000 mills $ 23,540 55.000 3. General Obligation Bonds and Interest' 258,940 mills $ 4. Contractual Obligations" 3.000 mills $ 14,124 5. Capital Expenditures" mills $ 6. Refunds/Abatements" mills $ 7. Other" (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I 63.000 • I 296,604 Cubtotal and 1inec to 7 ills Contact person: C HY FRO Daytime 662-1999 (print) phone: ( 303) Si ned: Title: DISTRICT ACCOUNTANT g �n-r� Include one copy of this tax entity's completed fo when filing the local government's budget by January 31st,per 29-1-113 CRS.,with the Division of local Government(D1.(7) Room 521.1313 Sherman Street.Denver.CO 80203. Ouestions? Call DIG at(303)864-7720. 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. 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: BONDSJ: 1. Purpose of Issue: General Obligation Limited Tax Refunding Note Series: 2013 Date of Issue: July 9, 2013 Coupon Rate: 4% Maturity Date: December 1, 2036 Levy: 55.000 Revenue: $258,940 2. Purpose of Issue: Series: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: CONTRACTS': 3. Purpose of Contract: Park Et Recreation Improvements Title: Town of Mead - IGA Date: 2007 Principal Amount: N/A Maturity Date: Due Annually Levy: 3.000 Revenue: $14,124 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.6i 16) 1402 County Tax Entity Code • CDOLA LGID/SID 65593 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County Colorado. On behalf of the Marketplace Metropolitan District (taxing entity)A the Board of Directors (governing body)B of the Marketplace Metropolitan District (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 771,750 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 771 750 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 multiplied against the NET assessed valuation of: Submitted: 12/15/17 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 Expenses" 50.000 mills $38,588 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $38,588 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/AbatementsM mills $ 7. Other'(specify): mills $ mills $ TOTAL: r ssztotaGand Lize to 7 ] 50.000 mills $38,588 Contact person: Daytime (print) Bill Stopperan phone: (9761)484-0101 x5 Signed: •nr/_t 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)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 final 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: 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. Form DLG 70(rev 7/08) Page 2 of 4 • !�� MCGEADY \1..0 BECHER . -- 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: Pioneer Regional 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. V I L1(11,13 J nnifcr S. Henry Paralegal RECEIVED Enclosure c: Weld County Assessor(via U.S. Mail) DEC _l 4 Weld County Clerk and Recorder (via U.S. Mail) Q Weld County Treasurer(via U.S. Mail) WELD COUNTY ASSESSOR GREELEY, COLORADO 450 E. 17th Avenue, Suite 400, Denver, CO 80203-1254 1303.592.4380 I www.specialdistrictfaw.com {00594911_DOCX v:1 } ,^ DOLA. COLORADO CO 44. 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 Pioneer Regional Metropolitan District District 65653 (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. District Contact Person: MaryAnn M. McGeady Phone: 3O3-592-438O Contact Signature: IM1%ap....4 w+ Date: O-1 1.2/1 11 Contact Email Address mmcgeadki specialdistrictlaw.corilr District Business Address: 450 E. 17"Avenue, Suite 400 Business Address(cont.) Address City/State/Zip: Denver, CO 80203 Directors Elected or Term Appointed Exp.Yr. 1. Board Chair: Joel Farkas E 2018 2. Director: Vacant E 2O18 3. Director: Toni Serra E 2O2O 4. Director: Vacant 2O18 5. Director: Vacant 2O2O 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 151h 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 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.dola.colorado.gov/e-filing —);and • the Board of County Commissioners of each county in which the District is located as confirmation of the District's intent to not certify a mill levy for collection in the upcoming fiscal year. Rev. 6/ .OV•Cot., Governor John W. Hickenlooper I Iry Halter, Executive Director I Chantal Unfug, Division Director 1313 Sherman Street, Room 521, Denver, CO 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.colorado.gov *�} * Strengthening Colorado Communities x,� �, X876 {00591805.DOCX v:1} MCGEADY ��iii B EC H E 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: Pioneer Metropolitan District No. 1 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. C-t5q6-4.- Jennifer S. Henry Paralegal RECE W D Enclosure c: Weld County Assessor (via U.S. Mail) DEC 1 4 20i1 Weld County Clerk and Recorder (via U.S. Mail) Weld County Treasurer (via U.S. Mail) WELD COUNTY y ASSESSOR GREELEY, COLORADO 450 E. 17th Avenue, Suite 400, Denver, CO 80203-1254 1303.592.4380 I www.specialdistrictlaw.com {00594916.DOCX v:1 } A DOLA COLORADO CO 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 Pioneer Metropolitan District No. 1 District 65647 (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. District Contact Person: Man/Ann M. McGeady Phone: 303-592-4380 Contact Signature: V1�,, t'- - .� -. • Date: I� i'd-1 11' Contact Email Address mmcgeadv aC�.specialdistrictlaw.com District Business Address: 450 E. 1711 Avenue, Suite 400 Business Address(cont.) Address City/State/Zip: Denver, CO 80203 Elected or Term Directors Appointed Exp.Yr. 1. Board Chair: Joel Farkas E 2018 2. Director: John "Mick" Todd E 2018 3. Director: Toni Serra E 2020 4. Director: Vacant 2O2O 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'"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 Requested except where electronic filing is required by the receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15th with: • the Office of the State Auditor; • the Division of Local Government(ELECTRONIC FILING REQUIRED—www.dola.colorado.gov/e-filinq —);and • the Board of County Commissioners of each county in which the District is located as confirmation of the District's intent to not certify a mill levy for collection in the upcoming fiscal year Rev. 6/ os•cow mow...:. Governor John W. Hickenlooper I Iry Halter, Executive Director I Chantal Unfug, Division Director t 1313 Sherman Street, Room 521, Denver, CO 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.colorado.gov * � 0). Strengthening Colorado Communities /876 x876 {00591803,DOCX v:1} 1405 County Tax Entity Code DOLA LGID/SID 65648 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PIONEER METRO DISTRICT NO. 2 A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the PIONEER METRO DISTRICT NO. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 639,200 assessed valuation of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 571) 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 $ 639,200 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: 12/05/2017 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 Expensesu 10.000 mills $6,392 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $6,392 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' 50.000 mills $31,960 5. Capital Expenditures' mills $ 6. Refunds/AbatementsM mills $ 7. Other' (specify): Regional Mill Levy 5.000 mills $3,196 mills $ TOTAL Sum of General Operating Subtotal and Lines 3 to 7 65.000 mills $41 548 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 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 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: Refunding and capital infrastructure improvements Title: Limited Tax General Obligation Refunding and Improvement Bonds, Series 2016 Date: September 30, 2016 Principal Amount: $5,236,000 Maturity Date: December 1, 2046 Levy: 50.000 Revenue: $31,960 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) 1406 County Tax Entity Code DOLA LGID/SID 65649 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PIONEER METRO DISTRICT NO. 3 (taxing entity)` the BOARD OF DIRECTORS (governing body)B of the PIONEER METRO DISTRICT NO. 3 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 209,040 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 Increment Financing(TIF)Area'the tax levies must be $ 209,040 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: 12/05/2017 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" 10.000 mills $2,090 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $2,090 3. General Obligation Bonds and Interest' 50.000 mills $ 10,452 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): Regional Mill Levy 5.000 mills $ 1,045 mills $ TOTAL: Sum of l Operating 1 L• SubtotalGenera and Linespera 3 to 7 I 65.000 mills $13,587 Contact person: Daytime (print) Jason Carroll phone: ( 303 ) 779-5710 Signed: ATitle: 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. 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 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: Refunding and capital infrastructure improvements Series: Limited Tax General Obligation Refunding and Improvement Bonds, Series 2016 Date of Issue: September 30, 2016 Coupon Rate: 6.50% Maturity Date: December 1, 2046 Levy: 50.000 Revenue: $10,452 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) 1407 County Tax Entity Code DOLA LGID/SID 65650 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PIONEER METRO DISTRICT NO. 4 A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the PIONEER METRO DISTRICT NO. 4 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 803,480 assessed valuation 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 $ 803,480 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: 12/05/2017 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 Expensesu 10.000 mills $8,035 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $8,035 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' 50.000 mills $40,174 5. Capital Expenditures' mills $ 6. Refunds/AbatementsM mills $ 7. Other' (specify): Regional Mill Levy 5.000 mills $4,017 mills $ TOTAL Sum of General Operating Subtotal and Lines 3 to 7 65.000 mills $52 226 Contact person: Daytime (print) Jason Carroll phone: ( 303 ) 779-5710 Signed: 24,,,40,„1, Title: Accountant for the District Include one copy of this tax entity's completed orm 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 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: Refunding and capital infrastructure improvements Title: Limited Tax General Obligation Refunding and Improvement Bonds, Series 2016 Date: September 30, 2016 Principal Amount: $5,236,000 Maturity Date: December 1, 2046 Levy: 50.000 Revenue: $40,174 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) 1408 County Tax Entity Code DOLA LGID/SID 65651 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the PIONEER METRO DISTRICT NO. 5 A (taxing entity) the BOARD OF DIRECTORS (governing body)B of the PIONEER METRO DISTRICT NO. 5 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 18,188,040 assessed valuation of: (GROSS assessed valuation,Line 2 of the Certification of Valuation Form DLG 571) 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 $ 18,188,040 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: 12/08/2017 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's 10.000 mills $ 181,880 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $181,880 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' 50.000 mills $909,402 5. Capital Expenditures' mills $ 6. Refunds/AbatementsM mills $ 7. Other' (specify): Regional Mill Levy 5.000 mills $90,940 mills $ TOTAL Sum of General Operating Subtotal and Lines 3 to 7 65.000 mills $1 182 222 Contact person: Daytime (print) Jason Carroll phone: ( 303 ) 779-5710 Signed: 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 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: Refunding and capital infrastructure improvements Title: Limited Tax General Obligation Refunding and Improvement Bonds, Series 2016 Date: September 30, 2016 Principal Amount: $5,236,000 Maturity Date: December 1, 2046 Levy: 50.000 Revenue: $909,402 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) am MCGEADY i E��ilii BECHER - ■- 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: Pioneer 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. b-PA/Vii), S Jennifer S. Henry Paralegal RECF \IED Enclosure c: Weld County Assessor(via U.S. Mail) DEC 1 4 2011 Weld County Clerk and Recorder (via U.S. Mail) Weld County Treasurer (via U.S. Mail) WELD COUNTY ASSESSOR GREE EY., COLORADO 450 E. 17th Avenue, Suite 400, Denver, CO 80203-1254 1303.592.4380 I www.specialdistrictlaw.com {00594917.DOCX v:1 } OOLA 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 Pioneer Metropolitan District No. 6 District 65652 (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. District Contact Person: MaryAnn M. McGeadv Phone: 303-592-4380 Contact Signature: V ' w` `^ Date: �a' I a/1 I Contact Email Address mmcgeat9ve.specialdistrictlaw.�om District Business Address: 450 E. 17th Avenue. Suite 400 Business Address(cont.) Address City/State/Zip: Denver,CO 80203 Directors Elected or Term Appointed Exp.Yr. 1. Board Chair: Joel Farkas E 2018 2. Director: John "Mick" Todd E 2018 3. Director: Toni Serra E 2020 4. Director: Vacant 2020 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 151h 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 Requested except where electronic filing is required by the receiving entity,file this annual Notice of Continuing Inactive Status on or before December 15th with: • the Office of the State Auditor; • the Division of Local Government(ELECTRONIC FILING REQUIRED—www.dola.colorado.gov/e-filinq —);and • the Board of County Commissioners of each county in which the District is located as confirmation of the District's intent to not certify a mill levy for collection in the upcoming fiscal year Rev. 6/1h. fycc Governor John W. Hickenlooper I Iry Halter, Executive Director I Chantal Unfug, Division Director /��/ ``:.;._;:•4\J' d. / o 1313 Sherman Street, Room 521, Denver, CO 80203 P 303.864.7720 TDD/TTY 303.864.7758 www.dola.colorado.gov `• + Strengthening Colorado Communities I ri-7 {00591804.DOCX v:1} Dee Kayl From: Sarah Luetjen <Sluetjen@CCCFIRM.COM> Sent: Friday, December 15, 2017 4:01 PM To: Dee Kayl Subject: RE: Kiteley Ranch Metro The District is non-compliant and we are trying to get them into compliancy Sarah H. Luetjen Collins Cockrel & Cole I www.cccfirm.com Office 303-986-1551 I Direct 303-218-7207 PRIVILEGED COMMUNICATION. This email may contain attorney-client or otherwise privileged and confidential information intended only for the use of the individual or entity named above. Dissemination,distribution or copying of this communication is strictly prohibited. If you are an attorney or law firm,consult Title I of the federal Electronic Communications Privacy Act of 1986. If you believe that this email has been sent to you in error,please reply to the sender that you received the message in error and delete this email. ATTACHMENTS. Although this email and any attachments are believed to be free of any virus,the files should be virus scanned before opening them. From: Dee Kayl [mailto:dkayl@weldgov.com] Sent: Friday, December 15, 2017 4:01 PM To: Sarah Luetjen <Sluetjen@CCCFIRM.COM> Subject: RE: Kiteley Ranch Metro Hi Sarah, The way I am reading your email is that this district is considered inactive for 2017? Please confirm and I will mark as such. Thank you! Dee ksi Ass essvwevMt Coordiwator PH-ON& 070)400-3 55 FAX. 070)304-(0433 K.2 L@wel.dgov.covu, Iwo fJ ,I ':,e�J'h':h3r 9t d ' Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return 1 e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Sarah Luetjen [mailto:Sluetien@CCCFIRM.COM] Sent: Friday, December 15, 2017 3:42 PM To: Dee Kayl <dkayl@weldgov.com> Subject: RE: Kiteley Ranch Metro No, they will not be certifying a mill levy this year. We are looking into reactivating the District in early 2018. Sarah H. Luetjen Collins Cockrel & Cole I www.cccfirm.com Office 303-986-1551 I Direct 303-218-7207 PRIVILEGED COMMUNICATION. This email may contain attorney-client or otherwise privileged and confidential information intended only for the use of the individual or entity named above. Dissemination,distribution or copying of this communication is strictly prohibited. If you are an attorney or law firm,consult Title I of the federal Electronic Communications Privacy Act of 1986. If you believe that this email has been sent to you in error,please reply to the sender that you received the message in error and delete this email. ATTACHMENTS. Although this email and any attachments are believed to be free of any virus,the files should be virus scanned before opening them. From: Dee Kayl [mailto:dkayl@weldgov.com] Sent: Friday, December 15, 2017 2:52 PM To: Sarah Luetjen <Sluetien@CCCFIRM.COM> Subject: Kiteley Ranch Metro Importance: High Good Afternoon, I am not showing that we have received your mill levy certification due today. Do you know when you will be submitting. Thank you! Dee K.cf L Ass essvu.eint C,00 rot Lwator PH-ONe Oy-o)-i-oo-3055 FAX 0}0)30.4-6.433 1.