Aleknagik Business Registration Form printable pdf download

Aleknagik Business Registration Form

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CITY OF ALEKNAGIK

P.O. BOX 33 MAIN STREET

ALEKNAGIK, AK 99555-0033

PHONE: (907) 842-5953 OR 842-2528

FAX: (907) 842-2107

EMAIL:

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ALEKNAGIK BUSINESS REGISTRATION

REGISTRATION NUMBER

DATE STARTED

DATE BUSINESS PURCHASED

* BUSINESS REGISTRATION IS NOT TRANSFERABLE OR ASSIGNABLE. THE CITY OF ALEKNAGIK

MUST BE NOTIFIED WITH IN TEN (10) BUSINESS DAYS WHEN A CHANGE IN BUSINESS OWNERSHIP

TAKES PLACE AND A NEW BUSINESS REGISTRATION MUST BE ASSIGNED. *

Individual: __________

Partnership: __________

Corporation: __________

NAME OF BUSINESS

NAME OF APPLICANT

MAILING ADDRESS

NATURE OF BUSINESS

Business is Owned By:

Alaska Resident: _____

Non-Resident: _____

Sign and Return your registration to the City of Aleknagik at the address above. This

application must be signed and dated. Applications without the appropriate signature and

printed name will be returned unprocessed.

Alaska Business Licenses Applied for: _____ YES_____ NO

All Applicable State and Federal Permits and Licenses Applied for: _____ YES_____

I further certify that all statements made in this application are true and made as an

inducement for the issuance of registration and the business aggress to be made to

comply with all City of Aleknagik City Ordinances.

__________________________________________

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Signature

Date

__________________________________________

Printed Name and Title

(Revised 1/2003)

Aleknagik Business Registration Form