Federal law requires this consent form be provided to you. Unless authorized by law, we cannot disclose, without your consent, your tax returns or tax return information to third parties for purposes other than the preparation and filing of your tax return.
If you consent to the disclosure of your tax returns and/or tax return information, Federal law may not protect your tax return information from further use or distribution.
If we obtain your authorization on this form by conditioning our services on your consent, your consent will not be valid. If you agree to the disclosure of your tax returns and/or tax return information, your consent is valid for the amount of time that you specify.
Special note about verification:
All submissions using this form will be verified by Blum & Clark within a reasonable period to ensure the facts conveyed, identity and permission granting status of the requesting party. You may contact us at 858-292-0543 for any questions.
If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1-800-366-4484, or by email to: email@example.com