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  1. IRC SECTION 7216 DISCLOSURE STATEMENT

  2. To:

    You Must Fill In The Name Of Your Former Accountant
    (Name Of Former Accountant)
  3. Located at:

    You Must Fill In The Address Of The Former Accountant
    (Address Of Former Accountant)
  4. (Please Enter The Name and Address Of Former Accountant Above)


  5. Thank you for your past service. Effective immediately we have retained George Adams CPA MBA at 450 South Main St. Brewer, ME 04412 to assist us with our taxes and accounting. Pursuant to Internal Revenue Code Section 7216 and Regulation Section 301.7216-3(a)(3) please furnish to Mr. Adams our tax return information as noted below.


    Pursuant to Section 5.02(b) of IRS Revenue Procedure 2008-35 an electronic signature on this form shall be treated and respected the same as a manual signature.



    Disclosure Situation 1:

    • Consent is sought for disclosure of tax return information in the context of tax return preparation or performance of auxiliary services (for example, where a tax return preparer seeks substantive advice from another tax return preparer which will affect the tax liability reported by a taxpayer); and



    • Tax return information will not be disclosed outside the United States or any territory or possession of the United States.

     

     

    Federal law requires this consent form be provided to you. Unless authorized by law, we cannot disclose, without your consent, your 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 return information, Federal law may not protect your tax return information from further use or distribution.


    You are not required to complete this form. If we obtain your signature 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 return information, your consent is valid for the amount of time that you specify. If you do not specify the duration of your consent, your consent is valid for one year.


  6. I,

    You Must Enter Your Full Name
    (Your Full Name)
  7. authorize

    You Must Fill In The Name Of Your Former Accountant
    (Name Of Former Accountant)
  8. to disclose the prior two years of our tax returns with all attachments to George Adams CPA MBA for the purpose of preparing and/or reviewing current year tax returns.


    If you believe your tax return information has been disclosed or used improperly in a manner unauthorized by law or without your permission, you may contact the Treasury Inspector General for Tax Administration (TIGTA) by telephone at 1- 800-366-4484, or by email at complaints@tigta.treas.gov.

  9. ELECTRONIC SIGNATURE


  10. You Must Fill In Your Full Name
    (Taxpayer Signature Typed)
  11. Please Choose Today's Date
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  13. Click The Switch Me Button To Submit This Form And Have It Sent To George Adams

  14. George Adams CPA MBA
    450 South Main St. Brewer ME 04412
    Fax: 1-866-444-0032
    Email: GeorgeAdams@IntelligenceForRent.Com

    Tel: (207) 989-2700

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