READ AND SIGN BELOW TO AGREE
I/We certify that all information on this form is correct to the best of my/our knowledge, in addition:
All names, social security numbers and birthdates provided by me/us are current per SSA records.
I was not/we were not denied the Earned Income Tax Credit in the past ( if so must provide additonal information)
I/We authorize my/our tax preparer to inquire about my/our federal and or state refund on their respective websites.
If I/we am/are applying for a bank product, I/we will sign the Consent to Use Form and the Consent to Disclose Form.
I/we authorize my/our preparer to inquire about my/our debt with the treasury Offset Program.
I/we understand there is an option to pay for my/our tax preparation fee upfront or have the fee taken from my/our tax return.
I/we understand if my tax refund does not cover my/our fees, I must pay upfront for processing of my tax return. If my fees are not paid in full by April 15, further action will be taken to recover unpaid fees.