Cpa Sole Proprietor Firm 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 CPA SOLE PROPRIETOR FIRM 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
If you are active duty or within 6 months of discharge from active duty, check box:
u
Firm Name
Firm Permit #
Contact Name
Main Phone
(First)
(Last)
Firm Address
City
State
Zip
2.
Does your firm have an office
in a state other than
Minnesota?
XX
No—Firm permit renewal fee is
$35.00 ($85, if renewal postmarked after December 31, 2017)
XX
Yes—Firm permit renewal fee is
$68.00 ($118, if renewal postmarked after December 31, 2017)
3.
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.
4.
List all CPAs and/or RAPs at your firm and provide the requested detail.
Attach list, if necessary.
Name
Minnesota CPA
Owner, manager,
Practicing in
Certificate or
director or officer?
Minnesota?
RAP Registration #
(if applicable)
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
CPA Sole Proprietor Permit Renewal Form—Page 1 of 5
Rev 11/17
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