The State of Tennessee Department of Commerce and Insurance, through its Tennessee State Board of Accountancy, mandates the utilization of the IN 1324 form as an affidavit for those certified public accountants (CPAs) or licensed public accountants (PAs) seeking an exemption from Continuing Professional Education (CPE) requirements and aiming to switch their certification status from active to inactive. This specific document requires the submission of detailed information, including the licensee's full name and address, under oath to the board. The form is a declaratory step indicating the accountant's commitment to no longer practice public accountancy or offer services that employ accounting or auditing skills, including but not limited to the issuance of financial statement reports, management advisory, financial advisory, consulting services, as well as the preparation of tax returns or providing tax advice, from a specified date. It also encompasses the licensee’s understanding that converting to inactive status prohibits the use of the CPA or PA title without explicitly stating 'Inactive', and outlines the conditions under which one can revert to active status, which includes completing 80 hours of technical CPE in the 24 months preceding such a request. Additionally, it highlights the importance of adhering to the Laws and Rules of the Board of Accountancy, the need for biennial certificate renewal along with the payment of corresponding fees, and acknowledges that any violation of the relevant Tennessee statutes or board rules may result in disciplinary actions. This form carries significant implications for licensees in Tennessee, impacting their professional practice and requiring a notary's verification to affirm its authenticity.
| Question | Answer |
|---|---|
| Form Name | Tennessee Form In 1324 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | Affidavitforina ctive tennessee affidavit for cpa exemption form |
State of Tennessee
Department of Commerce and Insurance Tennessee State Board of Accountancy 500 James Robertson Parkway Nashville, TN 37243
6157412550 or 8884536150 (Fax 6155328800)
AFFIDAVIT FOR CPE EXEMPTION AND INACTIVE CPA/PA STATUS
(Must Be Notarized)
By: ______________________________________________________________________________________
(Licensee's Full Name and Address print or type)
after being duly sworn, deposes and says:
I, _________________________________________, hereby advise the Tennessee State Board of Accountancy that
I wish to surrender my right to practice public accountancy and change my certificate from 'Active' to 'Inactive' status.
I warrant and affirm that I have not performed or offered to perform for the public, individually or as an employee in a firm, one or more kinds of services involving the use of accounting or auditing skills, including the issuance of reports on financial statements, nor have I performed or offered to perform for the public one or more kinds of management advisory, financial advisory or consulting services nor have I performed or offered to perform for the public services including preparation of tax returns or the furnishing of advice on tax matters since___________________ (date must
precede period for which you are seeking exemption.)
I understand that by doing so I give up the right to use the title of certified public accountant or licensed public accountant without including 'Inactive' adjacent to the use of the title which includes the abbreviations CPA, PA and the word 'Accountant.' I understand that by making this election I can not perform or offer to perform for the public any of the services listed in the previous paragraph. I further certify that I have read and understand the Law and Rules of the Board of Accountancy.
I understand that I must continue to renew my permanent certificate on a regular biennial basis and pay the renewal fees assessed by the Board of Accountancy. I further understand that in order to return to active status, I must complete eighty (80) hours of technical CPE during the 24 month period preceding the date I request reactivation of my license.
Additionally, I understand that violation of Tennessee Code Annotated, Title 62, Chapter 1 and/or the rules and policies of the Tennessee State Board of Accountancy relating to improperly performing services for the public and/or using my credential in the State of Tennessee is cause for disciplinary action by the Tennessee State Board of Accountancy.
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Affiant Signature |
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Date of Signature |
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Sworn and subscribed Before Me this _________ day of ________________, 20_____. |
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_______________________________ |
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Notary signature |
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Notary Public: My Commission Expires: _________________________ (Seal) |
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IN 1324 (06/3/2009) |
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RDA 2225 |