@weIAoV.GOW ANIVair Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return 2 e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 3 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1412 County Tax Entity Code DOLA LGID/SID 65709/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the CENTENNIAL CROSSING METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Centennial Crossing Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 843800 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 843800 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 10.000 mills $ 8,438 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.0 mills $ 8,438 3. General Obligation Bonds and Interests 35.000 mills $ 29,533 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 3 to 7 45.0 m111S $ 37,971 Contact person: Daytime (print) Colin B.Mielke phone: ( ) 303-770-2700 Cd/ Re0h2 Attorne Re #41545 Signed: Colin B.Mielke(Dec 15,2017) Title: Y Reg. 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 l?lvi�i�n of L Goyg ,tent(DLG).RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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: $3,000,000 Loan Agreement and Note Series: 2016 Date of Issue: 02/23/2016 Coupon Rate: 2.94% Maturity Date: 02/23/2023 Levy: 35.000 Revenue: $29,533 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1413 County Tax Entity Code DOLA LGID/SID 65710/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the CENTENNIAL CROSSING METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Centennial Crossing Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3558520 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 3558520 Increment Financing(TIF)Areal'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: 12/15/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 10.000 mills $ 35,585 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.0 mills $ 35,585 3. General Obligation Bonds and Interests 35.000 mills $ 124,548 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 'i to 7 45.0 mi11S $ 160,133 Contact person: Daytime (print) Colin B.Mielke phone: ( ) 303-770-2700 Cd/ Re0h2 Attorne Re #41545 Signed: Colin B.Mielke(Dec 15,2017) Title: Y Reg. 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 l?lvi�i�n of L Goyg ,tent(DLG).RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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: $3,000,000 Loan Agreement and Note Series: 2016 Date of Issue: 02/23/2016 Coupon Rate: 2.94% Maturity Date: 02/23/2023 Levy: 35.000 Revenue: $124,548 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1414 County Tax Entity Code DOLA LGID/SID 65711/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the CENTENNIAL CROSSING METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Centennial Crossing Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 4121490 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 4121490 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 10.000 mills $ 41,215 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 10.0 mills $ 41,215 3. General Obligation Bonds and Interests 35.000 mills $ 144,252 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum oeneral Operating 1 I SubtotalfaG and lines 'i to 7 45.0 mi11S $ 185,467 Contact person: Daytime (print) Colin B.Mielke phone: ( ) 303-770-2700 Cd/ Re0h2 Attorne Re #41545 Signed: Colin B.Mielke(Dec 15,2017) Title: Y Reg. 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 l?lvi�i�n of L Goyg ,tent(DLG).RQQiE 521.1313 Slleppjgp,Street.Denver, CO 8Q,2Q3_G1ieligis? Call DLG qt(3V)814:7729. 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: $3,000,000 Loan Agreement and Note Series: 2016 Date of Issue: February 23,2016 Coupon Rate: 2.94% Maturity Date: February 23,2023 Levy: 35.000 Revenue: $144,252 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1419 County Tax Entity Code DOLA LGID/SID 65716/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the CENTENNIAL CROSSING METRO #8 A (taxing entity) the Board of Directors (governing body)B of the Centennial Crossing Metropolitan District No. 8 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3839820 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 3839820 Increment Financing(TIF)Areal'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: 12/14/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 10.000 mills $ 38,398 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 10.0 mills $ 38,398 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK 35.000 mills $ 134,394 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum oeneral Operating 1 I SubtotalfaG and lines 4 to 7 45.0 m111S $ 172,792 Contact person: Daytime (print) Colin B.Mielke phone: ( ) 303-770-2700 CIn Re0h2 Attorney Re g.#41545 Signed: Colin B.Mielke(Dec 15,2017) Title: g• 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver, CO 8Q,2Q3_G1ieligis? Call DLG qt(3V)814:7729. 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: $500,000 Promissory Note 2013A Title: Revenue and Limited Tax Obligation Promissory Note-Series 2013A Date: 06/04/2013 Principal Amount: $500,000 Maturity Date: Annually Renewed Levy: a portion of the 35.000 mills Revenue: A portion of the District's revenue 4. Purpose of Contract: $750,000 Promissory Note 2013B Title: Revenue and Limited Tax Obligaton Promissory Note-Series 2013B Date: 06/04/2013 Principal Amount: $750,000 Maturity Date: Annually Renewed Levy: A portion of the 35.000 mills Revenue: A portion of the District's 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1422 County Tax Entity Code DOLA LGID/SID 65706/ CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Iron Mountain Metropolitan District No. 1 (taxing entity)` the Board of Directors (governing body)B of the Iron Mountain Metropolitan District No. 1 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 310 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 Increment Financing(TIF)Area'.the tax levies must be $ 310 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: 12/07/2017 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" 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. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL T Sum of l Operating 1 11L• SubtotalGenera and Lines 3 to 7 0.000 mills $0 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 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 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: 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) 1423 County Tax Entity Code DOLA LGID/SID 65707/ CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Iron Mountain Metropolitan District No. 2 (taxing entity)` the Board of Directors (governing body)B of the Iron Mountain Metropolitan District No. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 5,928,530 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)Area'the tax levies must be $ 5,928,530 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) LEVY REVENUE2 1. General Operating Expenses" 7.175 mills $42,537 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0.000 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 7.175 mills $42,537 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations' 27.825 mills $ 164,961 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of General Ope3,ating Subtotal and Lines to 35.000 mills $207,498 Contact person: Daytime (print) Gigi Pangindian phone: (303) 779 - 5710 Signed: 97'- 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 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: CONTRACTSK: 3. Purpose of Contract: Transfer revenues to Iron Mountain Metropolitan District No. 1 to repay its Taxable Limited Tax Supported Revenue Loan, Series 2014 ("Loan") Title: Amended and Restated Pledge Agreement("Pledge Agreement") Date: September 25, 2014 (Loan) (Pledge Agreement) Principal Amount: $2,250,000 (Loan) Maturity Date: September 15, 2019 (Loan) Levy: 27.825 mills Revenue: $164,961 4. Purpose of Contract: Transfer revenues to Iron Mountain Metropolitan District No. 1 to repay its Subordinate Taxable Revenue Bond, Series 2011 ("Re-issued Bonds") Title: Amended and Restated Pledge Agreement("Pledge Agreement") Date: September 25, 2014 (Re-issued Bonds) (Pledge Agreement) Principal Amount: $2,282,345.68 (Re-issued Bonds) Maturity Date: December 15, 2050 (Re-issued Bonds) Levy: 0.000 mill Revenue: $0.00 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) 1424 County Tax Entity Code DOLA LGID/SID 65708/ CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Iron Mountain Metropolitan District No. 3 (taxing entity)A the Board of Directors (governing body)B of the Iron Mountain Metropolitan District No. 3 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 46,680 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)Area'the tax levies must be $ 46,680 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) LEVY REVENUE2 1. General Operating Expenses" 7.175 mills $ 335 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0.000 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 7.175 mills $335 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations' 27.825 mills $ 1,299 5. Capital Expenditures" mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of l Operating SubtotalGenera and Linespera 3 to 7 35.000 mills $ 1,634 Contact person: Daytime (print) Gigi Pangindian phone: (303) 779—5710 Signed: 97i- 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 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: CONTRACTSK: 3. Purpose of Contract: Transfer revenues to Iron Mountain Metropolitan District No. 1 to repay its Taxable Limited Tax Supported Revenue Loan, Series 2014 ("Loan") Title: Amended and Restated Pledge Agreement("Pledge Agreement") Date: September 25, 2014 (Loan) (Pledge Agreement) Principal Amount: $2,250,000 (Loan) Maturity Date: September 15, 2019 (Loan) Levy: 27.825 mills Revenue: $1,299 4. Purpose of Contract: Transfer revenues to Iron Mountain Metropolitan District No. 1 to repay its Subordinate Taxable Revenue Bond, Series 2011 ("Re-issued Bonds") Title: Amended and Restated Pledge Agreement("Pledge Agreement") Date: September 25, 2014 (Re-issued Bonds) (Pledge Agreement) Principal Amount: $2,282,345.68 (Re-issued Bonds) Maturity Date: December 15, 2050 (Re-issued Bonds) Levy: 0.000 mill Revenue: $0.00 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 EF65788F38 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the The Springs South Metropolitan District (taxing entity)'' the Board of Directors (governing body? of the The Springs South Metropolitan District (local government)? Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 103,540 assessed valuation of: (GROSS°assessed valuation,Line 2 of the Certification of Valuation Form DLG 575) 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 $ 87,787 calculated using the NET AV. The taxing entity's total (NET('assessed valuation,Line 4 of the Certification of Valuation Form DIG 57) property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year _ 2018 (not later than Dec. 15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 1. General Operating Expenses" 42.000 mills $ 3,687 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ C SUBTOTAL FOR GENERAL OPERATING: 42.000 mills $ 3,687 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/AbatementsM mills $ 7. Other" (specify): mills $ mills $ Sum of General Operating TOTAL: [subtotal and Lines 3 to 7 1 42.000 mills t $3,687 Contact person: Daytime (print) Marisa vls phone: (303) 285-5320 Signed: 7 Title: Paralegal Include one copy of this tax entity's completed form when filing the local government's budget by January 31M,per 29-1-113 C.R.S., with the Division of Local Government(DLG), Room 521, 1313 Sherman Street, Denver, Colorado 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 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). Form DLG 70(rev 6/16) 1427 County Tax Entity Code DOLA LGID/SID 18031 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado On behalf of the Homestead Metropolitan District (taxing entity)` the Board of Directors (governing body)B of the Homestead Metropolitan District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 451,280 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 Increment Financing(TIF)Areal'the tax levies must be $ 451,280 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 of: Submitted: 12/1F/2017 for budget/fiscal year 2018 (not later than Dec. 15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE2 1. General Operating ExpensesH 10.059 mills $ 4,539 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.059 mills $ 4,539 3. General Obligation Bonds and Interest' 0.000 mills $ 0.00 4. Contractual ObligationsK 40.238 mills $ 18,159 5. Capital Expenditures" 0.000 mills $ 0.00 6. Refunds/AbatementsM 0.000 mills $ 0.00 7. Other" (specify): 0.000 mills $ 0.00 mills $ TOTAL: SumofGeneralOperating Subtotal and Lines 3 to 7 ] 50.297 mills $ 22,698 Contact person: Daytime (print) Alan D. Pogue phone: 303-292-9100 Signed: � - Title: General Counsel 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)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 final 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: $655,000 Taxable General Obligation Limited Tax Bond Title: 2012 Date of Issue: 6/1/2012 Principal Amount: 5% Maturity Date: 12/15/2017 Levy: 40.238 Revenue: $18,159 2. Purpose of Issue: Title: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: CONTRACTSK: 1. Purpose of Issue: Title: _ Date of Issue: Principal Amount: Maturity Date: Levy: Revenue: 2. Purpose of Issue: Title: Date of Issue: Coupon Rate: 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 1428 County Tax Entity Code DO LA LGID/SID 65791 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the COTTONWOOD GREENS METROPOLITAN DISTRICT NO. 5 (taxing entity)A the BOARD OF DIRECTORS (governing body)8 of the COTTONWOOD GREENS METROPOLITAN DISTRICT NO. 5 (local governtnent)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 116,510 assessed valuation of: (GROSS0 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(TIE)AreaF the tax levies must be $ calculated using the NET AV. The taxing entity's total (NETC 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 CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation o£ BY ASSESSOR NO LATER TIIAN DECEMBER 10 Submitted: 12/02/17 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mn/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses' 43.000 mills $ 5,010 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 43.000 mills $ 5,010 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations"' mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatementsm mills $ 7. Other" (specify): mills $ mills $ TOTAL: I Cuht ra,an'i Ia„°p la2n7g43.000 mills $5,010 Contact person: Daytime (print) Sue Blair phone: 303-381-4977 Signed: Title: Assistant Secretary 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(OW; Room 521. 