Application For Certificate Of Registration - Kenai Peninsula Borough printable pdf download

Application For Certificate Of Registration - Kenai Peninsula Borough

KENAI PENINSULA BOROUGH

**PARTNERSHIPS ONLY**

(FOR OFFICE USE ONLY)

APPLICATION FOR CERTIFICATE OF REGISTRATION

KENAI PENINSULA BOROUGH

REGISTRATION NO:

(For Sales Tax Collection)

144 N. BINKLEY

SOLDOTNA, ALASKA 99669-7599

Phone: (907) 714-2175 Fax: (907) 262-8623

TYPE OF PARTNERSHIP:

GENERAL

LIMITED

LIMITED LIABILITY

DATE BUSINESS OPENED ON PENINSULA:

ALASKA STATE BUSINESS LICENSE NO:

SIC CODE:

DATE PARTNERSHIP FORMED:

EMAIL ADDRESS:

CELLULAR PHONE NO:

PARTNERSHIP(S) NAME(S)

BUSINESS PHONE NO:

BUSINESS NAME:

BUSINESS FAX NO:

BUSINESS MAILING ADDRESS:

CITY:

STATE:

ZIP:

BUSINESS PHYSICAL LOCATION:

CITY:

STREET ADDRESS

PERSON RESPONSIBLE FOR FILING SALES TAX RETURNS (If other than general partners.):

NAME:

TITLE:

PHONE NO:

ADDRESS WHERE RETURNS ARE TO BE MAILED:

MAILING ADDRESS:

CITY:

STATE:

ZIP:

LIST ALL GENERAL PARTNERS: (ATTACH ADDITIONAL SHEET IF SPACE REQUIRED)

ADDRESS:

CITY:

(Name)

STATE:

ZIP:

HOME PHONE NO:

ADDRESS:

CITY:

(Name)

STATE:

ZIP:

HOME PHONE NO:

ADDRESS:

CITY:

(Name)

STATE:

ZIP:

HOME PHONE NO:

LIST ALL NON-PARTNER(S) OWNER(S): (ATTACH ADDITIONAL SHEET IF SPACE REQUIRED)

ADDRESS:

CITY:

(Name)

STATE:

ZIP:

HOME PHONE NO:

ADDRESS:

CITY:

(Name)

STATE:

ZIP:

HOME PHONE NO:

ADDRESS:

CITY:

(Name)

STATE:

ZIP:

HOME PHONE NO:

PAGE 1 OF 2

CONTINUE ON OTHER SIDE

(Rev 5/2004)

Application For Certificate Of Registration - Kenai Peninsula Borough

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