Consent to Disclosure of Tax Return Information

Consent to Disclosure of Tax Return Information
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.
Please Complete the Following:
Tax Years*
Purpose of forwarding information:*
Person to which information is being disclosed (include name, email, telephone number): *
I understand that this authorization is effective when signed by me and will remain in effect for one year, unless I specify a set period of time below or file a written revocation of this authorization with Albertson & Jones, P.A.
Start Date
End Date
Your Name*
Your Email*
example@example.com
Signature*

Clear
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: complaints@tigta.treas.gov.
Should be Empty:

Consent to Disclosure of Tax Return Information

Please Complete the Following: