Tax Disclosure Questionnaires

TAX DISCLOSURE QUESTIONNAIRE

Taxpayer Information

Entity Type

Check all that apply to the reporting entity for the periods covered by this questionnaire.

Individual / Sole Proprietor

C Corporation

S Corporation

Partnership

Trust / Estate

Limited Liability Company (LLC)

Other — specify below

Taxpayer Identification Number (TIN)

Provide the taxpayer identification number used for filing returns. Provide either the Social Security Number (SSN) or Employer Identification Number (EIN).

Disclosure Questions

For each question indicate Yes or No. If Yes, provide a full explanation in the corresponding text box describing dates, amounts, parties involved, and corrective actions, if any.

1. Has the taxpayer filed all required U.S. federal, state, and local tax returns for the past three tax years? Yes No

2. Is the taxpayer currently under audit, examination, or subject to a tax notice by any taxing authority? Yes No

3. Has the taxpayer identified any material tax positions that are uncertain or likely to be challenged? Yes No

4. Are there any unresolved foreign reporting obligations (including foreign bank accounts, foreign entities, or other reportable foreign assets)? Yes No

5. Has the taxpayer made any changes to accounting methods, filing positions, or reporting entities in the tax years covered that could affect tax liability? Yes No

6. Are there any material transactions with related parties that have not been disclosed on the taxpayer's returns? Yes No

7. Has the taxpayer taken any filing extensions, abatement requests, offers in compromise, or other formal tax relief actions in the last three years? Yes No

8. Has the taxpayer made or is the taxpayer considering any election under the Internal Revenue Code or comparable state provisions that materially affect tax treatment? Yes No

9. Are there any contingent liabilities, unsettled disputes, or penalties relating to the taxpayer's tax affairs not reflected on filed returns? Yes No

10. Has the taxpayer entered into any transactions that could give rise to potential transfer pricing or cross-border tax exposure? Yes No

11. Has the taxpayer claimed credits, net operating losses, or other tax attributes that are subject to limitation, audit risk, or prior adjustment? Yes No

12. Is there any other matter, event, or circumstance that may reasonably be expected to result in a material tax liability or exposure? Yes No

Certification

Under penalties of perjury, I certify that the information provided in this Tax Disclosure Questionnaire is true, correct, and complete to the best of my knowledge. I acknowledge that this questionnaire is provided to a tax advisor or other recipient for the purpose of analyzing tax positions and filing requirements, and that any material misstatement or omission may result in penalties or other adverse consequences.

I further certify the following:

1. The taxpayer has disclosed all relevant facts and documents requested by the preparer or reviewer that could affect the preparation, filing, or defense of tax returns for the periods covered.

2. Any estimates, elections, or accounting method changes described in this questionnaire have been applied consistently or are specifically identified, and related calculations and supporting documentation are available upon request.

3. The taxpayer understands that the preparer may rely on the representations contained herein in forming conclusions about tax positions and in communicating with taxing authorities if required.

4. I agree to provide promptly any additional information or documentation that may be necessary to support the positions disclosed or to respond to inquiries from tax authorities.

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