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West Palm Beach Florida Form 668(Z): What You Should Know

The Forms and Certifications. By submitting this application, you agree to the terms and conditions of the following: 1. I am not an attorney, not a tax advisor and not acting in any individual capacity. If you have any question regarding this application, I recommend that you do not enter any comment as you do in the application. 2. I do not, nor will I ever, provide any information that could or should be used to make any determination that an individual is an attorney, an advisor, or otherwise qualified to give advice concerning their federal tax issue. Please note that if this application is approved, any information provided will always be used for tax return purposes and will remain confidential. 3. If I am a person providing any type of tax advice, tax information, or tax advice for a fee or on a non-revenue basis, I am required to maintain my registration number (#) to maintain client confidentiality and the confidentiality of any information provided to me. This could include tax advice, guidance, etc. 4. This application is only provided to the Office of the State's Attorney for the Southern District of Florida and all agencies and officers of the Department of Law Enforcement, the Department of Agriculture and Consumer Services, and the Office of the State's Attorney for the Southern District of Florida. 5. If you are the provider of a service to the City of West Palm Beach, you are required to notify the City as soon as you become aware that you are losing the confidentiality of information about individuals who have requested that their information be removed from the city's database, and you will provide all information as required within 30 days of notification. 6. By submitting this application, you agree to the terms and conditions of the following: a) The information contained in this application contains information that can identify you and your employer. Any information you provide may be disclosed in the course of our investigation of your tax returns (see 15 F.S. § 7203(g)), tax audits or investigations, requests by any federal, state or local regulatory agency, governmental agency, law enforcement agency, or other entity, court proceedings or administrative proceedings relating to the disclosure of that information, or in any other circumstance in which such information may fall into the public domain.

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