I do hereby state, the information listed 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 LAB TAX & FINANCIAL SERVICES LLC, to be used on my 1040 Return for the given 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 Tax Year.

     I agree to hold LAB TAX & FINANCIAL SERVICES LLC 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.