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Client Authorization
Release Information TO Third-Parties
An electronic version, scanned copy, photocopy or facsimile of this authorization
is considered as valid as an original hard copy.
AUTHORIZATION TO RELEASE AND SHARE INFORMATION
I hereby authorize K Liu Accounting Services Inc. to release the following information to the above referenced Third‐party. By signing, I understand that my information will be sent via mail, e‐mail and/or fax. Also, if needed, I am authorizing K Liu Accounting Services Inc. to answer questions of the Third‐Party about the information I have authorized to be released. I understand that I may be obligated to compensate K Liu Accounting Services Inc. for all time expended and reimburse for all out‐of‐pocket expenditures related to the release of this requested information.
This authorization is to remain effective until such time, if any, that K Liu Accounting Services Inc. receives, in writing, an update or change to this form. K Liu Accounting Services Inc. reserves the right to decline, at its sole discretion, my request for release of information to any Third Party.
To ensure compliance with requirements imposed by the Canada Revenue Agency, please be advised that any tax advise contained in this communication (including any attachments) was not intended or written by practitioner to be used, and cannot be used, for the purposes of (1) avoiding penalties under the Canada Revenue Agency Acts and Regulations or (2) promoting, marketing, or recommending to another party any transaction or matter addressed herein.
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Release Information Designated Below to The Following Third‐Party:
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By my signature below, I certified that I have the authority to execute this form and am a currently authorized signer/owner/or other authorized representative for the below named individual/entity and that I agree to indemnify K Liu Accounting Services Inc. against any liability related to improper release of any information regarding this release: