Dear Client, 

Federal law requires this consent form be provided to you if you want us to provide information directly to a third party. As an alternative to signing this release form, you may request that we simply send you the information needed, as paper copies of electronic pdf files, so that you can forward it to the third party of your choice.

If you desire for us to send your tax information directly to the third party, please print this form, sign it and return it to us.

Client Consent Form

Thank you,

The Staff at Cain, Bourret, Jarry & Associates LLC