Form 08-4181 - New Alaska Business License Application - 2014 Page 3
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4NEW TOBACCO ENDORSEMENT(S) APPLICATION
In accordance with Alaska Statute 43.70.075
Complete this form if your business will sell tobacco products. New tobacco endorsements must initially apply by
hardcopy (paper) application. Online filing is not available at this time for the purchase of a new tobacco endorsement.
A tobacco endorsement is required for each location or outlet where tobacco products are sold. A tobacco endorsement
cannot stand on its own: it must be attached to a business license.
TOBACCO ENDORSEMENT FEE(S): $100 per location in addition to the business license fee.
EXPIRATION DATE: Tobacco endorsements will expire on the same date as the business license to which they are
attached. Tobacco endorsements must be renewed at the same time as the business license to which they are attached.
TIP: The tobacco endorsement fee is a flat rate of $100 per location, whether you purchase a one or two year business
license. For a better bargain, purchase your business license with tobacco endorsement(s) for two years.
REQUIRED SALE OF TOBACCO SIGNAGE: A “The sale of tobacco products to persons under the age 19 is illegal” sign
will be mailed to you with your business license and must be displayed at each location where tobacco is sold. This sign
must be displayed in a conspicuous location to a person purchasing or consuming tobacco products. There are significant
penalties for improper sales of tobacco products. It is the licensee’s responsibility to be familiar with the proper sales of
tobacco.
For more information regarding Tobacco Endorsements go to
and select Business
Licensing Statutes and Regulations.
List the physical address of each location where tobacco products will be sold:
BUSINESS NAME
BL# (if available):
(Must be the exact same name as listed in Item #1 on the Alaska Business License/Application):
Location #1: Physical location where tobacco will be sold:
City:
State: AK
Zip Code:
FEE: $100.
(Fees are nonrefundable once the license and endorsement has been issued.)
Location #2: Physical location where tobacco will be sold:
City:
State: AK
Zip Code:
FEE: $100.
(Fees are nonrefundable once the license and endorsement has been issued.)
Location #3: Physical location where tobacco will be sold:
City:
State: AK
Zip Code:
FEE: $100.
(Fees are nonrefundable once the license and endorsement has been issued.)
Location #4: Physical location where tobacco will be sold:
City:
State: AK
Zip Code:
FEE: $100.
(Fees are nonrefundable once the license and endorsement has been issued.)
Copy this form or attach additional pages to purchase more tobacco endorsements. New tobacco endorsements must
apply by hardcopy. Online filing is not available for the purchase of a new tobacco endorsement.
The total number of Tobacco Endorsements _______ X $100 each = $___________ Subtotal
(Insert the above subtotal for the tobacco endorsements onto the bottom of page one on the Alaska Business License Application.)
08-4181
Rev. 10/29/14
New BL Application page 3 of 3
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