1313 Sherman Street. Denver. CO 80203 Ouestions?Call/)LG 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 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 I of 4 DLG 70(Rev.6/16) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1429 County Tax Entity Code DOLA LGID/SID 65828/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the NORTH SUBURBAN METRO #1 , A (taxing entity) the Board of Directors (governing body)B of the North Suburban Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 53360 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 53360 Increment Financing(TIF)Areal'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: 12/11/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating Expenses' 0.0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0.0 mills $ 0 4. Contractual Obligations' 0.0 mills $ 0 5. Capital ExpendituresL 0.0 mills $ 0 6. Refunds/AbatementsM 0.0 mills $ 0 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 0.0 mills $ 0 Contact person: Daytime (print) George M. George Rowley Rowley,Esq. phone: ( ) 303-839-3800 Si ned: Georgwley(Dec 11,2017)e ��WG v Title: Counsel 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 piyis#gn of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Cull DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1430 County Tax Entity Code DOLA LGID/SID 65829/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the NORTH SUBURBAN METRO #2 A (taxing entity) the Board of Directors (governing body)B of the North Suburban Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 494120 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 494120 Increment Financing(TIF)Areal'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: 12/11/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 60.0 mills $ 29647 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 60.0 mills $ 29,647 3. General Obligation Bonds and Interests 0.0 mills $ 0 4. Contractual Obligations' 0.0 mills $ 0 5. Capital ExpendituresL 0.0 mills $ 0 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 Subtotal and Lines 3 to 7 I 60.0 mills N 29,647 Contact person: Daytime (print) George M. George Rowley Rowley,Esq. phone: ( ) 303-839-3800 Si ned: Georgwley(Dec 11,2017)e ��WG v Title: Counsel 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qpelig s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1431 County Tax Entity Code DOLA LGID/SID 65830/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the NORTH SUBURBAN METRO #3 A (taxing entity) the Board of Directors (governing body)B of the North Suburban Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 53360 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 53360 Increment Financing(TIF)Areal'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: 12/11/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating Expenses' 0.0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0.0 mills $ 0 4. Contractual Obligations' 0.0 mills $ 0 5. Capital ExpendituresL 0.0 mills $ 0 6. Refunds/AbatementsM 0.0 mills $ 0 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 o.o mills $ o Contact person: Daytime (print) George M. George Rowley Rowley,Esq. phone: ( ) 303-839-3800 Si ned: Georgwley(Dec 11,2017)e ��WG v Title: Counsel 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1432 County Tax Entity Code DOLA LGID/SID 65831/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the NORTH SUBURBAN METRO #4 A (taxing entity) the Board of Directors (governing body)B of the North Suburban Metropolitan District No. 4 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 53360 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 53360 Increment Financing(TIF)Areal'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: 12/11/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating Expenses' 0.0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0.0 mills $ 0 4. Contractual Obligations' 0.0 mills $ 0 5. Capital ExpendituresL 0.0 mills $ 0 6. Refunds/AbatementsM 0.0 mills $ 0 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I Subtotal and lines 4 to 7 0.0 mills $ 0 Contact person: Daytime (print) George M. George Rowley Rowley,Esq. phone: ( ) 303-839-3800 Si ned: Georgwley(Dec 11,2017)e ��WG v Title: Counsel 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 l?lvi�i�n of L Goygjtcnt(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver. CO 8Q,2Q3_G1ielio s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1433 County Tax Entity Code DOLA LGID/SID 65843/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ST VRAIN LAKES METRO #1 A (taxing entity) the Board of Directors (governing body)B of the St. Vrain Lakes Metropolitan District 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 Increment Financing(TIF)Areal'the tax levies must be $ 9.79 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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 66.861 mills $ 1 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 66.861 mills $ 1 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' 5.000 mills $ 0 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 Subtotal and Lines 3 to 7 I 71.861 mills $ 1 Contact person: Daytime (print) John W.Simmons phone: ( ) (303) 689-0833 c7?he W Sneilagf District Accountant Signed: John W Simmons(Dec 14,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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: Provide for the maintenance of regional parks,regional trails and public streets Title: IGA with Town of Firestone Date: 2015 Principal Amount: N/A Maturity Date: December 9,2015 Levy: 5.000 Revenue: 0 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1434 County Tax Entity Code DOLA LGID/SID 65844/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ST VRAIN LAKES METRO #2 A (taxing entity) the Board of Directors (governing body)B of the St. Vrain Lakes Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2851720 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)Areal'the tax levies must be $ 2794303.77 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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 11.584 mills $ 32,369 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 11.584 mills $ 32,369 3. General Obligation Bonds and Interests 55.277 mills $ 154,460 4. Contractual Obligations' 5.000 mills $ 13,972 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 71.861 200,801 Subtotal and Lines 3 to 7 I Mills $ Contact person: Daytime (print) John W.Simmons phone: ( ) (303) 689-0833 c7?he GI/Skoog District Accountant Signed: John W Simmons(Dec 14,2017) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver, CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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: $32,760,000 Limited Tax General Obligation Bonds Series: 2017A Date of Issue: December 13,2017 Coupon Rate: 5%-5.125% Maturity Date: December 1,2047 Levy: 55.277 Revenue: 154,460 2. Purpose of Issue: Series: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: CONTRACTS': 3. Purpose of Contract: Provide for the maintenance of regional parks,regional trails and public streets Title: IGA with Town of Firestone Date: December 9,2015 Principal Amount: N/A Maturity Date: N/A Levy: 5.000 Revenue: 13,972 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1435 County Tax Entity Code DOLA LGID/SID 65845/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ST VRAIN LAKES METRO #3 A (taxing entity) the Board of Directors (governing body)B of the St. Vrain Lakes Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 6882920 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)Areal'the tax levies must be $ 6745687.84 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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 11.584 mills $ 78,142 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 11.584 mills $ 78,142 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" 60.277 mills $ 406,610 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 71.861 484,752 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) John W.Simmons phone: ( ) (303) 689-0833 c7?he W Sneilagf District Accountant Signed: John W Simmons(Dec 14,2017) Title: 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 l?lvi�i�n of.1,201 Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver, CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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: fer of funds for debt service issued for repayment of costs related to infrastructure improver Title: Levy Policy and Pledge Agreement between St.Vrain Lakes Metropolitan District No.1,2,3, Date: November 14,2017 Principal Amount: N/A Maturity Date: N/A Levy: 55.277 Revenue: $372,881 4. Purpose of Contract: Provide for the maintenance of regional parks,regional trails and public streets Title: IGA with Town of Firestone Date: December 9,2015 Principal Amount: N/A Maturity Date: N/A Levy: 5.000 Revenue: $33,729 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1436 County Tax Entity Code DOLA LGID/SID 65846/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the ST VRAIN LAKES METRO #4 A (taxing entity) the Board of Directors (governing body)B of the St. Vrain Lakes Metropolitan District No.4 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 4663510 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)Areal'the tax levies must be $ 4565286.49 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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 11.584 mills $ 52,885 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 11.584 mills $ 52,885 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' 60.277 mills $ 275,181 5. Capital ExpendituresL mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 71.861 328,066 Subtotal and Lines 3 to 7 I mills $ Contact person: Daytime (print) John W.Simmons phone: ( ) (303) 689-0833 c7?he W Sneilagf District Accountant Signed: John W Simmons(Dec 14,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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: fer of funds for debt service issued for repayment of costs related to infrastructure improver Title: estated Mill Levy Policy and Pledge Agreement between St.Vrain Lakes Metropolitan Distric Date: November 14,2017 Principal Amount: N/A Maturity Date: N/A Levy: 55.277 Revenue: 252,354 4. Purpose of Contract: Provide for the maintenance of regional parks,regional trails and public streets Title: IGA with Town of Firestone Date: December 9,2015 Principal Amount: N/A Maturity Date: N/A Levy: 5.000 Revenue: 22,827 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 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 Southwestern Weld Law Enforcement Authority • (taxing entity)` the Board of Weld County Commissioners (governing body)B of the County of Weld (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 Increment Financing(TIF)Area'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 of: 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) LEVY2 REVENUE2 1. General Operating Expenses" 0.000 mills $ 0 2. <Minus> Temporary General Property Tax Credit/Temporary Mill Levy Rate Reduction' < 0> mills $ < 0 SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements"' mills $ 7. Other" (specify): mills $ mills $ • TOTAT Sum of General Operating TOTAL: Subtotal and Lines 3 to 7 0.000 Millis $ 0 Contact person: Daytime (print) Donald Warden phone: ( 970) 356-400-4218 Julie A. Cozad, Chair Signed: Title: Board of Weld Co. Commissioners the levies to each county. Use a If the taxing entity's boundaries include more than one county,you must certify ty 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 valnalion(Line 4 of Form DLG57 on the County Assessor's final certification of valuation). Form DLG 70(rev 7/08) Page 1 of 5 RESOLUTION TO NOT ADOPT A 2018 BUDGET AND ACT TO DISSOLVE THE SOUTHWESTERN WELD COUNTY LAW ENFORCEMENT AUTHORITY DISTRICT A RESOLUTION TO NOT ADOPT A 2018 BUDGET FOR THE SOUTHWESTERN WELD COUNTY LAW ENFORCEMENT AUTHORITY DISTRICT, LOCATED IN WELD COUNTY, COLORADO, FOR THE CALENDAR YEAR BEGINNING ON THE FIRST DAY OF JANUARY, 2018, AND ENDING ON THE LAST DAY OF DECEMBER, 2018, AND TO ACT TO DISSOVLE THE SOUTHWESTERN WELD COUNTY LAW ENFORCEMENT AUTHORITY DISTRICT WHEREAS, the Board of County Commissioners, of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board of County Commissioners, of Weld County, Colorado, ex-officio Southwestern Weld County Law Enforcement Authority Board, has appointed the Weld County Director of Finance and Administration to prepare and submit a proposed budget to said governing body at the proper time, and WHEREAS, said Director of Finance and Administration has submitted a proposed budget to this governing body for its consideration and advised the Board that due to municipal annexations only one parcel with an assessed valuation of Ten Dollars ($10) remains in the district. Therefore, the district is no longer financially viable, and should be dissolved in accordance with Colorado Revised Statute Section 30-11-408, and WHERAS, CRS 30-11-408 provides upon the effective date of the annexation to any city, or town the territory so annexed shall be detached from the law enforcement authority district. Further, upon the annexation of fifty percent or more of the of the territory of the law enforcement authority district, or upon petition by ten percent of the electors and the approval of a majority of the electors of the authority voting at a special election called for that purpose, pursuant to the applicable provisions of CRS Section 30-11-405, any authority formed shall be dissolved effective the following January 1, if no debt exists. 2017-4198 SD0158 NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners, ex officio Southwestern Weld County Law Enforcement Authority Board, that due to the Director of Finance and Administration recommendation that district is no longer financially viable and should be dissolved in accordance with Colorado Revised Statute Section 30-11-408, the Board hereby does not adopt an 2018 budget and directs the Director of Finance and Administration to so inform the Colorado Department of Local Affairs, and BE IT FURTHER RESOLVED by the Board of County Commissioners, ex officio Southwestern Weld County Law Enforcement Authority Board that the County Attorney is directed to work with the Weld County Clerk and Recorder to conduct a special election in accordance with the above statutes to have the remaining electorate in the authority consider a ballot issue to dissolve the Southwestern Weld County Law Enforcement Authority effective January 1, 2018. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 13th day of December, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD C UNTY, COL RADO ATTEST: d-61`�/ � -1 Jude Cozad, Chair Weld County Clerk to the Board Steve Moreno, ro-Tem BY: Deputy Clerk to the Board : � �. . Sean P. Conway 1251 ike Freeman o n ttorney � A Q 45/17 / -.�� rbara Kirkmey 1-11",/ Date of signature: f 7 2017-4198 SD0158 Southwestern Weld County Law Enforcement Authority l - Original Southwestern Weld County Law Enforcement Authority Boundary beAusion of Additional Properties 1/9/2008 _ _. lill St Vrain Lakes Metro 1 1 -St Vrain Lakes Metro 2 • -St Vrain Lakes Metro 3 • -St Vrain Lakes Metro 4 L/ ,—, Firestone North Annexation 11/9/2014 r k r 1:;,..4i BareFoot Lakes Annexation 5s'2??2015 i"i""""""'.."'�r"'"""�""� " 1...a......A......+-......."......mso..is..... MY links t.,.r. �.Wr..W.....w.r....� or •lwti R�M iOp awl..11W �fI f► . .WCS .1LIQS°rtw.. . nW4+w..W..a Wu wWr coor. . .�aw...w.u. 444444b.-n. ligTFirestone ,....°0""C°la"`a.06SCosSOaltsV.doOlr.20.4-040 WIWI,oa..,of:0mMa<n....a.W..°.Wniraa.w'.II dC maw Mead � =`_�._milso . ill.��' ce o �1 J 4 i i 1 CR 25 I 1 r I 4 4 I I I diS. Its _—_—____—i r':J ,r r 1 j 1 4 I '4/ CRZ_ ..,� CR26 _ w r .. - _. i i, 7 INC i :'N" 1. I.; A,• .' . . _... 