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NEB S4A <br />L,te_ Secs Ge <br />nww-xwwr yruvewe <br />202002295 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2004000642-0 Pages: 1 <br />Debtor Name: KENNEY &amp; COMPANY STAFFING INC <br />Filing Date and Time: 04/15/2020 09:12 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Lien is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand,These taxes are a lien for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this lien. This lien will expire and <br />become unenforceable 10 years after the date of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Na nbe, <br />11146710 <br />Federal D Number <br />522341761 <br />Lien Serial Number <br />12052/17 <br />Lien FledWI h <br />© Regisler of Deeds 0 county Clerk <br />Sn al Security Number <br />Spouse's Social Secur ty Number <br />Date of Lien <br />April 8, 2020 <br />Lien Typo: <br />is Ong nal f Continuation E3CorrectedHALL <br />County <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />KENNEY & COMPANY STAFFING INC <br />D/B/A KENNY STAFFING <br />FRANKLIN SQ 50 POST OFFICE RI) STE 202 <br />WALDORF MD 20602-3703 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Withholding <br />01/01/2018 - 03/31/2018 <br />11/30/2018 <br />.00 <br />41.99 <br />2.16 <br />.00 <br />44.15 <br />Withholding <br />04/01/2018 - 06/3012018 <br />12/26/2018 <br />.00 <br />70.69 <br />4.73 <br />.00 <br />75.42 <br />Vv ithholding <br />07/01/2018 - 12/31/2018 <br />02/27/2019 <br />.00 <br />371.50 <br />39.90 <br />.00 <br />411.40 <br />Withholding <br />01/01/2019-06/30/2019 <br />11/12/2019 <br />.00 <br />116.84 <br />9.54 <br />.00 <br />126.38 <br />Withholding <br />10/01/2019- 12/31/2019 <br />02/27/2020 <br />22.33 <br />1.12 <br />.21 <br />.00 <br />23.66 <br />Total <br />681.01 <br />sign <br />here <br />1 certify that the Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska in Determining the amount shown to be due, <br />end tnat the taxpayer has failed to pay the amount due allot demand.This Notice of State Tax Lien is an effective lion and serves to continue the priority 01 <br />the SI. les interest in the elected properly 01 the taxpayer." <br />a <br />taro <br />Aut_ sized Signature <br />(7ct'4 <br />Revenue Senior Agent 04/08/2020 402-471-5727 <br />Tek: Date Phone Number <br />Revenue Senior Agent L%,a) <br />t�te / <br />Title <br />4d94 -t974 Rev.6201a Supersedes 4-ete.te74 Rev. 62913 <br />