Republic of the Philippines

Province of Batangas

CITY OF TANAUAN

The City of Colors

OFFICE OF THE CITY MAYOR

BUSINESS PERMITS AND LICENSING OFFICE

Telefax (043) 778-4210

Application Form for Business Permit

Taxable Year 20

Date of Application

( ) New Amendments Type of Organization Mode of Payment

( ) Renewal ( ) From Single to Partnership ( ) Single Proprietorship ( ) Annually

( ) Additional ( ) From Single to Corporation DTI Reg. # /Date: / ( ) Bi-Annually

( ) Transfer ( ) From Partnership to Single ( ) Partnership/Corporation SEC Reg. #/Date: / ( ) Quarterly

( ) Ownership ( ) From Partnership to Corporation ( ) Cooperative CDA Reg. # /Date: /

( ) Location ( ) From Corporation to Single

( ) From Corporation to Partnership

The Licensing Officer

Business Permits and Licensing Office

Office of the City Mayor

Tanauan City

Pursuant to the provisions of revenue Code of Tanauan City, Batangas, I have the honor to apply for the Business Permit to operate my business and hereby

submit the following:

BUSINESS NAME:

TRADE NAME/FRANCHISE:

Name of Taxpayer/President/Treasurer of Corp.:

LAST NAME FIRST NAME MIDDLE NAME

BUSINESS ADDRESS: Tanauan City, Batangas

House No./Bldg. Name/Unit No./Street/Brgy./Subdivision City Province

Telephone/Mobile No./Email Address: / /

Are you enjoying tax incentive from government entity? ( ) Yes ( ) No Please specify the entity:

OWNER’S ADDRESS:

House No./Bldg. Name/Unit No./Street/Brgy./Subdivision City Province

Telephone/Mobile No./Email Address: / /

Business Area (in sq.m.): / Total No. of Employees in Establishment: / No. of Employees residing in Tanauan City:
If place of Business is rented, please identify the following:
Lessor’s Name:
Last Name First Name Middle Name / Monthly Rental:

Lessor’s Address:

House No./Bldg. Name/Unit No./Street/Brgy./Subdivision City Province

Telephone/Mobile No./Email Address: / /

BUSINESS ACTIVITY / NO. OF UNITS / CAPITALIZATION / GROSS SALES/RECEIPTS (FOR RENEWAL)
CODE / LINE OF BUSINESS / ESSENTIAL / NON-ESSENTIAL

I DECLARE UNDER PENALTY OF PERJURY that the foregoing information are true and correct based on my personal knowledge and authentic records.

Applicant’s Signature over Printed Name

Position / Title

VERIFICATION OF DOCUMENTS

DESCRIPTION / OFFICE/AGENCY / DATE ISSUED / VERIFIED BY (BPLO Staff)
Brgy. Clearance / Barangay
Zoning Clearance / Zoning Admin.
Sanitary Permit / City Health Office
Fire Safety Inspection Clearance / BFP
Certificate of Annual Inspection / Office of the Building Official
Environmental Compliance / City ENRO / DENR
Instructions:
a.)  Provide accurate information and print legibly to avoid delays. Incomplete application form will be returned to the applicant.
b.)  Ensure that all documents attached to this application form are complete and properly filled out.

File Copy Tanauan City’s Hope

Taxpayer's Copy CGT-BPL-F07rev.02

BFP’s Copy