AUTHORIZATION TO USE AND DISCLOSE TAX RETURN

Fax to: 520-844-2705 Intuit Inc. Attention: Tax Analyst

I hereby authorize Intuit Inc. to obtain and use my electronically-filed tax return information for the purpose identified below:

Purpose (check one):
Verify tax calculation accuracy
Other (describe):

Tax Year:

Type of Return (Fed or State):

Primary Taxpayer Name:

Primary Social Security Number:

Secondary Taxpayer Name:

Secondary Social Security Number:

I (we) hereby represent that I am (we are) the above taxpayer(s), and hereby grant Intuit permission to obtain and use copies of the above-referenced federal and/or state tax returns.

Date:

Primary Taxpayer Signature:

Secondary Taxpayer Signature (if joint return):