Application For Minnesota Cpa Firm Permit - Minnesota Board Of Accountancy Page 3
Download a blank fillable Application For Minnesota Cpa Firm Permit - Minnesota Board Of Accountancy 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 Application For Minnesota Cpa Firm Permit - Minnesota Board Of Accountancy 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.
ADVERTISEMENT
1
2
3
4
5
65.
List of Minnesota resident non-CPA owners:*
Provide the names of all non-CPA owners, partners, members, shareholders, directors and officers
of the firm who reside in Minnesota. Attach list, if necessary.
* Be sure to complete a
Non-CPA Owner of Firm Statement
(page 5) and enclose the $45.00 fee for each individual listed.
6.
Non-CPA owners—resident and nonresident combined—hold,
in
total, what percentage of:
Voting interest in the firm?
%
Financial interest in the firm?
%
7.
DESIGNATION AFFIDAVIT FOR
FIRM PERMIT APPLICATION
Read all statements and sign the affidavit below.
1. The firm has verified that two-thirds of all CPA owners, partners, shareholders, members, managers, directors and
officers of the firm who have their principal place of business located in Minnesota have an active certificate.
2. All attest and compilation services rendered by the firm in this state are under the charge of a person holding a
valid certificate with an active status or a person who has been granted practice privileges under Minnesota Stat-
ute §326A.14 (2016).
3. The firm has an audit documentation retention and destruction policy that complies with Minnesota Rules
1105.7850 (F) (2015).
4. The firm has verified that—if applicable—all Minnesota non-CPA owners have completed a Minnesota Non-CPA
Owner of Firm Statement and registered with the Board.
5. All individual employees of the firm who have been granted practice privileges under Minnesota Statute
§326A.14 (2016), or who hold certificates and reside or practice in this state and those persons specified in part
1105.4000.D (2015), who are responsible for supervising attest or compilation services or who sign or authorize
someone to sign an accountant’s report on financial statements have met the competency requirements set out
in professional standards.
Affidavit: I swear or affirm that I have read the foregoing application
and that the statements are true and complete.
Printed Name of Partner/Shareholder/Officer
Signature of Partner/Shareholder/Officer
Date
Notarization
8.
(To be completed by a notary public.)
I,
, a Notary Public in and for the County of
,
State of
, do certify that this application was subscribed
and sworn to before me by
, on this
Seal / Stamp
day of
, 20
.
Notary Signature:
Application for CPA Firm Permit—Page 2 of 5
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For Minnesota Rap Firm Firm Or Rap Sole Proprietor Permit - Minnesota Board Of Accountancy
Legal
Application For Minnesota Cpa Certificate (license) By Non-minnesota Exam Candidate - Minnesota Board Of Accountancy
Legal
Related Categories
Parent category: Legal