0 0.25 0.5 0.75 1 __• 3 �y Ntllet� . . A?0r7.41g2 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 Pioneer Community Law Enforcement Authority (taxing entity)A the Board of Weld County Commissioners (governing body)B of the County of Weld (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 573,130 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('1'1F)Area'the tax levies must be $ 573,130 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 of: 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) LEVY2 REVENUE2 1. General Operating Expenses'-' 7.000 mills $ 4,012 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0> mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 7.000 mills $ 4,012 3. General Obligation Bonds and Interest' mills $ 4. ContractualObligations't mills $ 5. Capital Expenditures') mills $ 6. Refunds/Abatementsm mills $ 7. Other" (specify): mills $ mills $ TOTAL. Sum of General Operating 1 L Subtotal and Lines 3 to 7 .1 7.000 pills $ 4,012 Contact person: Daytime (print) Donald Warden phone: (_171))_31-218 Julie A. Cozad, Chair Signed: C--- ��((i Title: Board of Weld Co.Commissioners ' 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). Form DLG 70(rev 7/08) Page 1 of 5 RESOLUTION TO SET MILL LEVY A RESOLUTION LEVYING GENERAL PROPERTY TAXES FOR THE 2018 BUDGET YEAR TO HELP DEFRAY THE COSTS OF GOVERNMENT FOR THE PIONEER COMMUNITY LAW ENFORCEMENT AUTHORITY LOCATED IN WELD COUNTY, COLORADO, WHEREAS, the Board of County Commissioners, of Weld County, Colorado, ex-officio Pioneer Community Law Enforcement Authority Board has adopted the annual budget in accordance with the Local Government Budget Law, on December 13, 2017, and WHEREAS, the amount of money necessary to balance the budget or general operating expenses is $4,012, and WHEREAS, the 2017 valuation for assessment for the Pioneer Community Law Enforcement Authority District, as certified by the County Assessor is $573,130. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners, ex- officio Pioneer Community Law Enforcement Authority Board: Section 1. That, for the purpose of meeting all general operating expenses of the Pioneer Community Law Enforcement Authority District during the 2018 budget year, there is hereby levied a tax of 7.0 mills upon each dollar of the total valuation for assessment of all taxable property within the District for the year 2017. Section 2. That the Chair of the Board of County Commissioners of Weld County, Colorado, serving as the Chair of the Pioneer Community Law Enforcement Authority Board, is hereby authorized and directed to immediately certify to the Board of County Commissioners of Weld County, Colorado, the mill levy for the Pioneer Community Law Enforcement Authority District as hereinabove determined and set. 2017-4195 SD0131 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 13th day of December, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ', o----yd,;(70Cozad, Chair Weld County Clerk to the Board _"7-Lcz.4.-..e-r— :: :a: m BY: �� . r • [� , (LR (......„— AP D AS T R( 4 ; ree ,i islman q� Count ttorney 0► arbara Kirkmeyer Date of signature: /1.0, 2017-4195 SD0131 CERTIFICATION OF TAX LEVY TO: Board of County Commissioners, Weld County, Colorado This is to certify that the tax levy to be assessed by you upon all property within the limits of the Pioneer Community Law Enforcement Authority District, based on a total assessed valuation of$573,130 for the year 2017, as determined and fixed by the Pioneer Community Law Enforcement Authority Board on December 13, 2017, is as follows: General Operating Expenses 7.0 mills $4,012 You are hereby authorized and directed to extend said levy upon your tax list. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of the Board of County Commissioners of Weld County, Colorado, ex-officio Pioneer Community Law Enforcement Authority Board, this 13th day of December, 2017. PIONEER COMMUNITY LAW ENFORCEMENT AUTHORITY BOARD (BY: Julie A. Cozad, h #r 417. - LS\ ATTEST: Zezyk_r.. ...„\a',._( I '4 ', 1.41 Weld County Clerk to the Board r:,i:- LL\ BY: �. vouwc , eputy County Clerk 2017-4195 SD0131 R r ��•` ' • 7 + BOARD OT CANVASSERS CVRTIrlcA7t Of V.LECTION RESULTS POE TIM SPECIAL[LCCTton HELD NOVEMBER 7,2061 Sections I-11-103 utd 32.1.101(1),C.R-S. Ptoposed Wdd County Pioneer Community Law Enforcement Authority Weld County,Colorado Each of t}w walcrallnad numbers of the board of commotion atilt proposed Weld County Pioneer Community Law>nforrawant Audtocity certifies that Ow following is a true and cortex alternated etch'multi of the Maii Ballot Election for the ebvv,-nwatd Law Unfermented Authority,al which time the allalbtt elation critic Law Enforcement Auhority voted r Ir&aftd en the attached Judge,'Certificate of Election Returns,Ind as a result of which the eligible electors elated to office the following Directors: For gut QinMtlon/1aw Submittal'(en Marital ropy at WINO: For Agalnsl Uhl Queslion Ib. fat eight ID)net. Ballal Issue Io: (8).ci&ht _ (0)uro —. Dated this 7'a its el ov ember,2006. (Sighed) U ignated EIecdon Offlci (Signed) Dtnte Harker Weld C::At Person for LEA (SittA1d) i Oraalay,CO 10632 - _ _ au-linens Address r 1.910.154 4000 w.4)90 Telephone Number frste lersi hut earl toes; llapaae sac coy if t►b Cartlflcalc with'ha Seek aid moieties, Owls comity to WhICh tht law stomas rat stlwrity la tooted TVs out be avaI ablt far'stile lespctllae le the dike of tits Dalgasttd Elation(Midst Sari t cool Da! IMeklp.of Local Cawnnesa LSO Wn.r..'O w IIr flaw.,.CO 11134i towm 114 C.,II 200?-3379 2017-4195 No, 0771QAL BALLOT YOB 71. WSW COUNTY 11i0MIt CONBRINITY IoW CN'ORCPJtEM,Wf]IORITY bar 7,2006 f IO.I Jla?Atha.a(Uctlpulld Ek:ib.OI11tYI f WARNING S�tryyr..•OaON: lbNraiWIMaI.Vlatrlri••UI .m 1I Oat VW rr ,.hY Mr II LM w.ar.y.nln•aaa,(Y14 r arairtr r rf rwt b)r �W (1.1 r uh.INN"law*.•alma.% om 44 a bead IPEEld.lem morn"rra sb1 Sruba 1 7,!•1o71JXb), AY A7 MY".._J•m1 OMfY¢ioa.gW ti IraaMJ arahar•b1 O,ire Nba Fist aaM Y to hair tntaiaa.Ir.•ylw 1.lwala an are%Edw.Pao IAA el lr1 a.Y a.road r a.a7 EEO id IN It r.AA War war rb•p4( 4*topfetaw++APNOMOMIalif WMwarm HELD COUNTY PIONEER COMMUNITY LAW ENFORCIfMIT AUTHORITY BALLOT QUESTION IBI Shall the=a which it generally located in Sections 4, 5,7,II,9, 17, I I,Township 2 ,North, {Rye 64 Weis of the Sixth?rind*Met1dlu,Sccden 32,Township 2 North,Range 64 of tic Sixth Principe)Moddlan,utd Secdow 1,2,I I,12,Weld,,14,Sli f S,Township Colorado, �Z North,Range U 65 Weil of the Sixth Pliscipel Meridian,Coanry mineral 1nte+tr,be included in a Law Enforcement Authority purtue.'u In the Law Enforcement Authority Act of 1969 to be knour at the Weld County Pioneer Community Law Enforcement Anthodty? YES NO WILD COUNTY PIONEER COMMUNITY LAW ENFORCEMENT AUTHORITY BALLOT ISSUE ICI Si1ALL WELD COUNTY PIONEER COMMUNITY LAW TAXES SE ENFORCEMENT INCREASED ,000,000 ANNUALLY OCR AUTHORITY SSUCH LESSER AMOUNT AR NECESSARY TO PAY THE ACJTHORfTY'S OPERATING EXPENSES, AND SHALL PROPERTY TAXES BE IMPOSED IN ANY MAR AT A RATE O/SEWN 14111.3 AND ANY INVESTMENT INCOME THEREON BE COLLECTED AND SPENT BY TILE AUTHORITY IN FISCAL YEAR 2007 AND IN EACH YEAR. THEREAFTER FOR AS (ONO A3 TfZE ntJT1tO0.ITY CONTINUES iN UXtYTINCt, WI71(OUT LIMITATION BY THE.REVENUE AND SPENDING LIMITS OF ARTICLE X. SECTION 20 OF TILE COLORADO CONSTITUTION AND WITHOUT taxtvianOn xi) . • . I11 REGARD TO INC LIMIT/7(ON ON PROtERTY TAXATION IN 29-t-301 C.1LL.,SECTION 14-7 OP THE WELD COUNTY ROME RULE CHARTER. OR ANY OTNR*STATUTORY OR CON2TTTUTIONAL TROV(S(ON THAT PURPORTS TO UM1T THE WELD COUNTY PiONEIR COMMUNITY LAW ENFORCEMENT AUTHORITY'S REVENUES OR EXPRNDI URE.77 L'"?"---- „ (-14- . . (0OVV ODOCI:fI 2 1439 County Tax Entity Code DOLA LGID/SID 65876 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners1 of Weld County _ , Colorado On behalf of the Highland Estates Metropolitan District (taxing cnt1tvl'N the Board of Directors (governing body)B of the Highland Estates Metropolitan District (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 233,650 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 $ 233,650 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 of: 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 LEVY2 REVENUE2 1. General Operating Expenses" 10.000 mills $ 2,336 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $ 2,336 3. General Obligation Bonds and Interest' _ 50.000 mills $ 11,683 4. Contractual Obligations" 0.000 mills $ 0.00 5. Capital Expenditures" 0.000 mills $ 0.00 6. Refunds/AbatementsM 0.000 mills $ 0.00 7. OtherN (specify): _ 0.000 mills $ 0.00 mills $ TOTAL: rSumofGeriinoeperating 60.000 mills $ 14,019 1 L L Subtotal and Lines 3 to 7 1 Contact person: Daytime (print) Alan D. Pogue phone: 303-292-9100 Signed: Title: General Counsel 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)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 valuallon(Line 4 of Form DLG57 on the County Assessor's final 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: Title: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: 2. Purpose of Issue: Title: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: CONTRACTSK: 1. Purpose of Issue: Developer Advances for Capital Improvement Designs Title: Note Payable Date of Issue: November 4, 2015 Principal Amount: $60,000 Maturity Date: No Specific Scheduled Date Levy: 50.000 Revenue: $11,683 2. Purpose of Issue: Title: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: Use multiple copies of this page as necessary to separately report all bond and contractual obligations per 32-1-1603,C.R.S. Form DLG 70(rev 7/08) Page 2 of 4 County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Great Western Metropolitan District No. 1 (taxing entity)A the Board of Directors (governing body)$ of the Great Western Metropolitan District No. 1 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 230 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 $ 230 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 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) LEVY' REVENUE2 1. 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: 0.000 mills $ 0.00 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK 0.000 mills $ 0.00 5. Capital Expenditures" mills $ 6. Refunds/Abatements' mills $ 7. Other'(specify): mills $ mills $ TOTAL Sum of General Operating Q TOTAL. L Subtotal and Lines 3 to 7 _I 0.000 mills .D 0.00 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: 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 of Local Government(DLG),Room 521, 1313 Sherman Street,Denver, 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 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). 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. 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 Commissioners' of Weld County , Colorado. On behalf of the Great Western Metropolitan District No. 2 , (taxing entity)A the Board of Directors (governing body)' of the Great Western Metropolitan District No. 2 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 16,286,940 assessed valuation of: (GROSSD assessed valuation,Line 2 of the Certification of Valuation Form DLG 57F) Note: If the assessor certified a NET assessed valuation (AV)different than the GROSS AV due to a Tax Increment Financing(TIF)Areal'the tax levies must be $ 16,286,940 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 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 1. General Operating Expenses1 0.000 mills $ 0.00 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations'{ 35.000 mills $ 570,042.90 5. Capital Expenditures" mills $ 6. Refunds/Abatementsm mills $ 7. OtherN (specify): mills $ mills $ TOTAL: sot General Operating Subtotal and Lines 3 to 7 1 35.000 mills $ 570,042.90 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: �� Title: District Accountant Include one copy of this tax entity's completed form when filing the local government's budget by Janumy 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)866-2156. t 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). 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: CONTRACTS': 3. Purpose of Contract: To fund the operations and maintenance of Great Western Metropolitan District No. 2's infrastructure improvements. Title: Amended and Restated District Facilities Construction and Service Agreement Date: 8/1/2009 Principal Amount: Maturity Date: Levy: 35.000 Revenue: 570,042.90 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 Commissioners) of Weld County , Colorado. On behalf of the Great Western Metropolitan District No. 3 , (taxing entity)A the Board of Directors (governing body)B of the Great Western Metropolitan District No. 3 (local government) II Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2,379,850 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)Area'the tax levies must be $ 2,379,850 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 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 1. 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: 0.000 mills $ 0.00 3. General Obligation Bonds and Interest' mills $ 4. Contractual ObligationsIz ,25.000 mills $ 59,496.25 5. Capital Expenditures" mills $ 6. Refunds/Abatements'' mills $ 7. OtherN(specify): mills $ mills $ TOTAL: Sum of General Operating 1 25.000 mills 59 496.25 1 L Subtotal and Lines 3 to 7 J Contact person: Daytime (print) Brendan Campbell phone: ( 970 ) 669-3611 Signed: Title: District Accountant Include one copy of this tax entity's completed form when filing the local government's budget by Janumy 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)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 valuation(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 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: To fund the operations and maintenance of Great Western Metropolitan District No. 3's infrastructure improvements. Title: Amended and Restated District Facilities Construction and Service Agreement Date: 8/1/2009 Principal Amount: Maturity Date: Levy: 25.000 Revenue: 59,496.25 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 Commissioners1 of Weld County , Colorado. On behalf of the Great Western Metropolitan District No. 4 (taxing entity)A the Board of Directors (governing body)B of the Great Western Metropolitan District No. 4 (local government) C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 127,670 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)Area'the tax levies must be $ 127,670 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 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 1. General Operating Expenses' 0.000 mills $ 0.00 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0.00 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK 25.000 mills $ 3,191.75 5. Capital ExpendituresL mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL:T111E: SumofGeneralOperating Subtotal and Lines 3 to 7 25.000 mills $ 3,191.75 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: 73 Title: 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 CR.S.,with the Division of Local Government(DLG), Room 521, 1313 Sherman Street,Denver, 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 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). 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: CONTRACTS': 3. Purpose of Contract: To fund the operations and maintenance of Great Western Metropolitan District No. 4's infrastructure improvements. Title: Amended and Restated District Facilities Construction and Service Agreement Date: 8/1/2009 Principal Amount: Maturity Date: Levy: 25.000 Revenue: 3,191.75 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 Commissioners) of Weld County , Colorado. On behalf of the Great Western Metropolitan District No. 5 (taxing entity)A the Board of Directors (governing body)$ it of the Great Western Metropolitan District No. 5 (local government) C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 11,804,560 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)Area''the tax levies must be $ 11,804,560 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 evy 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 1. General Operating Expenses's 5.000 mills $ 59,022.80 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 5.000 mills $ 59,022.80 3. General Obligation Bonds and Interests 30.000 mills $ 354,136.80 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements'' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of General Operating 1 subtotal and Lines 3 to 7 J 35.000 mills $ 413,159.60 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: District Accountant Include one copy of this tax entity's completed form when filing the local government's budget by Januai7)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)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 valuation(Line 4 of Form DLG57 on the County Assessor's final certification of valuation). Form DLG 70(rev 7/08) Page 1 of 5 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: Repay Great Western Metropolitan District No. 5's Series 2009A-1 and 2009A-2 Revenue Bond issue to fund infrastructure improvements. Series: 2009A-1 and 2009A-2 Date of Issue: 8/5/2009 Coupon Rate: 9.00% Maturity Date: 8/1/2039 Levy: 30.000 Revenue: $354,136.80 2. Purpose of Issue: Repay Great Western Metropolitan District No. 5's Series 2010 Limited Tax Supported Revenue Bond issue to fund infrastructure improvements. Series: 2010 Date of Issue: 11/1/2010 Coupon Rate: 9.00% Maturity Date: 11/1/2040 Levy: See Levy as listed above in 1. Revenue: See Revenue as listed above in 1. 