Boss Ladies Taxes & Business Services

Form 7216 – Consent to Use Tax Return Information

Please complete all required fields below.

Taxpayer Information

Full Name:

Address:

City / State / Zip:

Email:

Telephone:

Tax Preparer Information

Company Name:

Preparer Name:

Address:

Telephone:

Purpose of Consent (check all that apply):

Business Credit & Funding Services

Bitcoin / Trading Education

Wealth & Financial Programs

Tax-Related Education

Other:

Duration of Consent

One year from date signed

Specific date:

Mandatory IRS Disclosure

Federal law requires this consent form be provided to you. Unless authorized by law, we cannot use your tax return information for purposes other than preparing and filing your tax return without your consent.

Taxpayer Signature

I authorize the use of my tax return information as described above.

Signature:

Print Name:

Date:

IRS Disclosure & Disclosure: Pursuant to Internal Revenue Code §7216 and 26 CFR §301.7216-3:

Consent is voluntary and not required for tax preparation services.
You have the right to revoke this consent at any time.