MUNICIPALITY OF SKAGWAY                                       Municipality of Skagway 
                                                                      2022 BUSINESS LICENSE APPLICATION                                         P.O. Box 415 
                                                                                  ALL FIELDS MUST BE FILLED OUT                                                        Skagway, AK 99840 
                                                                                                                                                Phone (907) 983-2297       
                                                                                                                                                l.mauldin@skagway.org 
                                                                      
                                                                                                    MOS USE ONLY 
                                                                                                                                                                                                                                                              
Business License No.                                                                                            MIP Account No.__________________    
                                                    
                                                   Check the appropriate boxes:         Retail      Jewelry Store       Rental             Hotel/Motel       VRBO            
                                                    Restaurant/Bar                      Services    Tour Company        Wholesale          Bed & Breakfast                
                                                   Business                                                                                State Business 
                                                   Name:                                                                                   License No.: 
                                                   Identify and describe the business activities covered by this license: 
                    Business 
                                        Information
                                                    
                                                                                        Sales Tax Contact Information 
                                                   Mailing Address: 
                                                   City:                                                                  State:                Zip: 

                                                   Contact Name And Title:                                                Contact  
                                                                                                                          Phone No. 
                                                                                       Business Property Contact Information 
                                                         Complete this section only if Property Tax Information differs from Sales Tax Contact Information 
                                                   Property Owner:                                                        Contact  
                    Contact Information                                                                                   Phone No: 
                                                   Mailing Address: 

                                                   City:                                              State:                                    Zip: 
                                                   Physical Location 

                                                   City:                                              State:                                    Zip: 
                                                   Business Phone No:                                 
                                                   Type of Organization:   Individual               Partnership                   Corporation 

                                                   Do you want your Sales Tax form emailed?         Yes                   No               Both 
                    Other Business Info 
                                                   Business Email: 
                                                    
                                                   Mailing Address: 
                                                   City:                               State:                                             Zip: 
                    Winter              Address 
                                                   Contact Phone No: 

                                                   I declare under penalty of perjury that this application is true and complete. 
                                                    
                                                   Signature________________________________        Title___________________________ 
                                                    
                                                   Date____________________________________         Amount enclosed______$50.00_____