Form Aels - Application For Biennial Corporate, Limited Liability Company (Llc), Or Limited Liability Partnership (Llp) Authorization Renewal - Alaska Department Of Community And Economic Development

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AELS
APPLICATION FOR BIENNIAL CORPORATE, LIMITED LIABILITY COMPANY (LLC),
OR LIMITED LIABILITY PARTNERSHIP (LLP) AUTHORIZATION RENEWAL
MAIL THIS FORM AND YOUR CHECK OR MONEY ORDER TO:
RENEW
ALASKA DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT
ON-LINE!
DIVISION OF OCCUPATIONAL LICENSING
BOARD OF REGISTRATION FOR ARCHITECTS, ENGINEERS, AND LAND SURVEYORS
P.O. Box 110806, Juneau, Alaska 99811-0806
!
Telephone: (907) 465-2540 (A-K)
(907) 465-2691 (L-Z)
!
E-mail: license@dced.state.ak.us
Website: http//
Use of the PIN and SSN for on-line
renewal authorized for registrant or
registrant’s authorized agent only
YOUR CORPORATE, LLC, or LLP AUTHORIZATION IN THE STATE OF ALASKA EXPIRES ON DECEMBER 31, 2003. By law, it is illegal
for you to practice or offer to practice if your corporate, LLC, or LLP authorization has lapsed. It is important to submit renewal application on
or before December 1, 2003 to ensure processing prior to December 31, 2003. Return this signed application to the above address with a
check or money order payable to the State of Alaska.
YOU MAY ALSO RENEW ON-LINE @ if there has been NO CHANGE in your company’s
designation of responsible charge.
Renewal Period Covered:
NOTE: THIS FORM IS TO RENEW YOUR AELS
January 1, 2004 – December 31, 2005
CERTIFICATE OF AUTHORITY ONLY.
In order to offer architect, engineer, land surveyor, or
LICENSE RENEWAL FEE
landscape architect professional services, you must:
"
Corporate, LLC, and LLP Authorization
1. Hold a current registration for your corporation (obtain a
Renewal.........................................................$235.00
current certificate of authority from the Division of
Banking, Securities, & Corporations
If you have changed your corporate, LLC, or
( )
LLP name, the areas of practice, or the
2. Hold a current corporate certificate of authorization with
person(s) in responsible charge,
you must file an
AELS (fill out this renewal form), and
amendment along with this renewal form. The
3. Hold a current business license,
Amendment Form, No. 08-4409, is available on the AELS
( )
If you do not hold a business license, but should, please
web site: or you may
contact the business licensing staff at (907) 465-2550 or
contact the division (AELS section) for an amendment
access the Internet for a business license application. Each
form prior to completing this form.
business name under which the corporation provides service
must be licensed through the business licensing office.
AELS Corporate, LLC, or LLP Authorization Number
Name of Authorized Agent
Telephone Number
_____
__
AELS Corporate, LLC, or LLP Name
Email address (optional)
Business Name (must list ALL business names under which the
Corporation, LLC, or LLP provides services)
Mailing Address (if new):
Street or P.O. Box
City
State
Zip Code
"
Check here if this is an address change.
08-4019 (Rev. 10/03)
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