Tax Client:
Immigration Status:
Tax Spouse:
Immigration Status:
By providing the dependent information above, you understand that to claim a dependent you must provide more than half of the support for the tax year in which you are currently filing
I authorize First Class Income Tax Services Inc to generate my pin for signature on my income tax return.
DUE DILIGENCE QUESTIONAIRRE
Respond to the following if applicable
Authorization
I authorize First Class Income Tax Services Inc to generate my pin for signature on my income tax return.
I (We) certify that all the information provided to the tax preparer is accurate. I (we) understand that and the tax
preparer is not responsible for any mistake related to the information that I (we) provided. I (we)
Internal Documentation
Please complete this form to document information that the payer and spouse has provided
Make sure your PTIN number is on the tax file before final submission
Make sure all fields of the tax are completed before final submission
Consent to Disclosure of Tax Return Information
Federal law requires that consent form(s) must be provided to “you” (refers to each individual taxpayer, even if more than one taxpayer). We may not disclose, without your consent any of your tax (s) information to third parties; for any purposes other than the preparation and or filling of your tax return; unless authorized by law. If you should 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 completing this form. This form is required only should you request to apply for Bank Products. By singing this form, you are giving First Class Income Tax Services full permission to complete your tax return services and or the disclosure of your tax returns information; if required or requested by law. Your consent is valid for the duration of the time that you specify: three (3), six (6), or twelve (12) months. If you do not specify the duration of your consent, therefore; your consent is valid for one year.
You have indicated that you are interested, in applying for a “Refund Transfer product” (bank products) from “University National Bank” of Saint Paul, MN, C/O SANTA BARBARA BANK PRODUCTS aka CIVISTA BANK. In order to have your “bank product” application processed; First Class Income Tax Services must disclose the complete and, or all of your tax returns information for the current/subsequent years to the BANK. You may request a more limited disclosure of your tax returns information. Understand that, you are giving your authorization to the disclosure of your tax return information to the BANK, in order for your application to be considered.
If you would like First Class Income Tax Services to disclose your current and or subsequent tax return information to the BANK for this purpose. Please sign and date your consent to the disclosure of your tax return information.
By signing below, you (including each and all individual taxpayer, even if there is more than one taxpayer) authorize First Class Income Tax Services to disclose to the BANK, all your current/subsequent tax return information, so that the BANK can evaluate and process your application for a “bank products”.
You understand that, if you are not willing to authorize First Class Income Tax Services to share your tax information with the BANK, you will not be able to obtain a bank product from the BANK, note you can still choose to have your tax prepared and filed by First Class Income Tax Services for a fee.
Direct Deposit: You request Servicer to deposit your tax refund proceeds directly into your personal bank account or your existing prepaid debit card account. If you select this option, please enter your account information below. If you or your representative enters your account information incorrectly and your funds are returned to Bank, the funds will be disbursed to you by a cashier’s check printed by your Tax Preparer. Tax refund proceeds that cannot be deposited because of financial institution refusal, erroneous account or routing transit numbers, closed accounts, bank mergers or any other reason will be issued a paper check to the physical address of record resulting in refund delays of up to ten weeks.
