Form 08-613 - Cpa Partnership Registration And Permit To Practice Page 2

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Names and Certificate Numbers of All Other Partners (use additional paper if necessary)
Name
Title
State
Certificate Number
I CERTIFY THAT, to the best of my knowledge, the statements contained in this application are true and correct. I understand
that any false or misleading information herein may result in failure to obtain registration and licensure in the State of Alaska.
Signature of Managing Partner
Date of Application
SUBSCRIBED AND SWORN to before me this
day of
, 20
.
Notary Public
SEAL
My Commission Expires:
08-613 (Rev. 9/00)

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