CONSENT TO DISCLOSURE OF TAX RETURN INFORMATION

Federal law requires this consent form be provided to you (“you” refers to each taxpayer, if more than one). Unless authorized by law, we cannot disclose your tax return information to third parties for purposes other than the preparation and filing of your tax return without your consent. 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. Our ability to share your tax return info affects the services we provide. If you don't sign this form, we might need to change the services we offer you. If we obtain your signature on this form by conditioning our tax preparation services on your consent, your consent will not be valid. 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 from the date of signature.

You have indicated that you are interested in obtaining a bank account, refund settlement product, card service, and/or related banking services. These products are made available through arrangements that we have with financial and their partners. To apply for and obtain any of these products or services, we may forward your information to these companies and/or their affiliates.

I authorize Fresh Start Business Service to disclose my (please indicate the tax year on the space provided below) tax return and information collected during the preparation of my taxes to ensure that any refund settlement products, and related banking services that I obtain or apply can be issued, processed, underwritten, and serviced. The foregoing activities and related services may be performed by one of the following companies and/or their affiliates.

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