Business License Application - City & Borough Of Yakutat - Tax & License Department - 2008 And 2009

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CITY & BOROUGH OF YAKUTAT
BUSINESS LICENSE APPLICATION
2008
2008 and 2009
City & Borough of Yakutat
State of Alaska Business License #___________
Tax & License Department
Year…$25.00. Additional License…$20.00
___ 1
Box 160
___2 Years …$50.00. Additional License...$40.00
P. O.
Yakutat, Alaska 99689
Check payable to: City & Borough of Yakutat.
Ph. 907-784-3323 Fax 907-784-3281
Funds are non-refundable. Fill in all blanks.
Business Name
___________________________________________________________________________
N a m e m u s t m a t c h t h e n a m e o n t h e S t a t e o f A l a s k a b u s i n e s s l i c e n s e
Mailing Address: ____________________________________________________________________
City ____________________________________________ State ____________ Zip _____________
Phone Number ______________________Fax ____________________Toll free _________________
Physical Location of Business _________________________________________________________
Is this the same address that the Sales Tax Return will be mailed to? ___Yes ___No. If No, then fill in the
address where the Sales Tax Return will be mailed to: _________________________________________
E-Mail Address_______________________________ Web Page______________________________
LINE OF BUSINESS: _________________________________Activity Code___________________
(Please use the State of Alaska Lines of Business & Activity lists.)
If a permit and/or professional licenses are required, list the type of license, name of license holder & number.
________________________________________________________________________________________
What Zoning district of business location? C__CWR__I___LI___P___R1___R2___R3___RR___NA___
Conditional Use Permit or a Zoning Compliance Permit Required? YES______NO_____
If you are not sure what zone your business is in or if you need a CUP or ZCP please contact P and Z.
Sales Tax 4%___ Transient Accommodation Tax 8%___Vehicle Rental Tax 8%___
Check all that apply:
Business is: (Check One)
□Corporate Corporation Name _____________________________EIN: _________________________
□Sole Proprietorship (One Individual)
Name____________________________SSN__________________________DOB____________
□Partnership (Provide the SSN of the first two partners, if there are more than two; attach a complete list
of partners and their information on a separate sheet.
Partner
_________________________________________________SSN:_____________________________
Partner
__________________________________________________SSN:____________________________
This application must be signed & dated by the natural person completing this application on behalf of the business and state
the person’s title of position in the business. I declare, under penalty of perjury, that this application is true and complete.
________________________________ _________________________ _______________ ______________
Signature
Printed Name
Title
Date
FOR DEPARTMENT USE ONLY
Receipt #__________Initial____Paid___New___Renewal___CBY License__________ST BL____________

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