Rap Firm And Sole Proprietor Permit Renewal - Minnesota Board Of Accountancy - 2018 Page 2
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685 East 7th Place, Suite 125, St. Paul, MN 55101-2143
Ph: 651-296-7938 • Fax: 651-282-2644 • boa.state.mn.us
CLEAR
CLEAR
FORM
FORM
2018 RAP FIRM AND SOLE PROPRIETOR PERMIT RENEWAL
Payment is by check. No cash, credit card, or bill pay.
Renewals received without payment ENCLOSED will be returned.
1.
FIRM INFORMATION
Military Only
u
If you are active duty or within 6 months of discharge from active duty, check box:
Firm Name
Firm Permit #
Contact Name
Main Phone
(First)
(Last)
Firm Address
City
State
Zip
2.
Does your firm have more than one office
in
Minnesota?
No
Yes
If yes, attach a sheet listing the addresses for all offices and the person in charge at each.
X
3.
TYPE OF FIRM AND RENEWAL FEE
(Mark choice in first column)
RENEWAL FEE
ü
FIRM TYPE
Postmarked
Postmarked AFTER
ON or BEFORE 12/31/17
12/31/17
Sole Proprietorship
$35
$85
Corporation
Limited Liability Partnership
Partnership
$100
$150
Limited Liability Company
Foreign Firm Practicing in Minnesota
4.
List all RAPs and/or CPAs at your firm and provide the requested detail.
Attach list, if necessary.
Name
Minnesota RAP
Owner, manager,
Practicing in
Registration/CPA
director or officer?
Minnesota?
Certificate #
(if applicable)
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
RAP Firm/Sole Proprietor Permit Form—Page 1 of 5
Rev 12/17
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