Federal law requires this consent form be provided to you. Unless authorized by law, we cannot disclose, without your consent, your tax returns or 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 returns and/or 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 authorization 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 returns and/or tax return information, your consent is valid for the amount of time that you specify.
All submissions using this form will be verified by Blum & Clark within a reasonable period to ensure the facts conveyed, identity and permission granting status of the requesting party. You may contact us at 858-292-0543 for any questions.
Your Name Your Email Address Disclose To Send To Email Address Tax Year(s) Requested For Which Entity are You Requesting?
I, the above named, authorize Blum & Clark, Certified Public Accountants, LLP to provide tax returns based on the information provided. I understand that tax returns may be sent electronically via e-mail or other means. I understand that my authorization on this form will be verified and retained by Blum & Clark CPAs, LLP and stands as equivalent to a signed document.
Your consent request has been submitted. A member of Blum & Clark will review and contact you for verification. Call 858-292-0543 with any questions or concerns.