Form 08-4181 - New Alaska Business License Application
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3BUS/TOB
State of Alaska
Department of Commerce, Community and Economic Development
Division of Corporations, Business and Professional Licensing
BUSINESS LICENSING SECTION
P.O. Box 110806
Juneau, Alaska 99811-0806
Phone: (907) 465-2550
Website: www. commerce.alaska.gov/occ
OFFICE USE ONLY
NEW ALASKA BUSINESS LICENSE APPLICATION
BUS
TOB
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 in the exact name listed.
Previous License Number If Applicable: ____________ (see instructions under Additional Information)
MAILING ADDRESS:
PHYSICAL ADDRESS:
_________________________________________________
_________________________________________________
Street Address or PO Box
Street Address
_________________________________________________
_________________________________________________
City
State
Zip
City
State
Zip
2.
BUSINESS LICENSE FEE(S): (Select only one fee option)
$50 – 1 Year Annual License – Expires 12/31/2014
$100 – 2 Year Biennial License – Expires 12/31/2015
OR if you are 65 years or older and a Sole Proprietor you may select one of the following renewal options:
Senior Discount Fee: In order to qualify for the 65 years or older discounted fee you must be registered as a Sole Proprietor
and must provide your date of birth. Date of Birth (mm/dd/yyyy):_____/_____/______
$25 – 1 Year Annual License – Expires 12/31/2014
$50 – 2 Year Biennial License – Expires 12/31/2015
This discount fee is NOT AVAILABLE to Partnerships (two or more individuals), Corporations, LLCs, LLPs, or LPs.
Tobacco Endorsement: $100 PER ENDORSEMENT LOCATION (in addition to business license fee). Tobacco endorsements will
expire on the same date as the business license to which they are attached and are renewable with the business license. List
locations of Tobacco Endorsements on page 2.
Number of Tobacco Endorsement locations listed on page 2: ________ X $100 = $________.
FEE TOTALS: Business License $
+ Tobacco Endorsements $
= TOTAL $
Make check payable to State of Alaska. Once the business license/endorsements have been issued the fees are nonrefundable.
3. OWNERSHIP INFORMATION: Choose one ownership type.
Sole Proprietor
Partnership
Corporation
LLC
LLP
LP
Other
Name(s) of Owner(s) OR Entity Name: ____________________________________________________________________________
Clearly print name of Sole Proprietor (one individual owner) OR all partner names if a Partnership (if necessary, list partners on a
separate page) OR Entity name if a Corporation, LLC, LLP, or LP.
4. ADDITIONAL LICENSE/REGISTRATION NUMBERS MAY BE REQUIRED:
Alaska Entity Number: ___________________
Alaska Professional License Number: ___________________
Required for Corporations, LLC, LLP, LP
If applicable
5. NAICS CODE: Choose the NAICS code that best describes your Line of Business. The Secondary code is optional and must fall
within the same business activity category as the Primary code.
Primary NAICS Code: ____________________
Secondary NAICS Code: ______________________
Codes listed in italicized bold print on the NAICS code list require a professional license before a business license can be issued.
By signing this application I declare, under penalty of perjury, that this application is true and complete, including any
information provided in the tobacco endorsement section.
PRINTED NAME: _________________________________ TITLE: __________________________
PHONE: __________________
SIGNATURE: ____________________________________ DATE: __________________________
To avoid processing delays do not leave any area of the application incomplete. For immediate processing you may file online
and print your business license. To file online go to and click on Business Licensing Section.
08-4181 (Rev. 08/21/13)
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Parent category: Financial