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    Business Permit Form

    Uploaded by

    charlotte
    This document is an application for a business permit from the Island Garden City of Samal in Davao del Norte, Philippines. It collects personal information about the applicant as well as details about the proposed business such as the name, address, type of business, capital, and required attachments. The applicant must declare that they have no unpaid taxes, will comply with regulations, and understand non-payment of fees could result in permit cancellation. Assessment of annual taxes and fees due is included, with space to note vehicles used for delivery.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Business Permit Form

    Uploaded by

    charlotte
    184 views1 page
    This document is an application for a business permit from the Island Garden City of Samal in Davao del Norte, Philippines. It collects personal information about the applicant as well as details about the proposed business such as the name, address, type of business, capital, and required attachments. The applicant must declare that they have no unpaid taxes, will comply with regulations, and understand non-payment of fees could result in permit cancellation. Assessment of annual taxes and fees due is included, with space to note vehicles used for delivery.

    Original Description:

    Form for application of business permit

    Original Title

    business permit form

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    This document is an application for a business permit from the Island Garden City of Samal in Davao del Norte, Philippines. It collects personal information about the applicant as well as details about the proposed business such as the name, address, type of business, capital, and required attachments. The applicant must declare that they have no unpaid taxes, will comply with regulations, and understand non-payment of fees could result in permit cancellation. Assessment of annual taxes and fees due is included, with space to note vehicles used for delivery.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    184 views1 page

    Business Permit Form

    Uploaded by

    charlotte
    This document is an application for a business permit from the Island Garden City of Samal in Davao del Norte, Philippines. It collects personal information about the applicant as well as details about the proposed business such as the name, address, type of business, capital, and required attachments. The applicant must declare that they have no unpaid taxes, will comply with regulations, and understand non-payment of fees could result in permit cancellation. Assessment of annual taxes and fees due is included, with space to note vehicles used for delivery.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Republic of the Philippines Control No.

    : _________________
    Province of Davao del Norte
    ISLAND GARDEN CITY OF SAMAL Date : ________________

    APPLICATION FOR BUSINESS PERMIT


    (Completethis form and submit with complete documents)

    PERMIT TYPE (Please check):  New  Renew


    1 PERSONAL INFORMATION

    Taxpayer’s Name: ____________________________________________________________________________________________


    Last Name First Name Middle Name
    Date of Birth: _________________________ Age: ________ Sex:  Male  Female
    Civil Status:  Single  Married  Widow/er  Legally Separated/Divorced
    If Married, Name of Spouse: ____________________________________________________________________________________
    Residence Address: ___________________________________________________________________________________________
    II. BUSINESS ESTABLISHMENT INFORMATION
    Business Name: ______________________________________________________________________________________________
    Business Address: ___________________________________________ Contact No: ______________________________________
    Purok Barangay District
    TIN: __________________________________________________ No. of Employee: ______________________________________
    Contact Person/Representative: _____________________________Position: _____________________________________________
    Date Business Began Operating: _____________________ Area of Business Occupied:_____________________________________
     Owned  Rented if rented, owner of building: ___________________________________________________
    DTI Reg. No. ________________________________Date of Registration:_______________________________________________
    SEC  CDA Registration No. ______________ Date of Registration: ______________________________________________
    CAPITAL: ____________________

    II1. ASSESSMENT
    GROSS SALES/RECEIPTS OF ANNUAL/QUARTERLY
    NATURE OF BUSINESS PRECEEDING YEAR TAX/FEE PAYABLE
    Essential Non-Essential Tax Due Permit Fee

    No. of delivery vehicles


    Remarks:

    (Location sketch at the back) Assessed by: ____________________________


    SUBMITTED ATTACHMENTS/REQUIREMENTS:
    Barangay Clearance Barangay Resolution BFAD Clearance CDA/SEC Registration Lease Contract
    Community Tax Certificate DTI R Registration Certificate of Tax Exemption OTHERS: ___________________________
    CLEARANCES:
    CHO CENRO CPDO CEO CTO CVET CFARMO CASSO CAGRO BFP PNP

    I/ We further declare
    a. That I have no unsettled tax obligation in favor of the City Government;
    b. That I undertake to comply strictly the rules and regulations and existing law;
    c. That my failure to pay the taxes, fees and charges on time shall be sufficient ground for the cancellation/revocation of
    my permit and licenses;
    d. ____________________ hereby declare under oath that the foregoing facts are true and correct to the best of my
    knowledge and the same have been voluntarily and with no fraudulent or deceitful purpose.
    IN WITNESS HEREOF, I have hereunto affixed my signature this, ________ day of ________ in the ISLAND GARDEN CITY OF
    SAMAL, DAVAO DEL NORTE, PHILIPPINES.

    _________________________
    Affiant Signature

    SUBSCRIBED AND SWORN before me this ______ day of _______________, affiant exhibits his/her Community Tax Certificate
    No.________________ issued on ___________________at ________________________________, Philippines.

    ___________________________
    PUBLIC NOTARY

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