FORM 49209 - IN.gov - in 2026

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The document is an application form for obtaining a CPA certificate or related licenses from the Indiana Board of Accountancy. It includes sections for personal information, criminal history disclosure, educational background, and employment experience. The applicant must provide their Social Security number and affirm the truthfulness of their statements. Additionally, it contains an authorization for the release of information necessary for processing the application.

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Click ‘Get Form’ to open FORM 49209 in the editor.
Begin by entering your personal information in the 'General Information' section. This includes your name, Social Security number, address, and contact details. Ensure all entries are legible.
Indicate the type of application you are submitting by checking the appropriate box (CPA certificate, Reciprocity certificate, etc.).
Answer the questions regarding any past convictions or disciplinary actions truthfully. Select 'Yes' or 'No' as applicable.
Complete the 'Accounting Experience' section if required. Provide details about your employment history, including employer names, addresses, and job descriptions.
Review all entered information for accuracy before signing and dating the affirmation at the end of the form.

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