(Name of person or entity to whom the CPA recommends or refers a product or service to which the commission, performance fee, or referral fee relates)
Dear _______________:
As required by New Jersey State Board of Accountancy regulations, this is to inform you that (I/we) (will/expect to) receive a (commission/performance fee/referral fee) from (name of payer) for referring you to (name of entity paying the commission or referral fee).
As acknowledgment of this notice, please sign and date a copy and return to (me/us) in the enclosed envelope.
Sincerely,
CPA
Acknowledged by:
________________________
Name
______________________
Date