Application Form for Business Permit

TAX YEAR 2017

Municipality of GAMU
New Amendment: Mode of Payment:
/ Renewal From Single to Partnership Annually
/ Additional From Single to Corporation x 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: JANUARY 20, 2016 DTI/SEC/CDA Registration No.:

Reference No.: DTI/SEC/CDA Date of Registration:
Type of Organization: /__Single __Partnership __Corporation __Cooperative CTC No 09896994 TIN:
Are you enjoying tax incentive from any government entity? (___) YES (___) NO Please Specify the Entity:
Name of Tax Payer:
Last Name: SAN PEDRO First Name MADELYN Middle Name.
Business Name: JJ& JANICAS GARDEN AND ALLIED SERVICES
Business Description: GARDEN
Trade Name/Franchise:
Name of President/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 UPI Barangay
Subdivision Subdivision
City/Municipality Gamu City/Municipality CITY OF ILAGAN
Province Isabela Province ISABELA
Telephone No. Telephone No.
Email Address. Email Address.
Property 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:
House No./Bldg. No. City/Municipality
Street Province
Barangay Province
Telephone No. Email Address
In Case of Emergency:
Contact Person: Tel No/Mobile Phone No. Email Address:
Business Activity Gross Sales/Receipts (for Renewal)
Code Line of Business No. of Units Capitalization (for new business) Essential Non-Essential
150,000.00

Oath of Undertaking:
I undertake to comply with the regulatory requirement and other deficiencies within thirty (30) days from release of the business permit.

MADELYN SAN PEDRO MANAGER

(Signature of Applicant Over Printed Name)
APPLICATION NO.____________ STICKER NO.184

Requirements:
 Barangay Clearance
 Community Tax Certificate (Cedula)
 Business Tax Certificate (Corporation)
 Police Clearance
 Sanitary Permit
 Mayor’s Clearance
 DTI/SEC REGISTRATION (if partnership/corporation)
 Zoning Permit
 Building Permit