I UNDERSTAND THAT FINANCIAL STRESS REDUCTION HAS ATTEMPTED TO THE BEST OF THEIR ABILITY TO OBTAIN ALL INFORMATION NECESSARY TO PREPARE A COMPLETE AND ACCURATE TAX RETURN FOR ME.  FINANCIAL STRESS REDUCTION WILL NOT AUDIT RECEIPTS, CANCELLED CHECKS, MY DATA PRESENTATION SHEETS, OR ANY OTHER INFORMATION I AM PRESENTING TO THEM AT THE TIME OF PREPARATION.  I WILL NOT HOLD FSR  RESPONSIBLE FOR ANY INFORMATION THAT I MAY WITHHOLD FROM THEM FOR ANY REASON, OR ANY INFORMATION I PRESENT TO THEM THAT WAS FRAUDULENT OR MISREPRESENTED IN ANY WAY.

This form will also act as a conformation form in that I give (FSR) permission to file my income tax return electronically, using a PIN Number.  The ERO in FSR?s office will key this number into their Tax Software program for electronic transmission. I want to use the last five digits of my Social Security Number as my PIN#.  I further agree to return immediately to Financial Stress Reduction, the Electronic Filing Forms presented to me for my signature. 

I UNDERSTAND THE INFORMATION PRESENTED ON THIS FORM, AND  CONSENT TO HAVE FINANCIAL STRESS REDUCTION FILE MY 2010 FEDERAL ALONG WITH ANY STATE INCOME TAX RETURNS I HAVE THIS YEAR.