State of Maryland Department of Labor, Licensing And Regulation
Maryland State Board Of Public Accountancy
500 N. Calvert St., Room 308
Baltimore, Maryland 21202-3651
(410) 230-6322 (Baltimore area), (888) 218-5925 (toll free)
Applicant must complete this section (please type):
City , State Zip Code
Daytime Telephone No.
I, , am applying for a
Limited Permit for a Corporation / Partnership / LLP / LLC to the State of Maryland on behalf of the firm , based upon my Firm's
By the State of: .
Note to applicants: Upon completion of Section I, please forward this form to the state board from which your firm obtained its original license. Include a postage paid, addressed envelope for return to the Maryland Board.
THIS SECTION MUST BE COMPLETED BY THE STATE BOARD FROM WHICH YOUR FIRM OBTAINED THE ORIGINAL CERTIFICATION (please circle the appropriate answer):