Form 08-4019 - Corporate, Llc, Llp Certificate Of Authorization Renewal

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AELS
T
S
HE
TATE
ALASKA
FOR DIVISION USE ONLY
of
Department of Commerce, Community, and Economic Development
Division of Corporations, Business and Professional Licensing
Board of Architects, Engineers and Land Surveyors
PO Box 110806, Juneau AK 99811
(907) 465-2550
Email: license@alaska.gov
ProfessionalLicense.Alaska.Gov/BoardOfArchitectsEngineersAndLandSurveyors
Now Available!
Renew Online:
Fast
Easy
Corporate, LLC, LLP Certificate of Authorization Renewal
January 1, 2016 — December 31, 2017
Your corporate, LLC or LLP authorization lapses after December 31, 2015.
There is no grace period — it is illegal to work if your registration has lapsed.
You may renew your registration until September, 30, 2017, by completing an online application or mailing a
completed application to the above address. Faxed or emailed applications are not accepted.
Make checks and money orders payable to the State of Alaska or use the attached credit card payment form.
Plan on a four- to six-week processing time for correct and complete renewal applications.
Amendments must be completed prior to renewal.
Online renewal is available at: ProfessionalLicense.Alaska.Gov/BoardOfArchitectsEngineersAndLandSurveyors
PART I
Payment of Fees
Active Authorization (issued on or before Dec 31, 2014)
$400
Check Appropriate Box
Prorated Authorization (issued on or after Jan 1, 2015)
$200
PART II
Applicant Information
AELS Corporate, LLC or
LLP Name
AELS Corporate, LLC or
LLP Authorization Number
Name of Authorized
Person
Business Name
(List all business names under
which services are provided)
Address
City
State
ZIP Code
Mailing Address
If Address Change:
Phone
Email
08-4019
Rev. 11/01/15
Renewal Page 1 of 3

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