I do hereby state, the information list on this form with regards to my Business is true and accurate to the best of my ability. I further understand, the submitted information on this form will be submitted to CORDIAL MULTI SERVICES, to be used on my 1040 Return for the 2023 Tax Year. Should the IRS request documentation pertaining to the information listed on this form; I do hereby state, I will submit any and all receipts, invoices, bill etc; to the IRS upon request, as it relates to my Business listed on my 1040 Return for the 2023 Tax Year.

     I agree to hold CORDIAL MULTI SERVICES harmless, should an audit arise from the information pertaining to my Business and my 1040 Return. My signature at the end of this form shall serve as my agreement to the information listed on this 2023 Tax Return