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Home > Entrepreneur's > Obtaining Your Permission To Speak With Your Bank & Others

The following is a document that when signed, permits us to obtain the information we require to conduct our business with you.


I,     authorized officer of                Inc.,

hereby irrevocably authorize from this date onward the release of any and all information in the possession of any party to whom this authorization may be presented to 2811472 Canada Inc. cob Acorn Partners.

The information is to be released upon presentation by facsimile or other means and includes but is not limited to financial, banking, litigation, and excise tax, employee withholding remittances, workers compensation remittances, employee health remittances, goods and services tax, income tax, and sales taxation.

Personally and corporately the party providing the information and 2811472 Canada Inc. are hereby held harmless from any action whatsoever by the undersigned and the above corporation, partnership, proprietorship.

_______________                                                                               ______________

Signature                                                                                           Name


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