CONSENT TO DISCLOSURE OF TAX RETURN INFORMATION   Name(s):__________________________________     Taxpayer hereby consents to the disclosure by Hale & Company, CPA, P.C. of any and all tax return information contained in the taxpayer’s 20____ calendar-year federal income tax return (Form ________ and schedules) for the purpose of ___________________________________ __________________________________________________________________ This information should be released to: Email________________________________________  Mail To:__________________________________________________________________________________________________ The tax information may not be disclosed or used by the tax return preparer for any purpose other that that permitted by this consent document. Signed this ___ day of __________, 20___. Signature _________________________________ 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. If we obtain your signature on this form by conditioning our 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. 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.