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Gree; Ser. ce. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2211000143-2 Pages: 1 <br />Debtor Name: KENNEY &amp; COMPANY STAFFING INC <br />Filing Date and Time: 11/07/2022 08:35 AM <br />Notice of State Tax Lien <br />202207871 <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 Tien for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Iien.This Ilen will expire and <br />become unenforceable 10 years after the date of recording H no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />PLEASE 00 NOT WRITE 1N THIS SPACE <br />Nebraska ID Number <br />11146710 <br />Federal ID Number <br />522341761 <br />Lien Serial Number <br />12212782 <br />Lien Filed With:. <br />IN Register of DeWitt 0 County clerk <br />SocWI Security Number <br />No SSN <br />Spouse's SOrsel Security Number <br />NO SPOUSE SSN <br />DaIc of Lion <br />October 31, 2022 <br />Lion Type:Conray <br />0 Conected <br />HALL <br />' is"j original 1 Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />KENNEY & COMPANY STAFFING INC <br />D/BIA KENNY STAFFING <br />PO BOX 203 <br />WALDORF MD 20603 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest Costs <br />Total Due <br />Withholding <br />01.01.2020 - 1251i2020 <br />02/14,2022 <br />1,680.00 <br />588.00 <br />117.77 .00 <br />2,385.77 <br />Withholding <br />01/01/2021 - 09/30/2021 <br />02/14/2022 <br />1,260.00 <br />378.00 <br />47.361 .00 <br />1,685.36 <br />Total <br />4,071.13 <br />I certify that the Neteaeka Department of Revenue has <br />and That the taxpayer has failed to pay me amount due atter <br />Me State's :merest in the apoc1ed property of the taxpayer. <br />sign4cctzl ff��a.LG�L <br />here Pmpamess4gnacti4- <br />Authorized Signature <br />flied wilh the laws o1the Slate of Nebraska in determining the amount shown to be due. <br />and. This Notice o1 State Tax Llen Is an epec1, a Ilan end servos to continue the pdorlty of <br />Revenue Agent <br />Title <br />11/02/2022 402-471-5717 <br />Date Phone Number <br />Revenue Supervisor %%i .3✓ r7"' <br />Tine <br />Data <br />4.491.1974 Ruv. a-20'8 Suloraerle. 4.949.1974 Rev. 6.2013 <br />