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. Form DLG 70(rev 7/08) Page 2 of 5 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: 5. Purpose of Issue: Repay Great Western Metropolitan District No. 5's Series 2012 Revenue Bond issue to fund infrastructure improvements. Series: 2012 Date of Issue: 9/1/2012 Coupon Rate: 9.00% Maturity Date: 8/1/2039 Levy: See Levy as listed above in 1. Revenue: See Revenue as listed above in 1. 6. Purpose of Issue: Series: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: CONTRACTSK: 7. Purpose of Contract: Title: Date: Principal Amount: Maturity Date: Levy: Revenue: 8. 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 324.1603, C.R.S. Form DLG 70(rev 7/08) Page 3 of 5 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 Great Western Metropolitan District No. 6 , (taxing entity)A the Board of Directors (governing body)B of the Great Western Metropolitan District No. 6 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 27,453,860 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)Area''the tax levies must be $ 27,453,860 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 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 1. 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: 0.000 mills $ 0.00 3. General Obligation Bonds and Interest.' 20.000 mills $ 549,077.20 4. Contractual Obligations' mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements'' mills $ 7. OtherN(specify): mills $ mills $ TOTAL: Sum of General Operating 1 L Subtotal and Lines 3 to 7 20.000 mills $ 549,077.20 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: c Title: 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 of Local Government(DLG),Room 521, 1313 Sherman 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 valuation(Line 4 of Form DLG57 on the County Assessor's final certification of valuation). Form DLG 70(rev 7/08) Page 1 of 5 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: Repay Great Western Metropolitan District No. 5's Series 2009A-1 and p P 2009A-2 Revenue Bond issue to fund infrastructure improvements Series: 2009A-1 and 2009A-2 Date of Issue: 8/5/2009 Coupon Rate: 9.00% Maturity Date: 8/1/2039 Levy: 20.000 Revenue: 549,077.20 2. Purpose of Issue: Repay Great Western Metropolitan District No. 5's Series 2010 Limited Tax Supported Revenue Bond issue to fund infrastructure improvements. Series: 2010 Date of Issue: 11/1/2010 Coupon Rate: 9.00% Maturity Date: 11/1/2040 Levy: See Levy as listed above in 1. Revenue: See Revenue as listed above in 1. 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. Form DLG 70(rev 7/08) Page 2 of 5 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': 5. Purpose of Issue: Repay Great Western Metropolitan District No. 5's Series 2012 Revenue Bond issue to fund infrastructure improvements. Series: 2012 Date of Issue: 9/1/2012 Coupon Rate: 9.00% Maturity Date: 8/1/2039 Levy: See Levy as listed above in 1. Revenue: See Revenue as listed above in 1. 6. Purpose of Issue: Series: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: CONTRACTS': 7. Purpose of Contract: Title: Date: Principal Amount: Maturity Date: Levy: Revenue: 8. 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 3 of 5 1446 County Tax Entity Code DOLA LGID/SID 65953 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the JOHNSTOWN FARMS METROPOLITAN DISTRICT (taxing entity the BOARD OF DIRECTORS (governing 1304) 13 of the JOHNSTOWN FARMS METROPOLITAN DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 2,680,720 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 S 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 CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/17 for budget/fiscal year 2018 (not later than Dec, 15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 40.000 mills $ 107,229 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 40.000 mills L$__ 107,229 J 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ S. Capital Expenditures' mills $ 6. Refunds/Abatements"' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: f c°hr of General I ine to Operating 1 40.000 mills $107,229 Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: 6 )0 Title: District Manager ' 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 5 DLG 70(Rev.6/16) County Tax Entity Code DOLA LGID/SID CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld , Colorado. On behalf of the A (taxing entity) the Board of Directors (governing body)" of the Miller Ranch 1918 Metropolitan District (local govemment)C • Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 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 Increment Financing(TIF)Area' the tax levies must be $ calculated using the NET AV. The taxing entity's total ty (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: 12/15/2017 for budget/fiscalyear 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 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 Interests mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements' mills $ 7. Other" (specify): mills $ mills $ TOTAL: r Sum of General Operating 1 I 0 ( I 0 Subtotal and Lines 3 to 7 I HIM $ Contact person: Daytime (print) Edward J. Blieszner phone: ( 303) 830-2500 Signed: _ j0 Title: Attorney 40 Include one copy of this tax - tity's c tpleted form when filing the local government's budget by January 31st,per 29-1-113 C.R.S.,with the ►' 'rr e i r s •- u' I)IC tiro rrr, ►., •S_:l7l S •rr r ► x 1' �e'_ �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. 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 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: 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 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,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. 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 25`h each year and may amend it,one time,prior to December 10t. 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 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.6116) 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). 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. x 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 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. "' 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) 1448 County Tax Entity Code DOLA LGID/SID 65945 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Waterfront at Foster Lake Metropolitan District No. 2 (taxing entity)A the Board of Directors (governing body)B of the Waterfront at Foster Lake Metropolitan District No. 2 (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1,074,220 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 Increment Financing(TIF)Area' the tax levies must be $ 1,074,220 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: 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 Expenses" 25.000 mills $ 26,856 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 25.000 mills $ 26,856 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements"' mills $ 7. Other"(specify): mills $ mills $ TOTAL: r Sum of General Operating 25.000 mills $ 26,856 L L Subtotal and Lines 3 to 7 Contact person: Daytime (print) . 'mmons phone: (303) 689-0833 Signed: Title: District Accountant Include one copy of this 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 Governm t(DLG),Room 521, 1313 Sherman Street, Denver, CO 80203. Questions? Call DLG at(303)866-2156. ' If the taxing entity's boun aries 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). 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: 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. Form DLG 70(rev 7/08) Page 2 of 4 1449 County Tax Entity Code DOLA LGID/SID 65946 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Waterfront at Foster Lake Metropolitan District No. 3 (taxing entity)A the Board of Directors (governing body)$ of the Waterfront at Foster Lake Metropolitan District No. 3 (local govemment)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 64,400 assessed valuation of: (GROSSED 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 $ 64,400 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: 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 Expenses" 25.000 mills $ 1,610 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 25.000 mills r 1,610 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures"- mills $ 6. Refunds/Abatements"' mills $ 7. Other" (specify): mills $ mills $ TOTAL: [Sum of General Operating1 25.000 mills $ 1,610 Subtotal and Lines 3 to 7 Contact person: Daytime (print) 'mmons phone: (303) 689-0833 Signed: Title: District Accountant Include one copy of this t entity's completed form when filing the local government's budget by January 31st,per 29-1-113 CR.S.,with the Division of Local Governme (DLG), Room 521, 1313 Sherman Street,Denver,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 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). Form DLG 70(rev 7/08) 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 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 1450 County Tax Entity Code DOLA LGID/SID 65944 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the Waterfront at Foster Lake Metropolitan District No. 1 (taxing entity)A the Board of Directors (governing body)B of the Waterfront at Foster Lake Metropolitan District No. 1 (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 695,600 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 $ 695,600 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: 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 Expenses" 25.000 mills $ 17,390 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $< > SUBTOTAL FOR GENERAL OPERATING: 25.000 mills $ 17,390 3. General Obligation Bonds and Interest'' mills $ 4. Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements"' mills $ 7. Other" (specify): mills $ mills $ TOTAL: L Sum of General Operating 25.000 mills $ 17,390 L Subtotal and Lines 3 to 7 Contact person: Daytime (print) W ' ons phone: (303)689-0833 Signed: Title: District Accountant Include one copy of this t City'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 Governmen DLG),Room 521, 1313 Sherman Street,Denver,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 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). Form DLO 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: CONTRACTS't: 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 1451 County Tax Entity Code DOLA LGID/SID 66050 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments gi TO: County Commissioners' of Weld County , Colorado. On behalf of the City Center West Residential Metropolitan District (taxing entity)A the Board of Directors (governing body) s of the City Center West Residential Metropolitan District (local government)' Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 7,430 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 $ 7,430 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: 12/15/2017 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" 50.000 mills $ 372 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 372 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOTAL; r Sum ofaGeneral Operating 1 50.000 mills $ 372 Subtotal and Lines 3 to 7 1 Contact person: Daytime (print) Ann Finn phone: ( 303) 987-0835 Signed: C- - Title: 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 pivision of Local Government(DLG).Room 521. 1313 Sherman Street. Denver. CO 80203. Questions? Call DLG at(303)864-7720. t 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) 1452 County Tax Entity Code DOLA LGID/SID 66049 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments ' TO: County Commissioners' of Weld County , Colorado. On behalf of the City Center West Commercial Metropolitan District (taxing entity)` the Board of Directors 0 (governing body) of the City Center West Commercial Metropolitan District (local govemment)c Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 5,189,800 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 Increment Financing(TIF)AreaF the tax levies must be $ 5,189,800 calculated using the NET AV. The taxing entity's total (NETC 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: 12/15/17 for budget/fiscal year 2018 (no later than Dec. IS) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 10.000 mills $ 51,898 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 10.000 mills $ 51,898 3. General Obligation Bonds and Interests 40.000 mills $ 207,592 4. Contractual Obligations" mills $ 5. Capital Expenditures'' mills $ 6. Refunds/Abatements' mills $ 7. OtherN (specify): mills $ mills $ TOrr+�T . Sum of General Operating 50.000 mills $ 259,490 TOTAL:L Subtotal and Lines 3 to 7 Contact person: Daytime (print) Ann Finn phone: ( 303) 987-0835 Signed: Gam- )8 Title: 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 pivision of Local Government(DLG).Room 521. 1313 Sherman Street. Denver. CO 80203. Ouestions? Call DIG 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 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: $3,790,000 Limited Tax General Obligation and Special Revenue Bonds Series: 2014A Date of Issue: December 30, 2014 Coupon Rate: 6.25% Maturity Date: December 1, 2044 Levy: 40.000 Revenue: $ 207,592 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) 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 Great Western Metropolitan District No. 7 (taxing entity)A the Board of Directors (governing body)B of the Great Western Metropolitan District No. 7 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 7,043,600 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)Areal'the tax levies must be $ 7,043,600 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 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) LEVY' REVENUE2 1. 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: 0.000 mills $ 0.00 3. General Obligation Bonds and Interests 11.000 mills $ 77,479.60 4. Contractual Obligations'{ mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatementsm mills $ 7. OtherN(specify): mills $ mills $ TOTAL: Sum of General Operating 11.000 mills $ 77 479.60 L Subtotal and Lines 3 to 7 Contact person: Daytime (print) Brendan Campbell phone: (970) 669-3611 Signed: Title: 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 of Local Government(DLG),Room 521, 1313 Sherman Street,Denver, 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 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). Form DLG 70(rev 7/08) Page 1 of 5 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: Repay Great Western Metropolitan District No. 5's Series 2009A-1 and 2009A-2 Revenue Bond issue to fund infrastructure improvements Series: 2009A-1 and 2009A-2 Date of Issue: 8/5/2009 Coupon Rate: 9.00% Maturity Date: 8/1/2039 Levy: 11.000 Revenue: 77,479.60 2. Purpose of Issue: Repay Great Western Metropolitan District No. 5's Series 2010 Limited Tax Supported Revenue Bond issue to fund infrastructure improvements. Series: 2010 Date of Issue: 11/1/2010 Coupon Rate: 9.00% Maturity Date: 11/1/2040 Levy: See Levy as listed above in 1. Revenue: See Revenue as listed above in 1. 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. Form DLG 70(rev 7/08) Page 2 of 5 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': 5. Purpose of Issue: Repay Great Western Metropolitan District No. 5's Series 2012 Revenue Bond issue to fund infrastructure improvements. Series: 2012 Date of Issue: 9/1/2012 Coupon Rate: 9.00% Maturity Date: 8/1/2039 Levy: See Levy as listed above in 1. Revenue: See Revenue as listed above in 1. 6. Purpose of Issue: Series: Date of Issue: Coupon Rate: Maturity Date: Levy: Revenue: CONTRACTS': 7. Purpose of Contract: Title: Date: Principal Amount: Maturity Date: Levy: Revenue: 8. 