LYNCH ACCOUNTING

David M. Lynch, E.A. Telephone: 815-439-7886

13011 Tipperary Court Fax: 815-254-7732
Plainfield, Illinois 60585

CONSENT TO E-FILE/FEE COLLECT 2010 FEDERAL/STATE TAX RETURN

Under penalties of perjury, I declare that I have/will have examined a copy of my electronic individual income tax return and
accompanying schedules and statements for the tax year ending December 31, 2010, and to the best of my knowledge and belief, it is
true, correct, and complete. I consent to David M. Lynch, EA/Lynch Accounting to send my return to the IRS and to receive from the
IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) an indication of any refund offset, (c) the reason
for any delay in processing the return or refund, and (d) the date of any refund.

Please print legibly all information below. Lynch Accounting is not responsible for any
misdirected refunds due to inaccurate information below.

_________ Yes, please e-file my return and have my refund DIRECTLY DEPOSTED
into my bank account. I have filled out the banking information below.

OR

_________ Yes, please e-file my return, but have my refund sent to my address in a form
of a CHECK (you don’t need to fill out bank information below).

Taxpayer’s Name: _____________________________ Social Security Number: ________________

Spouse’s Name: _______________________________ Social Security Number: ________________

Bank ROUTING Number: ______________________ Bank ACCOUNT Number: ______________

CHECKING ACCOUNT SAVINGS ACCOUNT

Yes, I would like my tax preparation fee taken out of my refund (Fee Collect). It’s easy and
convenient. Please check the box, fill out the bank information above and sign below.

I (both taxpayers if joint return is filed) authorize Santa Barbara Bank & Trust (SBBT) to receive a direct deposit of my refund from the IRS and/or state
taxing authorities. I authorize SBBT to pay the tax preparation fee to my tax professional for the preparation, processing and transmission of my tax
return and deposit the balance of my refund into my bank account stated above. Notice: If your bank account information is entered incorrectly and your
deposit is returned to SBBT, the Account balance will be disbursed to you via a cashier’s check mailed by SBBT to the address on your tax return. If the
deposit is not returned to SBBT, you will be responsible for the loss.

The Federal Electronic Fund Transfer Act provides you with certain rights and obligations regarding the electronic transfer of your tax refund by SBBT.
If you believe that there is an error concerning the processing of your refund, write to Santa Barbara Bank & Trust, P.O. Box 1390, Solana Beach, CA
92075 or call (800)901-6663 and provide SBBT with your name, a description or explanation of the error and the dollar amount of the suspected error.
SBBT will advise you on the results of its investigation within 10 business days.

PRIVACY NOTICE: In the process of processing your refund, we will collect certain non-public personal information about you including your name,
address, social security number, and refund amount (Confidential Information). We do not share your Confidential Information and may only disclose
your Confidential Information as permitted by law. Inside SBBT, your information is assessable only to employees who need the information in order to
process your refund. We have a formal Code of Ethics and train our employees on their responsibility to maintain the privacy of your Confidential
Information. We also maintain physical, electronic and procedural safeguards that comply with federal standards to guard your Confidential Information.
If you have any questions regarding our Privacy Policy, please call 1-800-901-6663. We may change our privacy policy at any time, giving you any
notice that may then be required.

I understand that neither SBBT nor my tax preparer can guarantee the amount of the refund that will be deposited by the IRS and/or State Tax authority.
I also acknowledge that my tax professional pays a fee to SBBT for this service.

____________________________________________ ___________________________________________ ___________________

Primary Taxpayer Signature Spouse’s Signature Date