Business Permit Form
Business Permit Form
Business Permit Form
APPLICATION NUMBER
BUSINESS ID NUMBER
INSTRUCTIONS: 1. Provide accurate information and print legibly to avoid delays. Incomplete form will be returned to the applicant.
2. Ensure that all documents attached to this form (if any) are complete and properly filled out.
1. BASIC INFORMATION
New Renewal MODE OF PAYMENT: Annually Semi-Annually Quarterly
TIN No. DTI/ SEC/ CDA REGISTRATION No.
Are you enjoying tax incentive from any Government Entity? Yes No Please specify the entity ______________________
LAST NAME: FIRST NAME: MIDDLE NAME:
BUSINESS NAME:
TRADE NAME/ FRANCHISE:
2. OTHER INFORMATION (NOTE: For Renewal Applications, do not fill up this section unless certain information has changed.)
BUSINESS ADDRESS:
POSTAL CODE: EMAIL ADDRESS:
TELEPHONE NO.: MOBILE NO.:
OWNER’S ADDRESS:
POSTAL CODE: EMAIL ADDRESS:
TELEPHONE NO.: MOBILE NO.:
In case of emergency, provide name of contact person:
TELEPHONE/ MOBILE NO.: EMAIL ADDRESS:
BUSINESS AREA TOTAL NO. OF EMPLOYEES NO. OF EMPLOYEES
NO. OF CCTV:
(IN SQ.M): IN ESTABLISHMENT: RESIDING WITHIN LGU:
NOTE: Fill up only if Business Place is Rented.
LESSOR’S FULL NAME:
LESSOR’S FULL ADDRESS:
LESSOR’S TELEPHONE/ MOBILE NO.: LESSOR’S EMAIL ADDRESS:
MONTHLY RENTAL:
3. BUSINESS ACTIVITY
NO. OF DELIVERY CAPITALIZATION (For GROSS SALES/ RECEIPT (For Renewal)
LINE OF BUSINESS NO. OF UNITS
TRUCKS New Business) Essential Non-Essential
_________________________ __________________________
EMILIO ENRICO C. ROMERO Atty. WILLIE B. RIVERA
Officer-in-Charge, BPLD CITY ADMINISTRATOR
SKETCH OF BUSINESS LOCATION
BASIC REQUIREMENTS:
For New:
❑ Basis for Computing Taxes, Fees, and Charges (Financial Statements/ Income Tax Return)
❑ Barangay Clearance
❑ Community Tax Certificate
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Staff was knowledgeable of the process and provided complete and accurate information 4 3 2 1