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 3 of 5 County Tax Entity Code DOLA LGID/SID EF66046D4H CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the Sunset Parks Metropolitan District (taxing entity)^ the Board of Directors (governing body)° of the Sunset Parks Metropolitan District (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 287,330 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 Increment Financing(TIF)AreaF the tax levies must be $ 287,330 calculated using the NET AV. The taxing entity's total --N—ET°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 I FINAL CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mmlyyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 1. General Operating Expenses" 50.000 mills $ 14,367 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $ 14,367 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital Expenditures'- mills $ 6. Refunds/Abatements" mills $ 7. Other" (specify): mills $ mills $ TOTAL • Sum of General Operating TOTAL: �SubtotalandLines 3to7 50.000 mills $14,367 Contact person: Daytime (print) Marisa Davis phone: (303) 285-5320 Signed: Title: Paralegal Include one copy of this ax completed form when filing the local government's budget by January 31'r,per 29-1-113 C.R.S.. with the Division of Local Government(DLG),Room 521, 1313 Sherman Street, Denver. Colorado 80203. Questions?Call DLG at(303)864-7720. 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. 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). Form DLG 70(rev 6/16) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1455 County Tax Entity Code DOLA LGID/SID 66015/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the COLLIERS HILL METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Colliers Hill Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 13343410 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)Areal'the tax levies must be $ 1355379.32 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) LEVY REVENUE 1. General Operating Expenses' 5.814 mills $ 7,880 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 5.814 mills $ 7,880 3. General Obligation Bonds and Interests 49.461 mills $ 67,038 4. Contractual Obligations" mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 74,918 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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: Limited Tax General Obligation Loan Series: 2016A Date of Issue: 03/14/2016 Coupon Rate: Variable Maturity Date: 12/01/2046 Levy: 49.461 Revenue: 67,038 2. Purpose of Issue: Limited Tax General Obligation Loan Series: 2016B Date of Issue: 02/03/2017 Coupon Rate: Variable Maturity Date: 12/01/2046 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1456 County Tax Entity Code DOLA LGID/SID 66016/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the COLLIERS HILL METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Colliers Hill Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 404860 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 404860 Increment Financing(TIF)Areal'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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 22,379 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 22,379 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 22,379 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) phone: ( ) Signed: c77h SimmonsGJim'oiir Title: 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver. CO 8Q,2Q3_Q1ieligits? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1457 County Tax Entity Code DOLA LGID/SID 66017/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the COLLIERS HILL METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Colliers Hill Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 256950 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 256950 Increment Financing(TIF)Areal'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: for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating Expenses' 55.275 mills $ 14,203 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 14,203 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 14,203 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) John W.Simmons phone: ( ) 3036890833 c7?he W Sneilagf District Accountant Signed: John W Simmons(Dec 14,2017) Title: 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 l?lvi�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp,Street.Denver, CO 8Q,2Q3_Q1ieligis? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) County Tax Entity Code DOLA LGID/SID EF66029LJF CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the High Plains Metropolitan District No. 1 (taxing entity)A the Board of Directors (governing body)° of the High Plains Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 513,350 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 Increment Financing(TIF)Area the tax levies must be $ 513,350 calculated using the NET AV. The taxing entity's total (NET°assessed valuation,Line 4 of the Certification of Valuation Form DIG 57) property tax revenue will be derived from the mill levy USE VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED DV ASSESSOR NO LATER TITAN DECEMBER ID. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mrn/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 1. General Operating Expenses" 0.000 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' C > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements' mills $ 7. Other' (specify): mills $ mills $ TOTAL: [SS nu oa and Lin eperating 0.000 mills $0 Subtotal and Lines 3 to 7 J Contact person: Daytime (print) arisa Davis phone: (303) 285-5320 Signed: Title: Paralegal Include one copy of this tax en ity's amp eted form when filing the local government's budget by January 31",per 29-1-113 C.R.S.,with the Division of Local Government(DLG),Room 521, 1313 Sherman Street,Denver, Colorado 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 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). Form DLG 70(rev 6/16) County Tax Entity Code DOLA LGID/SID EF66030AU2 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the High Plains Metropolitan District No. 2 (taxing entity)' the Board of Directors (governing body)a of the High Plains Metropolitan District No. 2 (local govemment)e Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 513,350 assessed valuation of: (GROSS°assessed valuation,Line 2 of the Certification of Valuation Form DLG 57k) 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 $ 513,350 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER ICI. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (ddlmnv'yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE 1. General Operating Expenses" 0.000 mills $ 0 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' E > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 0.000 mills $ 0 3. General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements"' mills $ 7. OtherN (specify): mills $ mills $ TOTAL: Sum of Ge Operating Subtotal and Linesneral 3 to 7 0.000 mills $0 Contact person: Daytime (print) Alarisa Dais phone: (303) 285-5320 Signed: 7 . ( Title: Paralegal Include one copy of this tax entity's completed form when filing the local government's budget by January 31',per 29-1-113 C.R.S.,with the Division of Local Government(DLG), Room 521, 1313 Sherman Street,Denver, Colorado 80203. Questions?Call DLG al(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 DLO57 on the County Assessor's FINAL certification of valuation). Form DLG 70(rev 6/16) County Tax Entity Code DOLA LGID/SID EF6603ICLS CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the High Plains Metropolitan District No. 3 (taxing entity)A the Board of Directors (governing body)B of the High Plains Metropolitan District No. 3 (local government)/ Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 513,350 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 Increment Financing(TIE)AreaF the tax levies must be $ 513,350 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 10. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec, 15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 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' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital Expenditures' mills $ 6. Refunds/Abatements" mills $ 7. Other' (specify): mills $ mills $ TOTAL; r Sum of General Operating L Subtotal and Lines 3 to 7 1 0.000 m1d1S SO Contact person: Daytime (print) arisa i,. phone: (303)285-5320 Signed: Title: Paralegal Include one copy of t Iis tax entity's p e ed form when filing the local government's budget by January 31',per 29-1-113 C.R.S, with the Division of Local Government(DLG),Room 521, 1313 Sherman Street, Denver, Colorado 80203. Questions?Call DLG at(303)864-7720. S 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). Form DLG 70(rev 6/16) County Tax Entity Code DOLA LGID/SID EF66032VFS CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of County of Weld , Colorado. On behalf of the High Plains Metropolitan District No. 4 (taxing entity)" the Board of Directors (governing body)° of the High Plains Metropolitan District No. 4 (local govemment)c Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 513,350 assessed valuation of: (GROSS°assessed valuation,Line 2 of the Certification of Valuation Form DLG 575) Note: If the assessor certified a NET assessed valuation (AV)different than the GROSS AV due to a Tax Increment Financing(TIF)Areal'the tax levies must be $ 513,350 calculated using the NET AV. The taxing entity's total (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 CERTIFICATION OF VALUATION PROVIDED BY ASSESSOR NO LATER THAN DECEMBER 16. multiplied against the NET assessed valuation of: Submitted: 12/12/2017 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mm/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 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' 0 mills $ 0 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/Abatements" mills $ 7. Other'. (specify): mills $ mills $ TOTAL: r Sum of General Operating L Subtotal and Lines 3 to 7 J 0.000 mills $0 Contact person: Daytime (print) Marisa D' ' phone: (303) 285-5320 Signed: /741 Title: Paralegal Include one copy of this tax entity's completed form when filing the local government's budget by January 31',per 29-1-113 C.R.S., with the Division of Local Government(DLG). Room 521, 1313 Sherman Street, Denver, Colorado 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 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). Form DLG 70(rev 6/16) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1462 County Tax Entity Code DOLA LGID/SID 66040/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SILVERSTONE METRO DISTRICT #1 A (taxing entity) the Board of Directors (governing body)B of the SilverStone Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 47,680 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 47 680 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 2,636 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 2,636 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: 1 Sum of General Operating 1 Subtotal and Lines 3 to 7 I 55.275 mills , 2,636 Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpelica s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1463 County Tax Entity Code DOLA LGID/SID 66041/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SILVERSTONE METRO DISTRICT #2 A (taxing entity) the Board of Directors (governing body)B of the SilverStone Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1,035,990 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 1 035 990 Increment Financing(TIF)Areal'the tax levies must be $ 1,035,990 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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 57,264 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 57,264 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 57,264 Subtotal and Lines 3 to 7 mills , Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1464 County Tax Entity Code DOLA LGID/SID 66042/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the SILVERSTONE METRO DISTRICT #3 A (taxing entity) the Board of Directors (governing body)B of the SilverStone Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 223,180 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 223 180 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 12,336 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 12,336 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 12,336 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpelica s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) CERTIFICATION OF TAX LEVIES I CLE F "ti S METROPOLITAN DISTRICT TO: County Commissioners"of Weld ,Colorado, On behalf of the Hinkle Farms Metropolitan District (taxing enlity)A the Board of Directors (governing body)$ of the Hinkle Farms Metropolitan District (local govemmcnt)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 178,340 assessed valuation of: (GROSSD assessed valuation,Lute 2 of the Certification of Valuation Form DLO 57E) Note: Tithe assessor certified a NET assessed valuation (AV)different than the GROSS AV due to a Tax Increment Financing(lit')Areal'the tax levies must be $ 178,340 calculated using the NET AV. The taxing entity's total (Nl t G assessed valuation,Line 4 of the Certification of Valuation Fomi DLO 57) property tax revenue will be derived from the mill levy multiplied against the NET assessed valuation on Submitted: 12/07/2017 • for budget/fiscal year 2018 (not later than Dec.15) (mnttddtyyyy) (yy»') PURPOSE(see end notes for definitions and examples) LEVY' REVENUE' 1. General Operating Expenses° 50.000 mills $8,917 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ SUBTOTAL FOR GENERAL OPERATING: 50.000 mills $8,917 3. General Obligation Bonds and Interest' mills $ 4. Contractual Obligations'Contractual ObligationsK mills $ 5. Capital Expenditures" mills $ 6. Refunds/Abatements' •mills $ 7. Others(specify): mills $ mills $ TOTAL: Sutn of Genemi O13i-tine" 50 000 m l s $ 917 Subtotal and i , Contact person: Daytime (print) Da 'd A. Teller phone: (303)986-1551 Signed: Title: Chairman. Printed Name: Wallace H. Grant 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 FormDLG57 on the County Assessor's final certification of valuation), Dee Kayl From: Jenkins, Cindy <Cindy.Jenkins@claconnect.com> Sent: Friday, December 15, 2017 4:31 PM To: Dee Kayl Cc: Denslow, Denise; Suazo, Kathy; Liesmaki, Megan; Hunsche, Sarah Subject: RE: [External] Mesa Ridge Metro District Mill Levy Certification Not Received Mesa Ridge Metropolitan District is currently inactive and will not be filing a mill levy. I I Cindy Jenkins,District Administrator Outsourcing,CliftonLarsonAllen LLP Direct 303-265-7921 cindy.jenkins@CLAconnect.com Main 303-779-5710 x77921,Fax 303-779-0348 8390 E Crescent Parkway,Suite 500,Greenwood Village,CO 80111 CLAconnect.com x❑ Investment advisory services are offered through CliftonLarsonAllen Wealth Advisors,LLC,an SEC-registered investment advisor. From: Dee Kayl [mailto:dkayl@weldgov.com] Sent: Friday, December 15, 2017 11:33 AM To: Denslow, Denise <Denise.Denslow@claconnect.com> Subject: [External] Mesa Ridge Metro District Mill Levy Certification Not Received Importance: High Good Morning! Good Morning! We are not showing that we have received the mill levy certification for the above-mentioned district. The mill levy certification is due today. Do you know when this will be submitted? Thank you! Dee Kstu Assessvwevut aoordi,vtator PI-I-ON> 970)400-3666 FAX. 070)304-6433 DKa�(,@we[A ov.covu. 1 Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. The information (including any attachments) contained in this document is confidential and is for the use only of the intended recipient. If you are not the intended recipient,you should delete this message. Any distribution, disclosure, or copying of this message,or the taking of any action based on its contents is strictly prohibited. CliftonLarsonAllen LLP 2 - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1467 County Tax Entity Code DOLA LGID/SID 66093/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the MORGAN HILL METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Morgan Hill Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 117,300 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 117 300 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 6,484 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 6,484 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL: 1 Sum of General Operating 1 Subtotal and Lines 3 to 7 I 55.275 mills N 6,484 Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg ,tent(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1468 County Tax Entity Code DOLA LGID/SID 66094/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the MORGAN HILL METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Morgan Hill Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 1,348,370 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 1348 370 Increment Financing(TIF)Areal'the tax levies must be $ 1,348,370 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) LEVY REVENUE 1. General Operating ExpensesH 55.275 mills $ 74,531 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 74,531 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 74,531 Subtotal and Lines 3 to 7 mills , Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..RQQzn 521.1313 SlicruwStreet.Denver. CO 8Q,2Q3_Qie tjo s? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1469 County Tax Entity Code DOLA LGID/SID 66095/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the MORGAN HILL METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Morgan Hill Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 231,490 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 231,490 Increment Financing(TIF)Areal'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) LEVY REVENUE 1. General Operating Expenses' 55.275 mills $ 12,796 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 55.275 mills $ 12,796 3. General Obligation Bonds and Interests mills $ 4. Contractual ObligationsK mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 55.275 12,796 Subtotal and Lines 3 to 7 mills $ Contact person: Daytime (print) Jessica Brothers phone: ( ) (303) 442-2299 c7effr a N-othetf District Controller Signed: Jessica Brothers(Dec 13,2017) Title: 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 l?lvl�i�n of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qpeligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) 1470 County Tax Entity Code DOLA LGI0/SID 66112 / CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the STONEBRAKER METROPOLITAN DISTRICT A (taxing entity) the BOARD OF DIRECTORS (governing body) >3 of the STONEBRAKER METROPOLITAN DISTRICT (local government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 418,940 assessed valuation of: (GROSS't 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)Areal the tax levies must be $ calculated using the NET AV. The taxing entity's totalG y� (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 CERTIFICATIN OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/02/17 for budget/fiscal year 2018 (not later than Dec. 15) (dd/mmlyyyy) (vyyy) PURPOSE(see end notes for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 45.000 mills $ 18,852 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < > mills $ < > SUBTOTAL FOR GENERAL OPERATING: 45.000 mills $ 18,852 3. General Obligation Bonds and Interests mills $ 4. Contractual Obligations'` mills $ 5. Capital Expenditures'' mills $ 6. Refi.Inds/Abatements' mills $ 7. Other' (specify): mills $ mills $ TOTAL:1 AL: �sc hrtaGnrl TanOpganing 1 45.000 mills S18.852 Contact person: Daytime (print) Sue Blair, CRS of Colorado, LLC phone: 303-381-4977 Signed: Ci'"k€ .v Title: District Manager Include one copy of this tax entity's completed form when filing the local government's budget by January 31st,per 29-1-113 CRS., with the Division of Local Government IDLG).Room 521. 1313 Sherman Street. Denver CO 80203. Questione7 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) ** INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY s"` TIME RECEIVED REMOTE CSID DURATION PAGES STATUS December 15, 2017 at 10:34:07 AM MST 169 8 Received 12/15/2017 FRI 10: 20 FAX IdJ001/008 Mead Place Metropolitan District No 1 10450 E 159th Court Brighton, CO 80602 Tel; (303) 637-0344 Fax: (303) 637-0423 December 15 2017 Weld County Assessor's Office 1400 N 17th Avenue Greeley, CO. 80631 Via Facsimile (970) 304-6433 Board of County Commissioners; Enclosed is the Mill Levy Certification for Mead Place Metropolitan District No 1 Sincerely, Mead Place Metropolitan District No 1 Managed by Equinox Land Group c)thrycv,A6 fah ` Jimmy L. Oge' Chicf Financial Officer 12/15/2017 FRI 10: 21 FAX 002/008 County'lax Entity Code DOLA LGID/SI1) CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld county , Colorado. On behalf of the , (taxing entity) • the Board of Directors (governing body)D of the Mead Place Metropolitan District#1 (local governmenl)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 10 assessed valuation of; (OROSSS 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(TIE)Arealr the tax levies must be $ 10 calculated using the NET AV. The taxing entity's total (NET assessed valuation,Line 4 of the Certification of Valuation Form t)LO 57) property tax revenue will be derived from the mill levy USE VALUE PROM FINAL CERTIFICATION OF VALUATION PROVIDED multiplied against the NET assessed valuation of. • BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted: 12/15/2017 for budget/fiscal year 2019 (no later than Dee. 15) (mm/dd/yyyy) (yyYY) PURPOSE(see and notes for definitions and examples) LEVY REVENUE2 - 1. General Operating Expenses" 0 mills $ 0 2. <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' C 0 > mills $< 0 > SUBTOTAL FOR GENERAL OPERATING: 0 mills ,S 0 3. General Obligation Bonds and interest' 0 mills $ 0 4, Contractual Obligations' 0 mills $ 0 5, Capital Expenditures'' 0 mills $ 0 6. Refunds/Abatements'" 0 mills $ 0 7. Other"(specify): .._.. _ 0 mills $ 0 mills $ $unr of General Operating 0 0 TOTAL: s,lblotalaud_Lincs 3 to 7 mills . j Contact person: Daytime 637-0344 (print) Jimmy Oge' phone: ( 303) Signed: Title: Chief Financial Officer Include one copy of this tax en ty'.s comp form wh filing the local government's budget by January 31st,per 29-1-113 C,R.S,with the 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, 3 Levies must be rounded to three decimal places and revenue must be calculated from the total LL�'7'assessed valuation(Line 4 of Form DI„G57 on the County Assessor's FINAL certification of valuation), Pagel of4 DLG 70(Rev 6/16) 12/15/2017 FRI 10: 21 FAX 1 003/005 CERTIFICATION OF TAX LEVIES,continued THIS SECTION APPLIES TO TITLE 32ARTICLE 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. Pap 2 of 4 PI.G 70(Rai)5/16) 12/15/2017 FRI 10: 21 FAX t 004/005 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, " 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 l 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 properly 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. °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. a 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 1e. 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 LIRA 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 TIP revenue generated by any tax entity levies overlapping the DDA's TIF Area, including the DDA's own operating levy. pep 3O4 DLO70(Rev 6/16) 12/15/2017 FRI 10: 22 FAX U005/005 "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), r 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-I-302(2)(b), C.R.S. "General Obligation Bonds and Interest(1)LG 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 subdisfricts must complete Page 2 of the DLO 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 if they are approved by counties and municipalities through public hearinga pursuant to 29-1- 301(1.2) C.R.S. and for special districts thro gh aoroval from the Division of Logialovernment 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 DLO 57 Line 11. 1. Please Note: Pursuant to Article X, Section 3 of the Colorado Constitution, if the taxing entt( is in more than one county aswilltll levies,the abatementlevv must be uniform throughout the entity's boundarie,q and cerf&d.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 gown 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 401'4 of 4 DLO 70(Rev.6/16) 12/15/2017 FRI 10: 22 FAX lZ006/00S CERTIFICATION OF VALUATION BY WELD COUNTY ASSESSOR Name of Jurisdiction: 1471 - MEAD PLACE METRO#'I IN WELD COUNTY ON 11/27/2017 Now Entity:No USE FOR STATUTORY PROPERTY TAX REVENUE LIMIT CALCULATIONS (5 5% LIMIT) ONLY IN ACCORDANCE WITH 39.5-12I(2)(a)AND 39-5-128(I),C.R.S.AND NO LATER THAN AUGUST 25,TITS ASSESSOR CERTIFIES THE TOTAL VALUATION FOR ASSESSMENT FOR'DIE TAXABLE YEAR 2017 IN WELD COUNTY.COLORADO 1, PREVIOUS YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: 112 2. CURRENT YEAR'S GROSS TOTALTAXABLE ASSESSED VALUATION; r 210 3. LESS TIF DISTRICT INCREMENT, IF ANY: 4. CURRENT YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION; $10 5. NEW CONSTRUCTION; .« 161 A. INCREASED PRODUCTION OF PRODUCING MINES: # $Q 7. ANNEXATIONS/INCLUSIONS; �Q 8, PREVIOUSLY EXEMPT FEDERAL PROPERTY: # $Q� '9, NEW PRIMARY OIL OR GAS PRODUCTION FROM ANY PRODUCING OIL AND GAS LEASEHOLD fr# $� OR LAND (20-1-301(1)(b)C.R.S,): 10.TAXES COLLECTED LAST YEAR ON OMITTED PROPERTY AS OF AUG. 1 (20-1.301(1))(a)C.R.S,): $D,Q0 11 TAXES ABATED AND REFUNDED AS OF AUG. 1 (29-1-301(1)(a)C.R.S,)and (39-10-114(1)(a)(I)03)C.R.S.): ( _ $O.OQ • This value reflects personal property exemptions IF enacted by the Jurisdiction a aulharized by Art,X,Sec,20(B)(b),Colo, "New oonatructIon le defined ea:Taxable real property atructurea end the peraonal property connected with the structure. #Jurisdiction must submit respective certifications(Forma DLG 52 AND 52A)to the Division of Local Government In order for the values to be treated ti9 growth in the limit calculation. ##Jurledlatlon muei apply(Forme DLO S2B)to the Division of Local Government before the value can be treated as growth In the limit calculation, USE FOR 'TABOR' LOCAL GROWTH CALCULATIONS ONLY IN ACCORDANCE WITH THE PROVISION OF ARTICLE X,SECTION 20,COLO CONST,AND 39-5•I21(2)(b),C,R.S.THE ASSESSOR CERTIFIES THE TOTAL ACTUAL VALUATION h'OA'I'I-IR TAXABLE YN.AI1 2017 IN WNLL)COUNTY,COLOJA.OOON AUGUST 25,2017 1. CURRENT YEAR'S TOTAL ACTUAL VALUE OF ALL REAL PROPERTY; $11 ADDITIONS TO TAXABLE REAL PROPERTY' p. CONSTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS: I I �Q ANNEXATIONS/INCLUSIONS' 4. INCREASED MINING PRODUCTION: °A $� 5. PREVIOUSLY EXEMPT PROPERTY: 101 8. OIL OR GAS PRODUCTION FROM A NEW WELL $¢ 7, TAXABLE REAL PROPERTY OMITTED FROM THE PREVIOUS YEAR'S TAX WARRANT; I �0 (If land errdlor a prruerure In picked up ae omitted properly for multiple years,only the most current yearn actual value can he reported es omitted property.) DELETIONS FROM TAXABLE REAL PROPERTY: 8. DESTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS: �Q 9. DISCONNECTIONS/EXCLUSION; f Q 10. PREVIOUSLY TAXABLE PROPERTY; �Q t Thle Includes the actual value of all taxable reel property plus the actual value of religious,private schools,and charitable real property. I Construction Is defined ea newly constructed taxable real property structures. %Includes production from new mines and increases in production of existing producing mines. IN ACCORDANCE WITH 39-5-128(1),C,R,S,AND NO LATER THAN AUGUST 25,THE ASSESSOR CERTIFIES TO SCHOOL DISTRICTS; 1.TOTAL ACTUAL VALUE OF ALL TAXABLE PROPERTY; NOTE: All ItrvIOB musLbl<.Ce.filflad ta.to OoaLd of C4≥tnkv Cpmmlealanere NO L,ERTHAN pEcrforwR 15.2017 Date Date; 11/27/2017 l 12/15/2017 FRI 1 01 22 FAX 1007/005 Mood Pleas Metropolitan DIStrtet NO.1 Aetual Adopted Actual Estimated Approved giil Budge! To Oat. 2017 Budget 3412 0M0/2017 Mai MI 11/17/9019 12111/'2017 Beginning fund Nimes $ (60,890} t 0 ,�. .......,. . _ __.__101, „�,...�..�-^�(;1,068) ...,.,�,........Magi Revenues; Tran.ter from MPMD N2 27,416 9,081 0 9,061 2,898 Developer Advarloo 35,078 Iniereel/other income 72 Total revenues i .,,„, 27 418 _... 0,081 . .._.,_...7 .. .. -.44,1972,Bf19, 'NMI kinds available i (39 074 ... ... COIL ,AA0,m, ,,„•-----,a RE, ,.... _.m.2 805 Expenditure.: Insuranee 8 Bonds 600 600 600 800 800 Legal 8,891 6,500 1,869 2,490 2,200 Legal Publications Adminl*trellve'mete 0 Transits to MPMD e2 Total expenditures Ending land bCI6nee $ ...VAR- -„ .,'PI,. . ..,... �491402) .,M.........,.......:, ..(0?. .,,,..—....,,.,---_,9Q.. ASSESSED VALUATION 10 10 MILL LEVY 0 O 12/15/2017 FRI 10: 23 FAX 1008/008 Mead Place Metropolitan Di strict No.1 . A ved 2010 BudIRI• kV�i '' �t"��' �d" �'_ � .; ,;� ^ hl''?'��i7�°r�tl'�rK ��! �I�.'�}I.�1��11�',!�r, v Aotuel Adopted Actual BetImeted Approved ink Budget To De1• 2017 Budget £21Z 9/20/2017 @algal i 2018 12/11/2017 Beginning fund balance $ 0 0 0 0 --w•- Revenues: Developer advances Interest Income Other income Transfer In .w-.,.�. ...,.�..,..,.. ,,,. ... . . ,. . .�,...._.. 0 0Total revenue. $_. ... , 0�...., _- .,,., _..... .,. � ..._ 0 0 Total funds available $ 0 0 0 0 0 Expenditure.: Traveler Out Interest Expense I Hank Fees Capital Improvements Expenditure _ _.,...._._...,.....,...... ...-.... ..__ .. ...� . Total oxpendlluree 0 0 .-.._0 �... .,, 0 ...., 0 Ending fund balance $ 4 • 0 Q ..r,. awd, Mead Place M•tropolltan District No.1 A roved 20gy10 Bud at , i..rri uw!>fu4k ^v r @% 0 Actual Adopted Acluat Eetlmated Approved Ma Budget To Date 2017 Budget • EU 9/3012017 Raul all 12/11/2017 Beginning fund balance 0 0 0 0 Revenues: Aealdenllol Dovolopment Fees Properly Taxes 9peclllc Ownership Tex Intoreel Income Letter of Credit Prooeeda Transfer.In ....,..,... .,..� ,...,___ _, ..,.. .� . ......�... „,,. . . .... Total revenue• $..,--.. .. .,. 0 ..., .. .. �.,.....o.. 0 ... .. ... o. �. �.. 0 Total funds available $ 0 �... .,---0 ... ..�- 0 --..�.,0 0.. , Eipendlturee: Treneforto Operating Fund Credit Enhancement Fete Note Interest Trustee Adminlalralion Fee Total expenditure. '. ..,, ...�.... ...0 „, ...____�, .,....,» ...... .......G .—._...----..,—�• .�,.»..,....,,,,,..n.—G Ending lurid balance $ . ..,. 0„ . ,,. ,,,H. * -wr mn .i.u:_•0 • l Y'R INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY s"` TIME RECEIVED REMOTE CSID DURATION PAGES STATUS December 15, 2017 at 10:37:17 AM MST 169 8 Received 12/15/2017 FRI 10: 24 FAX IdJ001/008 Mead Place Metropolitan District No 2 10450 E 159`h Court Brighton, CO 80602 Tel: (303) 637-0344 Fax: (303) 637-0423 December 15 2017 Weld County Assessor's Office 1400 N 17th Avenue Greeley, CO. 80631 Via Facsimile(970) 304-6433 Board of County Commissioners: Enclosed is the Mill Levy Certification for Mead Place Metropolitan District No 2 Sincerely, Mead Place Metropolitan District No 2 Managed by Equinox Land Group aso VireJimmy L. O e' Y � Chief Financial Officer 12/15/2017 FRI 10: 24 FAX l2,002/00S County Tax Entity Code DOI.A T.GID/S1D CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of Weld County , Colorado. On behalf of the , (taxing eutity)A the Board of Directors (governing body)H of the Mead Place Metropolitan District#2 (tonal government)C Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ $144,340 assessed valuation of: (GROSSn assessed valuation,Line 2 of the Certification of Valuation Porm L)LC 575 Note: If the assessor certified a NET assessed valuation (AV)different than the GROSS AV duo to a Tax increment Financing(TIF)Area'the tax levies must be $143,932 calculated using the NET AV. The taxing entity's total (NE1 mimed valuation,Line 4 or the Certification of Valuation Form DLC 57) property tax revenue will be derived from the mill levy U,F VALUE FROM FINAL CERTIFICATION OF VALUATION PROVIDED multiplied against the NET assessed valuation of: BY ASSESSOR NO LATER THAN DECEMBER 10 Submitted; 12/15/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/ddtyyyy) (yyyy) PURPOSE(see end nnrea for definitions and examples) LEVY2 REVENUE2 1. General Operating Expenses" 20 mills $ 2,888 2, <Minus>Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reduction' < 0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 20 mills $ 2,888 3, General Obligation Bonds and Interest' 0 mills $ 0 4. Contractual Obligations" 0 mills $ 0 5. Capital ExpendituresL 0 mills $ 0 6. Refunds/Abatements"' 0 mills $ 0 7. Other^'(specify): _- 0 mills $ 0 mills $ TOTAL: r Sum oC(3enoral Operating 20 mills $ 2,888 Subtotal mod Lutes 3 to 7 Contact person: Daytime (print) Jim Oge' .. phone: j303) 637.0344 Signed: Title: Chief Financial Officer Include one copy of this tax ntity's�dform wh nflling the local governments budget by January 31st,per 29-1-113 C.R.S.,with the n:,per.n�t oc,l Gove�nmen t/11I,f;I. Rnnm S2/_ J I .Cr,armnn Suffer. QgnUr r_ C O X020a. Urracrinrt.e7 r:ntt lal.