Application For Minnesota Rap Firm Firm Or Rap Sole Proprietor Permit - Minnesota Board Of Accountancy Page 2

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85 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
APPLICATION FOR MINNESOTA
RAP FIRM FIRM OR RAP SOLE PROPRIETOR PERMIT
Application Fee: $100
1.
FIRM INFORMATION
Are any of the firm’s owners, partners, shareholders, members, directors, or officers an active duty military
No
Yes
member? Or have left service in the last two years with an honorable or general discharge?
Proposed Firm Name
Firm Address
City
Phone
State
Zip
FEIN # or MN Taxpayer ID #
RAP Registration #
Name of Manager /
(if applicable)
Partner in Charge
(First)
(Last)
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.
3.
Provide the date the firm was formed
and select the firm type below:
(MM/DD/YYYY)
Corporation
Limited Liability Partnership
Sole Proprietorship
Partnership
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
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Application for RAP Firm Permit—Page 1 of 5
Rev 10/17

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