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Application for the Ohio registration

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ACCOUNTANCY BOARD OF OHIO 2008 OHIO REGISTRATION APPLICATION FORM-2007 LATE FILERS PLEASE READ CAREFULLY: Complete the following section. Ohio Registration Requirement By checking this box, you certify that you are performing NO public accounting work. If you own or operate a public accounting proprietorship, corporation or partnership, or do any public accounting and/or tax work as an employee of a public accounting firm (even if part-time), you may not register using this form. You must obtain the application for the Ohio permit. NAME __________________________________________________________ FIRM (if applicable)________________________________________________ ADDRESS _______________________________________________________ CITY ______________________________ STATE ________ ZIP ________ TELEPHONE _________________________FAX_______________________ EMAIL ADDRESS ________________________________________________ Calculation of Ohio registration late filing fee Fee for Ohio registration: $55 Late filing fee: The late filing fee is $50 for each month or part of a month you are late in filing, up to a maximum of $300. The postmark deadline each month is the 2nd. Total Late filing fee: (Months late) ________ X $50 = ________ Total fee: ________ MAKE CHECK PAYABLE TO: Treasurer, State of Ohio DATE ___________________________________ SIGNATURE Mail to: Accountancy Board of Ohio, 77 S. High St., 18th Floor, Columbus, OH 43215-6128 Telephone: (614) 466-4135; Fax: (614) 466-2628; Website: acc.ohio.gov Revised 01/2008

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