HAINES BOROUGH                                                            PHONE: 907-766-6406 
 P.O. BOX 1209                                                             FAX:    907-766-2716 
 HAINES, ALASKA 99827 
 
                 HAINES BOROUGH BUSINESS REGISTRATION APPLICATION 
 
 This registration is required of all “sellers” doing business within the Haines Borough who: 
 
 (1)            Perform services, whether in conjunction with the sale of goods or not; does not include services 
                rendered by an employee to an employer. 
 (2)            Make sales to a buyer or consumer within the Borough. 
 (3)            Maintain  any  office,  distribution,  sales  house,  warehouse  or  any  other  place  of  business,  or 
                solicit business or receive orders through any agent, sales person or other type of representation 
                within the borough. 
 (4)            Rent or lease property, either real or personal. 
 (5)            Are Itinerant Business Merchants. (Required to deposit a $250.00 cash bond with Borough Clerk.) 
 No individual or entity may engage in business in the Haines Borough without first having been issued a 
 Haines Borough Business license (HBC 5.02.010). This application form must be filed with the Haines 
 Borough  office  before  engaging  in  any  retail  sales,  rent  collection  or  performance  of  services.  A 
 “Seller” is defined as “every person making sales to a buyer or consumer, renting  or leasing property, 
 either real or personal, or performing services for consideration” (HBC 3.80.020). 
 
 BUSINESS NAME:                                                                                               
 OWNER/OPERATOR:                                                                                               
 EMAIL ADDRESS OF SALES TAX ACCOUNTANT:________________________________ 
 DATE BUSINESS TO BE ACTIVE IN THE HAINES BOROUGH:_______________________ 
 FILING OF SALES TAX RETURNS WILL BE:___MONTHLY____QUARTERLY*___OTHER 
               *ONLY MARK “OTHER” IF ALL SALES ARE EXEMPT FROM SALES TAX - NOTE: AN ANNUAL RETURN IS REQUIRED    

**PHYSICAL LOCATION:                                    MAILING ADDRESS: 
 
                                                                                              _ 
 PHONE: (Business)                                      (Home):                                        

 TYPE OF BUSINESS:                                                                  
 AK.STATE BUS.LICENSE#:                    ST.  ACTIVITY CODE ( two digits) :                            
 FEE:  A fifty ($50.00) dollar payment is required at the time of registration, which is valid for 
       two years; the remainder of the calendar year in which you apply and all of the following 
       year.  Thereafter, a registration renewal fee of $50.00 dollars will be required biannually 
                 st 
       by March 1 following the year of expiration.  New registrations shall be automatically 
       mailed to businesses that are current in remitting the registration fee, sales tax and reports 
       through December of the previous year.   
 
 SIGNATURE:                                                                DATE:                        
 **CHECK WITH  THE PLANNING &  ZONING  DEPT., AT 766-6400   REGARDING POSSIBLE ZONING 
 REQUIREMENTS OR RESTRICTIONS RECOMMENDED WITHIN THE TOWNSITE. 
 ************************************************************************************ 
 FOR OFFICE USE ONLY: 
Issued By:                           AMOUNTPAID:                           CHECK:      
 Registration    License #:          DATE PAID:                            CASH: