Tax S Corporation Tax Preparation Copy

TAX S CORPORATION TAX PREPARATION COPY

Corporate Taxpayer Information

Taxpayer Name:

Business Name (DBA) if different:

Employer Identification Number (EIN):     Social Security Number (SSN) of responsible officer (if applicable):

Individual / Sole Proprietor    C Corporation    S Corporation    Partnership

Trust / Estate    LLC    Other:

Tax Year

Tax year ending: Month Day Year

Documents and Records Provided

Please indicate documents and records provided to preparer (check all that apply):

Prior year federal return    Trial balance    General ledger

Payroll reports    K-1s attached    Bank statements

Accounting Method and Dispositions

Accounting method used for the year:

Preparer Authorization

I authorize the tax preparer identified in the preparer's engagement to prepare the federal and applicable state S corporation returns and to sign electronically if applicable.

I consent to the preparer contacting taxing authorities and discussing any matters necessary to complete and process the returns.

Certification and Acknowledgment (Perjury Statement)

By signing below I certify under penalties of perjury that I have examined the information provided on this preparation copy and to the best of my knowledge and belief the information is true, correct, and complete. I understand and acknowledge the following numbered statements:

1. I am an officer of the S corporation with authority to provide information and execute tax documents on behalf of the corporation. I will retain and provide upon request documentation supporting items reported to the preparer.

2. The preparer has relied upon records and representations provided by me and the corporation. I understand the preparer is not responsible for fraudulent or intentionally omitted information in the records supplied.

3. I understand that under federal law false statements made knowingly and willfully may be punishable by penalties including fines and imprisonment. I acknowledge potential accuracy-related penalties that apply if the information reported is negligent or intentionally disregarded.

4. I authorize the preparer to include preparer identifying information on the return and to communicate with taxing authorities regarding processing, notices, and examinations, unless I have indicated otherwise in writing.

5. I consent to electronic filing of the corporation's return where permitted and acknowledge responsibility for reviewing and retaining copies of the filed return.

Additional Remarks

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