Form 08-4181 - Alaska Business License Page 4
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5PART VI
NEW Tobacco Endorsement Application
AS 43.70.075
Complete this form if your business will sell tobacco products. New tobacco endorsements must initially apply by
hardcopy (paper) application. Online filing is not available at this time for the purchase of a new tobacco endorsement.
A tobacco endorsement is required for each location or outlet where tobacco products are sold. A tobacco
endorsement cannot stand on its own; it must be attached to a business license.
TOBACCO ENDORSEMENT FEE: $100 per location, in addition to the business license fee.
Tobacco endorsements expire on the same date as the business license to which they are attached. Tobacco
endorsements must be renewed at the same time as the business license to which they are attached.
TIP: The tobacco endorsement fee is a flat rate of $100 per location, whether you purchase a one or two-year
business license. For a bargain, purchase your business license with a tobacco endorsement(s) for two years.
REQUIRED SALE OF TOBACCO SIGNAGE: A “The sale of tobacco products to persons under the age 19 is illegal”
sign must be displayed at each location where tobacco is sold. This sign must be displayed in a conspicuous location
to a person purchasing or consuming tobacco products. There are significant penalties for improper sales of tobacco
products. It is the licensee’s responsibility to be familiar with the proper sales of tobacco.
For more information regarding Tobacco Endorsements go to:
and click
Tobacco Endorsement FAQs
Business Name:
Business License Number:
(This must be the EXACT same name as on your business license)
(required)
List the PHYSICAL address of EACH location where you will be selling tobacco products.
Location 1, Fee: $100
Fees are not refundable once the license and endorsements have been issued.
PHYSICAL Address where you will be selling tobacco products:
City:
State:
ZIP Code:
ALASKA
Location 2, Fee: $100
Fees are not refundable once the license and endorsements have been issued.
PHYSICAL Address where you will be selling tobacco products:
City:
State:
ZIP Code:
ALASKA
Location 3, Fee: $100
Fees are not refundable once the license and endorsements have been issued.
PHYSICAL Address where you will be selling tobacco products:
City:
State:
ZIP Code:
ALASKA
Location 4, Fee: $100
Fees are not refundable once the license and endorsements have been issued.
PHYSICAL Address where you will be selling tobacco products
City
State
ZIP Code
ALASKA
Copy this form or attach additional pages to purchase more tobacco endorsements. New tobacco endorsements must
apply by hardcopy. Online filing is not available for the purchase of a new tobacco endorsement.
08-4181
Rev. 10/01/15
New Tobacco Endorsement
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Parent category: Business