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Client Information Release Form I understand that Turner & Persons CPAs, PC (the firm) will release, upon request, copies of relevant financial and tax data. However, Turner & Persons CPAs, PC reserves the right to deny requests for workpapers or any other documents deemed proprietary. I hereby give my authorization for Turner & Persons CPAs, PC to disclose my personal and business financial and tax information to the individual(s) and/or companies below. Service Provider: BANCORPSOUTH Service Provider________________________________________________ The company will provide paper copies or faxes upon request as time permits. Multiple copies or expedited service may result in a nominal fee assessed prior to document reproduction or transmission. This request is for the following companies or entities: David & Kristen Owens Regional Urology, LLC Diablo Enterprises, LLC _____________________________________________ _____________________________________________ This authorization will remain in effect until it is rescinded in writing. X____________________________ X_____________________________ Client Signature Client Signature ___________________ ____________________ Title (if applicable) Title (if applicable) ___________________ ____________________ Date Date _____________________________ _______________________________ Print Client or Company Name Print Client or Company Name E-Mail or other electronic transmission services are available on a limited basis. Should you wish this option to be available, please sign below. I, David Owens, direct Turner and Persons CPAs, PC to email financial information on my behalf. I understand that information transmitted electronically carries certain risks and I will accept those risks. Turner & Persons CPAs, PC shall not be held liable for intercepted or misused information transmitted on my behalf. _____________________________ ____________________ Signature Date David Owens Print Client or Company Name