[7❑r(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 validation(Line 4 of Form DLG57 on the County Assessor's FINAL certification of valuation). Page I of 4 DLG 70(Rcv.6/16) 12/15/2017 FRI 10: 24 FAX U003/005 CERTIFICATION OF TAX LEVIES, continued TIyS 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 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 II DLG 70(Rev.6/16) 12/15/2017 FRI 10: 24 FAX UQ004/008 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 II 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". °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. °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 25ui each year and may amend it,one time,prior to December 101h, 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 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. 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 TIP'area and/or have a URA TIE 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, Page 3 del DLG 70(Rev,6/16) 12/15/2017 FRI 10: 25 FAX l 005/005 "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 Miil Levy Rate Reduction of 39-1-1 l 1.5, 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. I 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 he 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. "Contractual Obligation (DLG 70 Page 1 Line 4)—lf 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 arc 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 thigh apvrova.l 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. "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, 29-7102, 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. Pugs 4 of 4 DLG 70(Rev 6/1b) 12/15/2017 FRI 10! 25 FAX IZ006/00S CERTIFICATION OF VALUATION BY WELD COUNTY ASSESSOR Name of Jurisdiction: 1472- MEAD PLACE METRO#2 IN WELD COUNTY ON 11/27/2017 Now Entity:No USE FOR STATUTORY PROPERTY TAX REVENUE LIMIT CALCULATIONS (5.5% LIMIT) ONLY IN ACCORDANCE WITH 39-5-121(2)(a)AND 39-5-128(I),C.R.S.AND NO T.,ATER TITAN AUGUST 25,THE ASSESSOR CERTIFIES TIME TOTAL VALUATION FOR ASSESSMENT FOR'ME'CAXABLE YEA1+,2017 IN WEI a)COUN t Y,COI.ORAI)U 1- PREVIOUS YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: $450.379 2. CURRENT YEAR'S GROSS TOTALTAXABLE ASSESSED VALUATION: • $144,34Q 3. LESS TIF DISTRICT INCREMENT, IL ANY: ,'4, 4. CURRENT YEAR'S NET TOTAL TAXABLE ASSESSED VALUATION: $143.932 6, NEW CONSTRUCTION: .. F1 6. INCREASED PRODUCTION OF PRODUCING MINES: a 10 7. ANNEXATIONS/INCLUSIONS: 8. PREVIOUSLY EXEMPT FEDERAL PROPERTY: f fL0 9. NEW PRIMARY OIL OR GAS PRODUCTION FROM ANY PRODUCING OIL AND GAS LEASEHOLD att OR LAND (2fl-1-301(1)(b)C.R.S.): 10. TAXES COLLECTED LAST YEAR ON OMITTED PROPERTY AS OF AUG. 1 (29-1-301(1))(6)C.R.S.); $23,92 11 TAXES ABATED AND REFUNDED AS OF AUG. 1 (29-1-301(1)(a)C.R.S.)and (39.10-114(1)(a)(I)(B)C,R.S.); $20,81, • This value reflecte pereonal property exemptlona IF enacted by the lurIedlcllon as authorized by Art.X,Sec.20(6)(b),Ccle, "New conatrucllon le defined au:Taxable real property etructuree end the personal property connected with the structure. #Jurladlctlon must submit respective certlflcetlone(Forme DLG 52 AND 52A)to the Division of Local Government in order for the velum to be treated ex groWlh In the Ilrnll calculation. ##Jurisdiction must apply(Forma DLG 62B)to the Division of Local Government before the value can be treated ea growth in the limit calculation, USE FOR'TABOR' LOCAL GROWTH CALCULATIONS ONLY [N ACCORDANCE WITH THE PROVISION OF ARTICLE X,SECTION 20,COLO CONST,AND 39-5-1Z 1(2)(b),C,R,S,THE ASSESSOR CERTIFIES THE TOTAL ACTUAL VALUATION FOR TI-IE TAXABLE YEAR 2017 IN WELL)COUNTY,COLORADO ON AUGUST 25,2017 1. CURRENT YEAR'S TOTAL ACTUAL VALUE OF ALL REAL PROPERTY: tst I $@4,3341 ADDITIONS TO TAXABLE REAL PROPERTY: 2. CONSTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS: I • 3, ANNEXATIONS/INCLUSIONS; 4. INCREASED MINING PRODUCTION: rA b. PREVIOUSLY EXEMPT PROPERTY: - 1Q 6. OIL OR GAS PRODUCTION FROM A NEW WELL: 7. TAXABLE REAL PROPERTY OMITTED FROM THE PREVIOUS YEAR'S TAX WARRANT: of lend and/or a elructure le picked up as omlhed properly for multiple yeara,only the moat current years actual value can be reported as omitted properly.) DELETIONS FROM TAXABLE REAL PROPERTY: S. DESTRUCTION OF TAXABLE REAL PROPERTY IMPROVEMENTS: 10] 9. DISCONNECTIONS/EXCLUSION: 10 10. PREVIOUSLY TAXABLE PROPERTY: AlThis Includes the actual value of all taxable reel property plus the actual value of religious,private schools.and charitable real property, I Construction is defined He newly conatructed taXAblo teal property structures. %Includes production from new mince and Increases In production o1 existing producing mines. IN ACCORDANCE WITH 39-5-128(1),C.R.S,AND NO I.ATER THAN AUGUST 25,THE ASSESSOR CERTIFIES TO SCHOOL DISTRICTS; 1.TOTAL ACTUAL VALUE OF ALL TAXABLE PROPERTY: NOTE; All levle5 ml.lat be certified to the 134ard of County Commle¢Ioneje NO I-ATFR THAN DECEMBER 15,2017 Dela Date: 111/27/2017 12/15/2017 FRI 10: 26 FAX 1007/008 • Mead Plaoe MIIropollten DI.Irlct No.2 Approved 20111 Bud .I L 1.a d '5, r m" °1I� 'J1j 7 ,'"'w- , gria r Aclual Approved Actual Estimated Approved 2211 Budget To Dela 2017 Budget aslz 9130/2017 Aeritd 10]8 11r17/201I 12/1112017 Beginning fund balance $ 0 0..._...... .. —.._.. .... 0 _.,.. 0 0 Asvenues= property Tax Revenue 27,416 9,081 0 0,081 2,400 Traveler from MPMD$1 Devolttpar Advance Interest/other Income Total revenues 8. ...._.,..2Pr410„ 9,001_ ..... . ..,... 0 9,001 .� .. . , 2,488 7etul fund,available $,.._ ,27 418 .. , ,,., 9IOI7, ..., _....,, ,,., .. .,..,..��Lg01. 2,Agd.. Expenditures: Insurance 8 bonds Legal Legal Publlcatl0n, Adminletrenve cash Transfer lo MPMD 41 21416 0,081 0 9,081 2,980 Total expenditures R. .. �.21AtQ,. —--......9.981 Ending fund balance 8 0 . .-.��.0. .. ..,0.. „ .. ... r ............._. ,�. ASSESSED VALUATION 454,034 144r3ea MILL LEVY 20 20 12/15/2017 FRI 10: 26 FAX 1008/005 Mead Place Metropolitan Dlatrlet Na.2 a � A Wi° rd Mode .. Z • ," 0 Actual Adopted Actual Estimated Approved MI Budget To NO 2011 Budget 2O+7 2/3012017 ill1dYs1 222 1211112017 Beginning fund balance S ___ 0 _...�...,. ,, ...._0 �.. 0 0 0 Revenues: Developeradvanoes Intereslineornc Olner Income Transfer In ....,.,,....„.. , -...... .,.,.........„.,. .....,.... ...,.,,. ,„....... ....„. ,.,..—.--.......,. •—•'•—''--- Total revenues s..........,....r...° —�. .,.. . ,-.O .,..,,._._.�... 0 ._.. 0 0 Total tundi available I —.. 0 . .. 0 ..M. 0 0 Expenditures: Transfer Out 0 interest Expense/Bank Fees Capital Improvements F.xpondllure --- ..... .. 0 ..._....... ,... •.. ... .�.... Totalexpendlturea ..... ..... 0 ....... .. . .. .,., ..... O .,� 0 a Ending fund balance $ 0 0 0 0 .,. 0.. Mead Plane Metropolitan District No.2 Keyed 2010 Bud et 0 Actual Adopted Actual Esti CI*d Approved XQ1 Budget To Date 2017 Budget lilt 10 Imam Wait 12111/2017 Beginning fund balance s, , , 0 . , ,_.— 0 ... 0 _...__...„a Revenue.: Property Taxes ' Specific Ownerahlp Tax Inlereet Income Letter of Creek Proceeds Transfers in . ... __...„. ,. ---- Total revenuse '._.. ._.. .._ 0 �. 0 _.... 0 --.._.. 0 0 0Total lundaavailable $,„.... ................„.0„ .....,... ...__-..�,„ . _....,. ,.,... .....,.— , ,..,u..,,..,.,,,.,.... .4 0 ., ....,.........„........ Expenditures; Transfer to Opemting Fund Note Interest Trustee AdminlslratlOn Foe 0 Total expenditures 5.........,.. 0 ....-..__..—.0 .......... 0 -., _ .. .........w... .....,. Ending fund balance $ _., -.0,.. 0 0 _.. 0 .,�n••. ,,, 0 BA GARY R.WHITE SEAN ALLEN ZACHARY P.WHITE KRISTEN D.BEARK. - -- - - --- WILLIAM P.ANKELE,JR. WHITE BEAR ANKELE CASEY TRISHA LEKAHA K.HARRIS JENNIFER GRUBER TANAKA K CLINT C.WALDRON TA N AKA. & WA I_D RO N HEATHER L.HARTUNG MEGAN J.MURPHY KRISTIN BOWERS TOMPKINS ATTORNEYS AT LAW KRISTIN J.SCHLEDORN ROBERT G.ROGERS SILYIA FEJKA JOHN R.SHERMAN OF COUNSEL: BRADLEY T.NEIMAN BLAIR M.DICKHONER December 4,2017 Via Email and Regular Mail Attn: Dee Kayl Weld County Assessor's Office 1400 N 17th Ave., Greeley, CO 80631 dkayl@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 filing 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 (2kL::t4i 7 dV11u 1'1 Allison L. Hanson Paralegal 2154 E.Commons Ave.,Ste.2000 I Centennial,CO 80122 I P 303.858.1800 F 303.858.1801 I WhiteBearAnkele.com BA GARY R.WHITE SEAN ALLEN ZACHARY P.WHITE KRISTEN D.BEARK. - -- - - --- WILLIAM P.ANKELE,JR. WHITE BEAR ANKELE CASEY TRISHA LEKAHA K.HARRIS JENNIFER GRUBER TANAKA K CLINT C.WALDRON TA N AKA. & WA I_D RO N HEATHER L.HARTUNG MEGAN J.MURPHY KRISTIN BOWERS TOMPKINS ATTORNEYS AT LAW KRISTIN J.SCHLEDORN ROBERT G.ROGERS SILYIA FEJKA JOHN R.SHERMAN OF COUNSEL: BRADLEY T.NEIMAN BLAIR M.DICKHONER December 4,2017 Via Email and Regular Mail Attn: Dee Kayl Weld County Assessor's Office 1400 N 17th Ave., Greeley, CO 80631 dkayl@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 filing 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 (2kL::t4i 7 dV11u 1'1 Allison L. Hanson Paralegal 2154 E.Commons Ave.,Ste.2000 I Centennial,CO 80122 I P 303.858.1800 F 303.858.1801 I WhiteBearAnkele.com BA GARY R.WHITE SEAN ALLEN ZACHARY P.WHITE KRISTEN D.BEARK. - -- - - --- WILLIAM P.ANKELE,JR. WHITE BEAR ANKELE CASEY TRISHA LEKAHA K.HARRIS JENNIFER GRUBER TANAKA K CLINT C.WALDRON TA N AKA. & WA I_D RO N HEATHER L.HARTUNG MEGAN J.MURPHY KRISTIN BOWERS TOMPKINS ATTORNEYS AT LAW KRISTIN J.SCHLEDORN ROBERT G.ROGERS SILYIA FEJKA JOHN R.SHERMAN OF COUNSEL: BRADLEY T.NEIMAN BLAIR M.DICKHONER December 4,2017 Via Email and Regular Mail Attn: Dee Kayl Weld County Assessor's Office 1400 N 17th Ave., Greeley, CO 80631 dkayl@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 filing 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 (2kL::t4i 7 dV11u 1'1 Allison L. Hanson Paralegal 2154 E.Commons Ave.,Ste.2000 I Centennial,CO 80122 I P 303.858.1800 F 303.858.1801 I WhiteBearAnkele.com BA GARY R.WHITE SEAN ALLEN ZACHARY P.WHITE KRISTEN D.BEARK. - -- - - --- WILLIAM P.ANKELE,JR. WHITE BEAR ANKELE CASEY TRISHA LEKAHA K.HARRIS JENNIFER GRUBER TANAKA K CLINT C.WALDRON TA N AKA. & WA I_D RO N HEATHER L.HARTUNG MEGAN J.MURPHY KRISTIN BOWERS TOMPKINS ATTORNEYS AT LAW KRISTIN J.SCHLEDORN ROBERT G.ROGERS SILYIA FEJKA JOHN R.SHERMAN OF COUNSEL: BRADLEY T.NEIMAN BLAIR M.DICKHONER December 4,2017 Via Email and Regular Mail Attn: Dee Kayl Weld County Assessor's Office 1400 N 17th Ave., Greeley, CO 80631 dkayl@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 filing 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 (2kL::t4i 7 dV11u 1'1 Allison L. Hanson Paralegal 2154 E.Commons Ave.,Ste.2000 I Centennial,CO 80122 I P 303.858.1800 F 303.858.1801 I WhiteBearAnkele.com - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1477 County Tax Entity Code DOLA LGID/SID 66123/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the VILLAGE EAST METRO #1 A (taxing entity) the Board of Directors (governing body)B of the Village East Metropolitan District No. 1 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 28,170 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 28 170 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating Expenses' 0.0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0.0 mills $ 0 4. Contractual Obligations' 0.0 mills $ 0 5. Capital ExpendituresL 0.0 mills $ 0 6. Refunds/AbatementsM 0.0 mills $ 0 7. OtherN (specify): N/A 0.0 mills $ 0 N/A 0.0 mills $ 0 TOTAL: r Sum of General Operating 1 I Subtotal and Lines 4 to 7 o.o mills $ o Contact person: Daytime (print) Eric Weaver phone: ( ) (970) 926-6060 Signed: Title: 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 piyis#_qn of L Goyg ,tent(DLG)..Rogin 521.1313 Slleppjgp Street.Denver. CO 8Q,2Q3_G1ieli ls? Call DLG qt(3V)86477x. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1478 County Tax Entity Code DOLA LGID/SID 66124/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the VILLAGE EAST METRO #2 A (taxing entity) the Board of Directors (governing body)B of the Village East Metropolitan District No. 2 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 28,170 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 28 170 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE2 1. General Operating Expenses' 0.0 mills $ 0 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.0 > mills $ < 0 > SUBTOTAL FOR GENERAL OPERATING: 0.0 mills $ 0 3. General Obligation Bonds and Interests 0.0 mills $ 0 4. Contractual Obligations' 0.0 mills $ 0 5. Capital ExpendituresL 0.0 mills $ 0 6. Refunds/AbatementsM 0.0 mills $ 0 7. OtherN (specify): N/A 0.0 mills $ 0 N/A 0.0 mills $ 0 TOTAL: r Sum of General Operating 1 I Subtotal and Lines 4 to 7 o.o mills $ o Contact person: Daytime (print) Eric Weaver phone: ( ) (970)926-6060 Signed: Title: 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 piyis#_qn of L Goyg,,tcnt(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qieligi s? Call DLG qt(3V)814:7729. 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) - y ` \ 1861 )` OFFICE OF THE WELD COUNTY ASSESSOR PHONE(970)400-3650 FAX(970)304-6433 WEBSITE:www.weldgov.com WELD COUNTY ADMINISTRATIVE OFFICES COUNTY 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. 1479 County Tax Entity Code DOLA LGID/SID 66125/1 CERTIFICATION OF TAX LEVIES for NON-SCHOOL Governments TO: County Commissioners' of WELD COUNTY , Colorado. On behalf of the VILLAGE EAST METRO #3 A (taxing entity) the Board of Directors (governing body)B of the Village East Metropolitan District No. 3 (local government) Hereby officially certifies the following mills to be levied against the taxing entity's GROSS $ 3,826,190 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 3,826,190 Increment Financing(TIF)Areal'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: 12/12/2017 for budget/fiscal year 2018 (no later than Dec.15) (mm/dd/yyyy) (yyyy) PURPOSE(see end notes for definitions and examples) LEVY REVENUE 1. General Operating ExpensesH 5.524 mills $ 21,136 2. <Minus> Temporary General Property Tax Credit/ Temporary Mill Levy Rate Reductions < 0.0 > mills $ < 0.0 > SUBTOTAL FOR GENERAL OPERATING: 5.524 mills $ 21,136 3. General Obligation Bonds and Interests 33.143 mills $ 126,811 4. Contractual Obligations' mills $ 5. Capital ExpendituresL mills $ 6. Refunds/AbatementsM mills $ 7. OtherN (specify): mills $ mills $ TOTAL; 1 Sum of General Operating 1 38.667 147,947 Subtotal and Lines 3 to 7 mills , Contact person: Daytime (print) Eric Weaver phone: ( ) (970) 926-6060 Signed: Title: 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 piyis#_qn of L Goyg ,tent(DLG)..Rogin 521.1313 SlicruxxStreet.Denver. CO 8Q,2Q3_Qieligi s? Call DLG qt(3V)814:7729. 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: Financing of public infrastructure improvements Series: General Obligation Limited Tax Bonds Series 2017A Date of Issue: September 7,2017 Coupon Rate: 5.00% Maturity Date: December 1,2046 Levy: 33.143 Revenue: $126,811 2. Purpose of Issue: Financing of public infrastructure improvements Series: Subordinate General Obligation Limited Tax Bonds,Series 2017B Date of Issue: September 7,2017 Coupon Rate: 7.75% Maturity Date: December 15,2046 Levy: 0.000 Revenue: $o 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 governmentC. 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 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, 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. 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 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) 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). 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)—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 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) Hello