Form 08-4181 - New Alaska Business License Application - 2014
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4BUS/TOB
T
S
HE
TATE
ALASKA
of
Department of Commerce, Community, and Economic Development
Division of Corporations, Business and Professional Licensing
Business License Section
th
State Office Building, 333 Willoughby Avenue, 9
Floor
PO Box 110806, Juneau, AK 99811-0806
Phone: (907) 465-2550 Fax: (907) 465-2974
Email: businesslicense@alaska.gov
Website:
NEW ALASKA BUSINESS LICENSE APPLICATION
AS 43.70 and 12 AAC 12
For immediate processing you may file online and print your business license.
1. BUSINESS NAME:
___________________________________________________________________________________
Enter the exact name you will be doing business as. You must operate and advertise only in the exact name listed above.
Previous business license number (if applicable):
(see instructions under Additional Information)
MAILING ADDRESS:
PHYSICAL ADDRESS:
_________________________________________________
________________________________________________
Street Address or PO Box
Street Address only (no PO Box)
_________________________________________________
________________________________________________
City
State
Zip
City
State
Zip
2. FEES
BUSINESS LICENSE FEE(S): Select only one business license fee option
(regular or senior or disabled veteran).
Regular Fees
(You may apply online and print your new business license certificate immediately)
$50 = 1 year business license expiring 12/31/2015.
$100 = 2 year business license expiring 12/31/2016.
-OR-
Senior Discount Fee
(You may apply online and print your new business license certificate immediately)
To qualify you must be 65 years or older, a sole proprietor and provide your date of birth.
DOB ______/______/________.
$25 = 1 year business license expiring 12/31/2015.
$50 = 2 year business license expiring 12/31/2016.
-OR-
*NEW* Disabled Veteran Discount Fee: This new discount fee goes into effective on 10/29/2014. To
qualify you must be a sole proprietor and provide a copy of your service connected disability determination
letter from Veteran Affairs along with your hardcopy business license application and the appropriate fee.
$25 = 1 year business license expiring 12/31/2015.
$50 = 2 year business license expiring 12/31/2016.
Note: per AS 43.70.030(a) only one qualified discount fee (senior -OR- disabled veteran discount) may be applied to a business license fee.
08-4181
Rev. 10/29/14
New BL Application page 1 of 3
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