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State of Florida

1 of 7 DBPR CPA 7 CPA Change of Status Eff. Date: January 2015 Incorporated by Rule: 61H1-33 State of Florida Department of Business and Professional Regulation Board of Accountancy CPA Change of Status Application Form # DBPR CPA 7 APPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing. APPLICATION REQUIREMENTS ALL License Applicants must submit: Fees Select Application Type: $0 Voluntary Relinquish License No Fee Required $50 Become Inactive Place license on Inactive status ( License status is Current Active) $155 Become Inactive Place License on Inactive Status (License status is Delinquent Active) $250 Reactivation Application (License is Delinquent or Inactive Status).

VOLUNTARY RELINQUISHMENT OF CPA LICENSE Since I have discontinued the practice of public accounting in Florida, I am voluntarily relinquishing my

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