Consent Form for Disclosure of Information U/S 7216 of the Internal Revenue Code
(Please Enter Your Full Name authorizing your consent for us to prepare your tax return)
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 and,
in certain limited circumstances, for purposes involving tax return preparation.
If you consent to the disclosure of your tax return information, Federal law may
not protect your tax return information from for further use or distribution.
You are not required to complete this form. Because our ability to disclose your
tax return information to another tax return preparer affects the service that we
provide to you and its cost, we may decline to provide you with service or change
the terms of service that we provide to you if you do not sign this form. 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.
Duration of Consent :Year(s) (If left blank, your consent is valid for one year)
This consent to disclose may result in your tax return information being disclosed
to a tax return preparer located outside the United States, including your personally
identifiable information such as your Social Security Number (“SSNâ€). Both the tax
return preparer in the United States that will disclose your SSN and the tax return
preparer located outside the United States which will receive your SSN maintain
an adequate data protection safeguard (as required by the regulations under 26 U.S.C.
Section 7216) to protect privacy and prevent unauthorized access of tax return information.
If you consent to the disclosure of your tax return information, Federal agencies
may not be able to enforce U.S. laws that protect the privacy of your tax return
information against a tax return preparer located outside of the U.S. to which the
information is disclosed.
I, authorize eZ US Tax & Finance ( Zenwork ) to disclose
all information including source documents that may or may not contain identifiable Social
Security or ITIN number(s) to Zenwork or its Authorized Personnel,
associates or affiliates for the purpose of preparation of my/our Individual/Business Income
Tax Return for the Tax Year that I chose eZ US Tax & Finance ( Zenwork )
to service process upon my tax return.
If you believe your tax return information has been disclosed or used improperly
in a manner unauthorized by law or without your permission, you may contact the
Treasury Inspector General for Tax Administration (TIGTA) by telephone at
1-800-366-4484,or by email at complaints@tigta.treas.gov.
Taxpayer Signature :Date : 1/8/2021
(Please Enter Name in Full)