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 online, by mail or by representative. 
 (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.) 
 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:                                                                                                                                              
 SALES TAX ACCOUNTANT EMAIL:_______________ DATE BUSINESS ACTIVE:________ 
                        *PLEASE NOTE: SALES TAX REPORTING IS MANDATORY* 
 FILING OF SALES TAX RETURNS WILL BE:___MONTHLY____QUARTERLY___*ANNUAL 
    *ONLY MARK “ANNUAL” IF ALL SALES ARE EXEMPT FROM SALES TAX - NOTE: AN ANNUAL RETURN IS REQUIRED         
**PHYSICAL LOCATION:                                    MAILING ADDRESS:                                        
     
     PHONE: (Business)                                     CELL:                                                             
     Type of Business__________________                    St. Alaska Activity Code: ______________ 
     St. Alaska Business License: #_______                     (two digits) 
                                                          
     SIGNATURE:                                                                  DATE:                  
     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. 
                                                                                                     st
     Thereafter a registration renewal fee of $50.00 dollars will be required biennially 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. 
       
      **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:_____________                             Date of Issue:_________________ 
      
     License #______________                             Method of Payment____________