Application Form

Application Form for Business Permit
TAX YEAR
MUNICIPALITY OF CABATUAN
New Amendment: Mode of Payment
Renewal Fron Single to Partnership Annually
Additional From Single to Cooperation Bi-Annually
From Partnership to Single Quarterly
Transfer: From Partnership to Corporation
Ownership From Corporation to Single
Location From Corporation to Partnership
Date of Application: Application No. DTI/SEC/CDA Registrarion No.:
Mayors Permit No.: DTI/SEC/CDA date of registrarion:
Type of Organization: OSingle Opartnership OCorporation OCooperative CTC No. TIN:
Are you enjoying tax incentive from any Government Entity? ( ) Yes ( ) no Please notify the entity:
Name of Tax Payer:
Last Name First Name Middle Name
Business name:
Trade name/Franchise:
Name of Present/Treasurer of Corporation:
Last Name First Name Middle Name
Business Address Owner's Address
House no./Bldg. No.: House no./Bldg. No.:
Building Name: Building Name:
Unit No.: Unit No.:
Street: Street:
Barangay: Barangay:
Subdivision: Subdivision:
City/Municipality: City/Municipality:
Province: Province:
Tel. No.: Tel. No.:
Email Address: Email Address:
Proper Index Number (PIN):
Business Area (in sq m): Total No. of Employees in Establishment: # of Employees Residing in LGU:
If Place of Business is Rented, please identify the following: Lessor's Name Monthly Rental:
Last Name First Name Middle Name
Lessor's Address:
House no./Bldg. No.: Subdivision:
Street: City/Municipality:
Barangay: Province:
Tel. No.: Email Address:
In case of Emergency Contact Person/Tel No./Mobile phone no./email address:
Business Activity No. of Units Capitalization (for new business) Gross Sale/Receipts (for renewal)
Code Line of Business Essential Non-essential
Oath of Undertaking
Undertake to comply with the regulatory requirement and other deficiencies within 30 days from release of the business permit.
SIGNATURE OF APLLICANT OVER PRINTED NAME POSITION/TITLE
 
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Today: May 20, 2012