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Application Form for Business Permit

TAX YEAR: __________


VIGAN CITY

New Amendment Mode of Payment


Renewal From Single to Partnership Annually
Additional From Single to Corporation Bi-Annually
Special Permit From Partnership to Single Quarterly
Transfer From Partnership to Corporation
Ownership From Corporation to Single
Location From Corporation to Partnership
Date of Application: DTI/SEC/CDA Registration No.:
Reference No./Business Account No.: DTI/SEC/CDA date of Registration:
Kind of Organization: TIN:
Are you enjoying tax incentive from any Government Entity? ( ) YES ( ) NO (Please specify the entity):

Name of Taxpayer:
Last Name: First Name: Middle Name:

Business Name:

Trade Name/Franchise:

Name of President/Treasurer of Corporation/Branch Manager:


Last Name: First Name: Middle Name:

Business Address Owner's Address Needed Information for Police Clearance


House No. Bldg. No.: House No. Bldg. No.: Date of Birth:
Building Name: Building Name: Place of Birth:
Unit No.: Unit No.: Age: Sex:
Street: Street: Civil Status:
Barangay: Barangay: Citizenship:
Subdivision: Subdivision: Height:
City/Municipality: City/Municipality: Weight:
Province: Province: Distinguishing Mark:
Tel. No./Cel. No.: Tel. No./Cel. No.:
Email Address: Email Address:

Property Index Number (PIN):


Business in Number of Delivery Vehicle No. of Employees in Establishment Male Female
Area (in
Truck/Van: __________ Vigan Residents: ___________ ___________
sq.m.):
Motorcycle/Tricycle: ___________ Outside Vigan Residents: ___________ ___________

If Place of Business is Rented, please identify the Following (Name of Lessor):


Last Name: First Name: Middle Name: Monthly Rental:

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):

________________________ ________________________ __________________________


Assessment Reviewed by: Application Checked by: Approval Recommended by:

___________________________
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

DOC. NO. _____________


PAGE NO. _____________
BOOK NO. _____________
SERIES OF _____________

(SKETCH LOCATION OF BUSINESS)

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.

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