CPA - Limited Permit Application

Corporation / Partnership / LLP / LLC Permit

For a firm to qualify for a limited permit in Maryland:
  1. The Firm shall not have a place of business in the state.
  2. Partnerships / LLP - At least one (1) general partner and any other partner who practices or intends to practice certified public accountancy in Maryland must be licensed by the Maryland Board through an individual, biennial license, or a limited license.
  3. Corporations - Each shareholder who practices or intends to practice certified public accountancy in Maryland must be licensed by the Maryland Board through an individual, biennial license or a limited license.
  4. Limited Liability Companies - Each member who practices or intends to practice certified public accountancy in Maryland is licensed in Maryland or another state or in a foreign country.
CorporationPartnershipLLPLLC
This application is for a:
Resident Agent:
Resident Address:
City & Zip: , MD -
Corp./Partnership/LLC/LLP Name:
Business Address:
City, State Zip: , -
License Issuance State:
Original Issue Date: - - (MM-DD-YYYY)
Current Expiration Date: - - (MM-DD-YYYY)
Contact Person:
Contact Phone No.: - -
Contact Person Email Address:
Federal ID: - (format as: AA-AAAAAAAAA)
For Corporation/LLC/LLP Only: Name of State in which incorporated and date of Certificate of incorporation.
State: Date:--
Client Name:
Client Address:
Client City & Zip:, MD     -
Anticipated Start Date of Engagement: - - (MM-DD-YYYY)
Brief description of Engagement: Max 300 Chars.
 I have Workers Compensation Coverage   .

Issued by the  

 I am not an employer required to provide employee coverage under the Workers Compensation Law.

Certification

I hereby certify, under penalty of perjury, that the information contained herein is true and correct to the best of my knowledge, information, and belief. I further authorize the release of any information contained within this application to an authorized representative of the Department of Labor for further investigation. I further certify that I have paid all undisputed taxes and unemployment insurance contributions payable to the Comptroller or the Department of Labor or have provided for payment in a manner satisfactory to the unit responsible for collection.

In accordance with Executive Order 01.901.1983-18, the Department of Labor is required to advise you as follows regarding the collecting of personal information: Personal information requested by the licensing agency of the Department is necessary in determining your eligibility for licensure. Such personal information is also intended for use as an additional means of verifying the licensee�s identity or to enable the agency to communicate, in a timely manner, with the licensee should the need arise. The licensee has a right to inspect his/her personal record and to amend or correct the personal data if necessary. Personal information is generally available for inspection by the public only in accordance with the Public Information Act. Personal information is not routinely shared with state, federal or local government agencies.

I hereby certify that each partner (Partnership / LLP) or shareholder (corporation) or member of an LLC is licensed to practice certified public accountancy in Maryland or another state or in a foreign country.

I hereby certify that the partnership, corporation, LLP or LLC does not have a place of business in Maryland.

It is understood that the permit will be limited solely to the specific engagement and professional services as described in this application and cannot be extended or renewed beyond the expiration date shown on the permit. It is understood that any further statement or report relating to the services provided in this State shall be signed in and issued from the individual's out-of-state office on a form or stationery that sets forth the address of that office.

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