MUNICIPALITY OF SKAGWAY                                        Municipality of Skagway 
                                                                                202 4BUSINESS LICENSE                                     P.O. Box 415 
                                                                                      APPLICATION                                         Skagway, AK 99840                                   
                                                                                                                                          Phone (907) 983-2297      
                                                                                                                                         s.anderson@skagway.org
                                                                           ALL FIELDS MUST BE FILLED OUT 

                                                                                           MOS OFFICE USE ONLY

Business License No.                                                                                                   MIP Account No.__________________  

                                                   Check the appropriate boxes:  Retail      Jewelry Store     Rental               Hotel/Motel     Vacation Rental      
                                                   Restaurant/Bar                Services    Tour Company      Wholesale             Bed & Breakfast        Cruise Line
                                                   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  Contact Information 
                                                         Complete this section only if Business Contact Information differs from Sales Tax Contact Information
                                                   Business Owner:                                                           Contact 
                    Contact Information                                                                                      Phone No: 
                                                   Mailing Address: 

                                                   City:                                               State:                                 Zip: 
                                                   Physical Location 
                                                   & Property Owner
                                                   City:                                               State:                                 Zip: 
                                                   Business Phone No: 

                                                   Type of Organization:   Individual          Partnership                        Corporation         LLC
                                                   Do you want your Sales Tax form emailed?  Yes                          No         Both 
                    Other Business Info 
                                                   Sales Tax 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_____