I, _____________________________________ attest that I have provided to the tax preparer is true and accurate. I also acknowledge that I will notify Carter Capital, PLLC consultants and/or any of its agents, owners and tax preparers harmless if any of the information that I’ve provided is found to be fraudulent or falsified. I am also certifying that I am a self-employed individual and I am aware that a Schedule C is being completed by the tax preparer with my permission and with my knowledge.
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Taxpayers Name:
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Taxpayers Signature:
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Date
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Taxpayers SSN:
Business Name
Tax Preparer Initials:
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