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 CONSENT TO DISCLOSURE OF TAX
RETURN INFORMATION
In accordance with Treasury Regulation Sec. 301.7216-3 and Revenue Procedure 2008-35
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. If you consent to the disclosure of your 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, however if you decide not to do so, S. Sharma Tax, Inc.
cannot and will not make any disclosures to anyone unless authorized by law. In that, 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.
Although this consent allows full disclosure of an entire return, (I)(we) understand that (I)(we) may
request a more limited disclosure of tax information and the tax preparer must comply with such
limitations.
(I)(We) ______________________ hereby authorize and consent to the disclosure of (my)(our) year
______ tax return and accompanying supplementary information to: _________________________
for the purpose of:
[ ] Self-employment verification
[ ] being present during tax preparation
[ ] assisting with (my)(our) tax preparation while (I am)(we are) not present
[ ] other: _________________________________________________________________
by the tax preparation company: S. Sharma Tax, Inc.
(I)(We) acknowledge receipt of a copy of this consent document.
Taxpayer________________________ Date______________
(Signature)
Spouse__________________________ Date ______________
(Signature)