Form 08-613 - Cpa Partnership Registration And Permit To Practice
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1
2
3CPA
State of Alaska
Department of Community and Economic Development
Division of Occupational Licensing
Alaska Board of Public Accountancy
P.O. Box 110806
Juneau, Alaska 99811-0806
(907) 465-3811
E-mail: license@dced.state.ak.us
CPA PARTNERSHIP REGISTRATION AND
PERMIT TO PRACTICE
Nonrefundable Application Fee
$ 50.00
Make Checks Payable
Initial License Fee
$ 135.00
to the State of Alaska
TOTAL
$ 185.00
We hereby make registration for a permit to practice as a partnership of certified public accountants.
Firm Name:
Address:
Street
City
State
ZIP Code
Daytime Telephone Number:
If the answer is yes to any of the questions below, please estimate the number of engagements annually.
Approximate Number
Does your firm perform:
YES
NO
of Engagements Annually
1. Governmental Audits ..................................................................
2. Other Audits ................................................................................
3. Reviews ......................................................................................
4. Compilations ...............................................................................
We certify, in accordance with AS 08.04.240(a), that:
1.
At least one general partner is a certified public accountant of Alaska in good standing.
2.
Each resident manager in charge of an office of our firm in Alaska and each partner personally engaged in Alaska in
the practice of public accounting as a member of our firm is a certified public accountant or public accountant in good
standing and holds a valid permit to practice in Alaska.
3.
Each partner is a certified public accountant in good standing in a state.
We understand that if there is any change in partners, the Department of Community and Economic Development, Division
of Occupational Licensing, must be notified within 30 days of that change.
Names and Certificate Numbers of Partners Holding Alaska Certificates
Name
Title
Certificate Number
08-613 (Rev. 9/00)
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