DISCLOSURE OF RECORDS/ DISCLOSURE OF DOCUMENTATION

To whom it may concern:

This is to verify that the income tax returns of [Name of Taxpayer](s)
For the tax year < insert year>, and the social security numbers <insert numbers>
Were prepared entirely based on the information provided [Name of Preparer]. I/we am/are
aware of the figures that were placed on my/our returns and hereby verify that they are true and
correct to the best of my/our knowledge.
  
  Note: all returns should be reviewed before filing, to ensure that there are no omissions or
  misstatements of material facts.

____ I/we am/are aware that all figures provided to [Name of Preparer] have been personally
compiled calculated and verified from our/my supporting documentation, receipts and notes.
These supporting documents shall he made available to [Name of Preparer] should the need arise
to verify any tax return information.

[Name of Preparer] will not be responsible for providing any supporting documentation, receipts,
or calculations in the event that an audit of this return should occur. If [Name of Preparer] is
required to compile the necessary records and calculations for the above-mentioned tax return;
the normal billing rate shall apply.

___ I/we are aware that all figures provided on this tax return have been calculated from our/my
supporting documentation/receipts provided to [Name of Preparer].  [Name of Preparer] will be
responsible for providing all calculations from the original supporting documentation provided to
[Name of Preparer] at no additional cost for document preparation will he incurred to the above
mentioned taxpayer in the event that an audit of this return should occur.


[Client: Company contact/Taxpayer name and signature]  (Date)
[Client: Spouse's complete name and signature]    (Date)

[Name of Preparer] Signature and date