State of Maryland Department of Labor
Maryland Board of Architects
1100 N. Eutaw St
Baltimore, Maryland 21201
(410) 230-6322 (Baltimore area),    (888) 218-5925 (Toll Free)

Architect - Application for Permit for Corporation / LLC or Partnership / LLP

SECTION I


PRINT FIRM/PARTNERSHIP NAME
BUSINESS ADDRESS 
STREET NAME AND NUMBER
CITY STATE ZIP CODE


SECTION II. PARTNERSHIP / LLP ONLY

The Maryland Architects Act, Business Occupations and Professions Article, §3-404, requires that two-thirds of the partners of a partnership shall be licensed in this or any other state to practice architecture, engineering or landscape architecture.

COMPLETE THE REQUIRED INFORMATION BELOW.

PARTNER(S)  PROFESSION STATE OF LICENSE NUMBER DATE LICENSED
NAME
ADDRESS
NAME
ADDRESS
NAME
ADDRESS
NAME
ADDRESS


SECTION III. CORPORATION / LLC - DIRECTORS

The Maryland Architects Act, Business Occupations and Professions Article, §3-404, requires that at least two-thirds of the directors of a corporation shall be licensed in this or another state to practice architecture, engineering, or landscape architecture.

COMPLETE THE REQUIRED INFORMATION BELOW FOR:
1. PRESIDENT
2. SECRETARY
3. TREASURER

DIRECTOR(S)  PROFESSION STATE OF LICENSE NUMBER DATE LICENSED
PRESIDENT NAME
ADDRESS
SECRETARY NAME (IF SAME WRITE "SAME")
ADDRESS
TREASURER NAME (IF SAME WRITE "SAME")
ADDRESS


SECTION IV. CORPORATION - OFFICERS

The Maryland Architects Act, Business Occupations and Professions Article, §3-404, requires that the application contain the names and addresses of the officers of the corporation.

COMPLETE THE REQUIRED INFORMATION BELOW.

NAME

PRESIDENT
ADDRESS
NAME

SECRETARY
ADDRESS
NAME

TREASURER
ADDRESS


SECTION V. RESPONSIBLE MEMBER

The Maryland Architects Act, Business Occupations and Professions Article, §3-404, requires that a corporation / LLC or partnership / LLP shall appoint at least one responsible member of the corporation / LLC or partnership / LLP who shall be in responsible charge of architecture practiced through the corporation / LLC or partnership/ LLP . Each responsible member shall be a director of the corporation / or member of an LLC or a partner of the partnership / LLP and a licensed Maryland architect.

COMPLETE THE REQUIRED INFORMATION BELOW FOR:

Name and position of responsible member(s) (type or print) Maryland License Number

CONFIRMATION OF RESPONSIBILITY MUST BE SIGNED BY PERSONS LISTED ABOVE

I HAVE READ THE CURRENT LICENSING LAW AND I AM FULLY AWARE OF THE PARTNERSHIP/CORPORATE RESPONSIBILITIES AS WELL AS MY RESPONSIBILITIES AS AN INDIVIDUAL LICENSEE.

SIGNATURE OF RESPONSIBLE MEMBER DATE
SIGNATURE OF RESPONSIBLE MEMBER DATE

CORPORATION - GO TO SECTION VI. PARTNERSHIP - GO TO SECTION VII.


SECTION VI. CORPORATION OR LLC - CERTIFICATE OF GOOD STANDING

A Certificate of Good Standing, dated within the preceding thirty (30) days of this application, issued by the Maryland State Department of Assessments and Taxation, must be attached to this application. The telephone number for the Department of Assessment and Taxation is (410) 767-1340.

SECTION VII. CERTIFICATIONS - Must be completed by all applicants.

a.   I understand that by signing this statement, the permit for which I am applying will expire on the date printed on the permit, and that I will be required to renew this permit and pay the renewal fee prior to the above expiration date. I further understand that I may not engage in the occupation or profession for which I have applied until such time as a permit has been issued to me.
b.   "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."
SIGNATURE OF PRESIDENT OF CORPORATION / LLC OR PARTNERSHIP / LLP DATE


FOR OFFICE USE ONLY

APPROVED BY: DATE
1. 
2. 
3. 
4. 
5. 

DENIED BY: DATE
1. 
2. 
3. 
4. 
5. 

REASON FOR DENIAL: