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The Board will not approve an incomplete application. See Chapter 2 of the Rules and Regulations for requirements - www. msbpa.state. ms. us. Name First Middle Last Home Address City State Zip Code Home Telephone Email SS Number Birthdate Birthplace Affix a 2 x 2 Face Shoulder Passport Quality Original CPA License State Number Dated Photograph of Yourself Here C Reason s for applying for reciprocal required C Are you licensed/certified in other s...

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