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Name of Taxpayer:
Last Name: First Name: Middle Name:
Business Name:
Trade Name/Franchise:
Business Activity
No. of Capitalization Gross Sales / Receipts (for renewal)
Code Line of Business
Units (for new business) Essential Non-essential
________________________________________________ ____________________________
SIGNATURE OF APPLICANT OVER PRINTED NAME POSITION/TITLE
For corporation, only responsible person (President, Chief Accountant and Corporate Secretary) should sign the form.
In case of any authorized representative, kindly present the authorization letter signed by the identified responsible person of the
corporation.
Application Form for Business
Application No. _______________
VERIFICATION OF DOCUMENTS
Description Office/Agency Date Issued Verified By
Barangay Clearance Barangay
Zoning Clearance Zoning Admin.
Sanitary / Health Certificate City Health Office
Occupancy Permit (New) / Annual
Building Official
Inspection Certificate (Renewal)
Fire Safety Inspection Certificate Bureau of Fire Protection
VPM Clearance Vigan Public Market
VPM Annex Clearance Vigan Public Market Annex
Vigan City ENRO Clearance VCENRO
Others (Specify):
___________________________
Approved by CITY MAYOR
Date of Approval: ____________
SUBSCRIBED AND SWORN TO before me this ____ day of ______________, _____ at Vigan City, Ilocos Sur affiant exhibiting
to me his/her CTC No._____________ issued on ______________________ at ________________________________.
_______________________________
Administering Officer
REQUIREMENTS:
Brgy. Business Clearance (Location of Business)
Community Tax Certificate (Cedula)
Ok for Payment
Previous Mayor's Permit (for Renewal)
Department of Trade and Industry (DTI) Registration - for single proprietorship
Security and Exchange Commission (SEC) Registration - for partnership/corporation
Cooperative Development Authority (CDA) Certificate of Registration - for Cooperative
Contract of Lease & Mayor's Permit of Lessor (if place of business is rented)
By: ___________
Certificate of Non-Delinquency (Bring RPT O.R.) - City Treasurer's Office (CTO)
Police Clearance - Vigan PNP
Sworn Statement of Gross Sales / Receipts (for Renewal)
Others: ______________________________________________
Instructions:
1. Provide accurate information and print legibly to avoid delays. Incomplete application form will be returned to the applicant.
2. Ensure that all documents attached to this application form are complete and properly filled out.