State of Maryland Department of Labor Maryland State Board Of Public Accountancy 1100 N. Eutaw St Baltimore, Maryland 21201 (410) 230-6322 (Baltimore area), (888) 218-5925 (toll free) |
I. |
Applicant must complete this section (please type):
Name Address City , State Zip Code Daytime Telephone No. Email Address 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 License number: Date Issued: By the State of: . Signature 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. |
II. |
THIS SECTION MUST BE COMPLETED BY THE STATE BOARD FROM WHICH YOUR FIRM OBTAINED THE ORIGINAL CERTIFICATION (please circle the appropriate answer):
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Board Seal |
Signature
Title Date |