Consent to Disclosure of Tax Return Information
Taxpayer's Name: Spouses's Name (if filing jointly):
Subject: Section 7216 - Consent to Disclosure of Tax Return Information
Mehdiani Corporation dba Mehdiani Financial Management ("Mehdiani US") and Subsidiaries is a tax firm that services clients both domestically and internationally. To effectively serve all of our client's tax needs, we rely on a global team of tax professionals to ensure your tax returns are prepared in compliance with US and international tax laws. As required under US Federal law and IRS Code, we request your consent to disclose the tax return information you provide us with our international tax team. The IRS requires that the following paragraphs be included in any consent form of this type. Signing this consent form will not result in the disclosure of your personal information to anyone for any reason other than the preparation and filing of your returns.
Federal law requires this consent form be provided to you. 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 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 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 tax preparation services 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. 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 (“SSN”). Both the tax return preparer in the United States that will disclose your SSN and the tax return preparer located outside the United States that 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 US laws that protect the privacy of your tax return information against a tax return preparer located outside of the US to which the information is disclosed.
By signing below, you agree to allow Mehdiani US to disclose your tax return information, including your SSN(s), to Mehdiani (Philippines Office), ("Mehdiani PH") for purposes of providing assistance in the preparation of your tax returns and other forms. This consent will be valid for seven years from the date of signature unless you prefer an earlier expiration date which can be accommodated by contacting our office. If you have any questions regarding this disclosure, please do not hesitate to contact us by telephone at 310-800-1472, or by email at [email protected]
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 [email protected]
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Document Name: Consent to Disclosure of Tax Return Information
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