Individual Cpa Certificate Renewal - Minnesota Board Of Accountancy - 2018 Page 3

Download a blank fillable Individual Cpa Certificate Renewal - Minnesota Board Of Accountancy - 2018 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Individual Cpa Certificate Renewal - Minnesota Board Of Accountancy - 2018 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Name

Do you work in public accounting as your primary occupation?

If yes, indicate business type below. If no, go to question 4.

Yes

CPA Limited Liability Company

CPA Corporation

CPA Limited Liability Partnership

CPA Partnership

CPA Sole Proprietorship

Governmental

If you have a secondary occupation for which you use your CPA designation, answer A-C.

If not applicable, skip to question 5.

A. What name do you practice under?

B. Indicate the business type:

CPA Corporation

CPA Limited Liability Company

CPA Limited Liability Partnership

CPA Partnership

CPA Sole Proprietorship

C. Do you perform any compilation of financial statements, audits or reviews?

Yes

Note: All firms, including sole proprietors, engaged in providing attest or compilation services for a client having its headquarters in Minnesota (as

defined in

MN Rule

1105.4150) or a firm with an office in Minnesota must obtain a

firm permit

and renew that permit every year.

Have you been convicted of a felony in the past year?

Yes*

*If yes, provide a statement of explanation on a separate sheet.

Since your last renewal, have you had a CPA certificate, license or

permit disciplined, denied, surrendered, suspended or revoked?

Yes*

*If yes, provide a statement of explanation on a separate sheet.