THE STATE                                                                                              BUS 
            of                                                                            FOR DIVISION USE ONLY 
               ALASKA                                                                                   
            Department of Commerce, Community, and Economic Development 
            Division of Corporations, Business and Professional Licensing 
 
     Department of Commerce, Community, and Economic Development 
     Division  of Corporations, Business and Professional Licensing 
     Business Licensing Section 
     333 Willoughby Avenue, 9 thFloor, Juneau, AK  99801 
              
     PO Box 110806, Juneau, AK  99811-0806 
     Phone: (907)     465-2550     • Fax: (907) 465-2974 
     Email: BusinessLicense@Alaska.Gov 
     Website: BusinessLicense.Alaska.Gov 
 
 Business License: Address Change 
 
                                                         AS 43.70.020(a)(1) and 12 AAC.030(4) 
  Per 12 AAC 02.900, a business must maintain current and valid addresses on file at all times and must notify the 
  Division in writing of a change in address. 
   
  This form is only to notify the Business License Section. 
   
  Separate  address change notification may be required to the Corporations and Professional Licensing Sections. 
         www.Corporations.Alaska.Gov 
         www.ProfessionalLicense.Alaska.Gov 
   
  Online Filing is not available for this form; submit this form by fax or email only. DO NOT email this form or payment.  
   
  Processing Time: Standard processing time from March-September is 10-15 business days. During heavy 
  business license filing seasons, October-February, the processing time will be delayed. 
   
  Other Changes: A change in the business name and business owner requires a new business license. For the 
  following statutory permitted changes to a business license, use the appropriate form: 
         Form 08-4731: Change of add NAICS Codes 
         Form 08-4104: Owner’s Legal Name Change 
         Form 08-4733: 30-Day Allowable Changes 
                                                                              
  No Fee:                       There is no fee associated with this filing.                            $0.00 
                                                                                                                     
   1.  Business License Name:  (must match name on the business license certificate. 

   Business License Name:                  
                                                                                                                    
   Business License Number  (mandatory):                                                                            
                                                                                                                    
   2.  Mailing Address Change: 

   PREVIOUS Mailing Address:               
                                                                                                                    
   NEW Mailing Address:                                                                                             
                                                                                                                    
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  3.  Physical Address Change:              (No P.O. Boxes) 

   PREVIOUS Physical Address:     
                                                                                                                            
   NEW Physical Address:                                                                                                    
                                                                                                                            
  4.  Additional Business Contact Information:      

   Phone Number(s):   
                                                                                                                            
   Website:                                                                                                                 
                                                                                                                            
   Email Address(s):                                                                                                        
                                                                                                                            
  5.  Signature 

  The request to change the address for this business license must be signed by the owner of the business. 
   
           If the business is a sole proprietor, then the sole individual owner must sign. 
           If the business is a partnership, then one of the owning partners must sign. 
           If the business is owned by an entity, then the signer must be on the record with this office as an 
            authorized signer for the owning entity and identify their signing authority, such as: corporation 
            President or LLC member. Example: John Doe, President of owning entity XYZ Incorporated. 
   
  By my signature below, I declare under the penalty of perjury that the information provided on the application 
  is true and correct to the best of my knowledge: 

    Signature of Owner:                                                       Date: 
                                                                                                                           
  Printed Name of Owner:        
                                                                                                                           
          Title of Owner:                                                                                                  
                                 (Provide title based on the type of organization, such as; Sole Proprietor, Partner, or 
                                 President of <owner entity name>, etc.)                                                   

                                 Additional Fee: $5 per copy                                                                 

                                 If you want this office to mail a copy of the updated business license,                     
 Select one of the               Submit to this office, Business License: Certificate Copy Request 
 following options               (form 08-4080), along with the appropriate fees.                                            
 for after the filing 
 has been                                                                                                                     
                                                                                                                              
 processed:                      Free:                                                                                       
                                 Print a copy of the updated business license from the web at:                               
                                 www.BusinessLicense.Alaska.Gov                                                              
                                                                                                                              
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