Registration of an Individual Practitioner (IP) CPA Firm

NOTE: This form may only be used to register a firm that is legally structured as an individual practitioner (IP). This applies even if you are the firm’s only owner, shareholder, member, or partner. If your firm is organized as a professional limited liability company (PLLC), partnership (PR), limited liability partnership (LLP), or professional corporation (PA/PC), you may not use this form. You must use the registration form that corresponds to your firm’s legal structure, available on the Forms and Applications page.

To submit a Notice of Intent to Practice: Out-of-State CPA Firm, please use this form.

If you have questions about registering your firm, please contact the Licensing Staff at (919) 733-1423 or licensing@nccpaboard.gov.

Registration of an Individual Practitioner in North Carolina

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This field is for validation purposes and should be left unchanged.

CPA Firm Name(Required)

CPA Firm's Mailing Address(Required)

Street Address or PO Box City State/Province ZIP/Postal Code Country

CPA Firm's Phone Number(Required)

CPA Firm's Website

CPA Firm's Physical Address if Different from Mailing Address

Street Address City State/Province ZIP/Postal Code Country

Supervising CPA's Full Name(Required)

First Middle Last Suffix

Supervising CPA's NC CPA Certificate Number(Required)

Supervising CPA's Daytime Phone Number(Required)

Supervising CPA's Email Address(Required)

Enter Email Confirm Email

Contact Person's Name (if different from supervising CPA)

First Middle Last Suffix

Contact Person's Daytime Phone Number

Contact Person's Email Address

Enter Email Confirm Email

Verification(Required)

By typing my name in the field below, I am verifying that the information entered on this form is correct to the best of my knowledge.

Date(Required)

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Registration of an Individual Practitioner in North Carolina

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