Consent to Use and Disclosure of Tax Return Information
CONSENT TO USE OF TAX RETURN INFORMATION
You are the online buyer of Money Time Tax Service's mobile tax prep service. By checking the appropriate box and typing your name as an e-signature, you agree to these terms.
Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot use, without your consent, your tax return information for purposes other than the preparation and filing of your tax return.
You are not required to complete this form to engage our tax preparation services. If we obtain your signature on this form by conditioning our services on your consent, your
consent will not be valid. 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.
For your convenience, we have entered into an arrangement with certain companies to offer Electronic Refund Products. To determine whether this service may be of interest to you, we will need to use your tax return information.
If you would like us to use your tax return information to determine whether this service is relevant to you while we are preparing your return, please sign and date this consent to the use of your tax return information.
By signing below, you authorize us to use the information you provide to us during the preparation of your 2017 tax return to determine whether to offer you an opportunity to apply for an Electronic Refund Product.
Printed Name of Taxpayer:_________________________________________________ Taxpayer Signature:_____________________________________ Date:____________
Printed Name of Joint Taxpayer: ____________________________________________ Joint Taxpayer Signature:_________________________________ Date:____________
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 [email protected].
Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). 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 to engage our tax preparation services. 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.
You have indicated that you are interested in obtaining an Electronic Refund Product from TaxSlayer Financial Services Group LLC and Tax Product Services LLC (collectively, the “Service Provider”). To provide you with the opportunity to apply for and/or receive an Electronic Refund Product, we must disclose all of your 2017 tax return information to the Service Provider. You may request a more limited disclosure of tax return information, but you will not be eligible to submit an application for an Electronic Refund Product to the Service Provider.
If you would like us to disclose your 2017 tax return information to the Service Provider for this purpose, please sign and date your consent to the disclosure of your tax return information.
By signing below, you authorize us to disclose to the Service Provider all of your 2017 tax return information so that the Service Provider can evaluate and process your application for an Electronic Refund Product. You understand that if you are not willing to authorize us to
share your tax information with the Service Provider, you will not be able to obtain an Electronic Refund Product from the Service Provider, but you can still choose to have your
tax return prepared and filed by us for a fee.
Printed Name of Taxpayer:_________________________________________________ Taxpayer Signature:_______________________________________ Date:____________ Printed Name of Joint Taxpayer: ____________________________________________ Joint Taxpayer
Signature:______________________________________________ Date:____________
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 [email protected].
You are the online buyer of Money Time Tax Service's mobile tax prep service. By checking the appropriate box and typing your name as an e-signature, you agree to these terms.
Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot use, without your consent, your tax return information for purposes other than the preparation and filing of your tax return.
You are not required to complete this form to engage our tax preparation services. If we obtain your signature on this form by conditioning our services on your consent, your
consent will not be valid. 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.
For your convenience, we have entered into an arrangement with certain companies to offer Electronic Refund Products. To determine whether this service may be of interest to you, we will need to use your tax return information.
If you would like us to use your tax return information to determine whether this service is relevant to you while we are preparing your return, please sign and date this consent to the use of your tax return information.
By signing below, you authorize us to use the information you provide to us during the preparation of your 2017 tax return to determine whether to offer you an opportunity to apply for an Electronic Refund Product.
Printed Name of Taxpayer:_________________________________________________ Taxpayer Signature:_____________________________________ Date:____________
Printed Name of Joint Taxpayer: ____________________________________________ Joint Taxpayer Signature:_________________________________ Date:____________
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 [email protected].
Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). 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 to engage our tax preparation services. 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.
You have indicated that you are interested in obtaining an Electronic Refund Product from TaxSlayer Financial Services Group LLC and Tax Product Services LLC (collectively, the “Service Provider”). To provide you with the opportunity to apply for and/or receive an Electronic Refund Product, we must disclose all of your 2017 tax return information to the Service Provider. You may request a more limited disclosure of tax return information, but you will not be eligible to submit an application for an Electronic Refund Product to the Service Provider.
If you would like us to disclose your 2017 tax return information to the Service Provider for this purpose, please sign and date your consent to the disclosure of your tax return information.
By signing below, you authorize us to disclose to the Service Provider all of your 2017 tax return information so that the Service Provider can evaluate and process your application for an Electronic Refund Product. You understand that if you are not willing to authorize us to
share your tax information with the Service Provider, you will not be able to obtain an Electronic Refund Product from the Service Provider, but you can still choose to have your
tax return prepared and filed by us for a fee.
Printed Name of Taxpayer:_________________________________________________ Taxpayer Signature:_______________________________________ Date:____________ Printed Name of Joint Taxpayer: ____________________________________________ Joint Taxpayer
Signature:______________________________________________ Date:____________
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 [email protected].