Under penalties of perjury, declare that I have examined the information provided and to the best of my knowledge and belief, they are true, correct, and accurately list the income/expenses I/We had during the year for which I/We are reporting. I/We hereby authorize A.C.R. to prepare my/our income tax return based on the information and documents provided. I/We hereby release A.C.R. from any responsibility or liability since I/We may not be presenting all receipts, cancelled checks and/or supporting documents.