Puerto Rico Affidavit for the Uniform CPA Examination Form

PUERTO RICO
CHARACTER REFERENCE AFFIDAVIT FOR PUERTO RICO
APPLICANT FOR THE UNIFORM CPA EXAMINATION
The following sworn references (2) are provided in support of the applicant for the Uniform CPA Examination whose name
appears below:
Applicant’s Name:__________________________________________
Social Security Number:__________________
AFFIDAVIT
I,_______________________________________________, residing at_______________________________________
Name
Address
_____________________________, certify that I have known the applicant for _____ years and that I am NOT related
Telephone Number
to the applicant by blood or marriage. To the best of my knowledge and belief, the applicant is of good moral character
and worthy of admission to the Uniform CPA Examination.
______________________________________
Signature
Commonwealth of Puerto Rico
City/County of________________________________________. This statement was signed and sworn to before me on
this __________________________ day of_______________, 20_____.
____________________________________
Notary Public Signature
NOTARY SEAL
AFFIDAVIT
I,_______________________________________________, residing at_______________________________________
Name
Address
_____________________________, certify that I have known the applicant for _____ years and that I am NOT related
Telephone Number
to the applicant by blood or marriage. To the best of my knowledge and belief, the applicant is of good moral character
and worthy of admission to the Uniform CPA Examination.
______________________________________
Signature
Commonwealth of Puerto Rico
City/County of________________________________________. This statement was signed and sworn to before me on
this __________________________ day of_______________, 20_____.
____________________________________
Notary Public Signature
NOTARY SEAL
MAIL TO: CPA EXAMINATION SERVICES – PR, P.O. BOX 198469, NASHVILLE, TN 37219