Form 08-561 - Contact Information And Credit Card Payment Page 2
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1
2
3COR
T
S
HE
TATE
ALASKA
of
FOR DIVISION USE ONLY
Department of Commerce, Community and Economic Development
Division of Corporations, Business and Professional Licensing
Corporations Section
th
State Office Building, 333 Willoughby Avenue, 9
Floor
PO Box 110806, Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
•
Email: corporations@alaska.gov
Website: Corporations.Alaska.Gov
Contact Information
• Return this form with your filing
• This information may be used by the Division to assist with processing your attached filings
• This form will not be filed for record, or appear online
Entity Information
Enter your entity information as it appears on this filing.
Entity Name:
AK Entity #:
Contact Person
Whom may we contact with any questions or problems with this filing?
Company:
Contact:
Address:
Mailing Address:
City:
State:
ZIP:
Phone:
Email:
Document Return Address
Provide an address for the return of your filed documents.
Return my filings to the address provided ABOVE
Return my filings to this address provided BELOW
Company:
Contact:
Address:
Mailing Address:
City:
State:
ZIP:
08-561
Rev 7/14/16
Contact Information
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