1. through 4. Please fill out as instructed.
5. You must attach a list of all partners, shareholders, and/or owners, including non-licensees with ownership in the firm practicing in New Hampshire.
6. Please also include a list of all licensees working for this firm in New Hampshire.
7. Please list all states in which the firm has applied for or hold permits as a CPA Firm
8. Please attach a list regarding any past denial, revocation, or suspension of a license or permit held by the firm by any other state.
9. Please identify the individual who will be in charge of attest services if this firm has non-licensee owners.
9. On second page, you will find 4 peer review affidavits. Your practice unit must sign one of these affidavits.
-If you sign (a) you MUST submit a copy of your most recent peer review acceptance letter. This document is the notification that your firm received, from the peer review entity, that confirms that the firm has had a successful review and usually includes the date of your next review. If you do not have this letter then you will need to submit a copy of the peer reviewer’s letter.
10. This firm registration and attachments are due on or before 6/30/2008. Once received the Board shall have 90 days to act on said permit. If additional information or fees are required, the firm will be contacted. Upon approval this Agency will forward a Firm License to the practice unit.
11. Fees: $20.00 for each CPA working in the New Hampshire office regardless on whether or not he or she holds a New Hampshire Certificate.
Please note that you must notify this Board within 30 days of any change in the identities of partners, officers, shareholders, members, or managers whose principle place of business is in this state. Furthermore you must notify us of any changes in location of offices within the state, any change in the identity of the persons in charge of such offices, and any issuance, denial, revocation, or suspension of license of permit by any other state within 30 days.
