Permit to Practice as a Certified Public or Public Accounting Firm
(For Entities with an office/s in New Hampshire)
July 1, 2008 through June 30, 2010
I HEREBY REGISTER THIS FIRM TO PRACTICE PUBLIC ACCOUNTING IN THE STATE OF NEW HAMPSHIRE IN CONFORMITY WITH RSA 309-B: 8.
2. Complete Principal NH Address of CPA firm
3. Firms Telephone Number:
Firms Fax Number:
4. Indicate the Type of Practice by Selecting One of the Following:
5. Please submit a list, on firm letterhead, for all partners, shareholders, or owners, including non-licensee owners, that specifies
Each such person's name, home address, and home telephone number
Each such person's business address and business telephone number; and
A description of each person's ownership interest, including percentage of ownership
6. Please submit a list, on firm letterhead, of all licensees who work in New Hampshire for the CPA firm, that specifies
Each such licensee's name; and
Each such licensee's certificate number; and
Each such licensee's certificate expiration date
7. Please list every state in which the CPA firm has applied for or holds a permit to practice as a CPA Firm.
8. Please list every past denial, revocation, suspension, or other disciplinary action taken against the CPA firm's permit to practice in any state since your last firm permit or respond if your first application.
9. Please identify the individuals who will be in charge of all attest services rendered in New Hampshire as this/these individual/s must meet the experience requirement pursuant to RSA 309-B:III(c): (If more than one may be submitted on a separate sheet)
I hereby attest, as an authorized representative of this firm, that this application is true and correct to the best of my knowledge and belief:
Signature
Date
In order for this form to be considered complete, you must submit this form, completed with all required information, the fees, and affidavit for peer review, on Form BOA-6. If applicable the firm must submit the most recent peer review acceptance letter, if the firm has been issuing reports for 3 or more years in accordance with Ac 405.02.
Upon receipt of a full and complete application, the Board shall grant or deny any application no later than 90 days after the application is filed in its proper form. If approved the firm will receive a firm license and approval letter. If denied, the firm will receive a denial letter with the reason for denial.
