APPLICATION FORM FOR BUSINESS PERMIT

Tax Year: ______

CITY GOVERNMENT OF DAVAO
Transaction Type Amendment Mode of Payment
New Full Retirement From Single to Partnership Annually
Renewal Partial Retirement From Single to Corporation Bi-Annually
Additional From Partnership to Single Quarterly
Transfer From Partnership to Corporation
TO AVOID DELAY, STRICTLY NO ERASURES
Ownership From Corporation to Single
AND SUPPLY ALL AVAILABLE DATA AND
Location From Corporation to Partnership NECESSARY DOCUMENTS
Date of Application : DTI/SEC/CDA Registration No. :
Application No : DTI/SEC/CDA Date of Registration :
Are you enjoying tax incentive from any Government Entity?Pls specify: Expiration Date:
Type of Organization Single Partnership Corporation Cooperative CTC No.
Name of Taxpayer: Last Name First Name Middle Name
Date of Birth: Civil Status: Citizenship: TIN:
Name of Spouse: Last Name First Name Middle Name
Name of Corporation: TIN:
Business Name/Trade Name/Franch ise:
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 Barangay
Subdivision Subdivision
City/Municipality City/Municipality
Province Province
Tel. No. Tel. No.
Email Address Email Address
Property Index Number (PIN):
Business Area (in sqm): Total No. of Employees in Establishment: No. of Employees Residing in LGU:
Lessor's Name (if place of business is RENTED) Monthly Rental:
Full Name/Name of Corporation
Lessor's Address
House No./Bldg. No. Subdivision
Street City/Municipality
Barangay Province
Tel. No. Email Address
Business Activity (For Business Bureau Personnel Only) Total Capital :
Last Year's Gross Last Year's Gross
Line/s of Business Sales/Receipts / Capital Line/s of Business Sales/Receipts / Capital
Amusement Places Producer/Processors
Dwelling Places Retailers
Food Handlers Service Contractor
Financial Institutions Transloading Services
Lessor/Dealer/Broker of Real Estate Wholesalers
Manufacturer Others
Specify Products/Services

Remarks:

Assisted by: Records checked by:

I hereby agree to the immediate cancellation of this application or the permit to be issued, as well as undertake to comply with all orders to cease and desist
from operating, including closure orders, should any appropriate government agency find any falsehood or misrepresentation and deficiencies in this application
or in the operation of the above-described business.
FOR SINGLE PROPRIETORSHIP: Attach SPA w/ clear photocopy of ID of
Authorized Person to transact and the taxpayer/applicant
Signature of Applicant Over Printed Name FOR CORPORATION/PARTNERSHIP & OTHERS : Notarized Board
Resolution/Secretary's Certificate authorizing person to transact and
Position/Title clear photocopy of ID of signatory and person authorized
SUBSCRIBED AND SWORN BEFORE ME THIS _____DAY OF ___________, 20____ AT THE CITY/MUNICIPALITY OF_____________________________
AFFIANT EXHIBITED TO ME HIS/HER RESIDENCE CERTIFICATE NO._______________________ ISSUED AT __________________ ON __________

DOC. NO.____________
PAGE NO. ___________
BOOK NO.___________
SERIES OF 20________
 APPLICATION FORM FOR BUSINESS PERMIT
ASSESSMENTS
Received by/ Surcharge/ Assessed & Approved by/
LOCAL TAXES Date & Time
Reference Amount Due
Penalty
Total
Date & Time
Initial Payment/Gross Sales Tax
Tax Clearance
RPT Clearance
REGULATORY FEES AND CHARGES
Mayor's Permit
Garbage Fee
Business Plate
Renewal Sticker
Vehicle Sticker
Tax on Vehicle
CENRO
Solid Waste Mgt. Certificate
CEO/OCBO
Building Annual Inspection Fee
Electrical Annual Inspection Fee
Electronic Annual Fee
Mechanical Annual Inspection Fee
Plumbing Annual Inspection Fee
Sign & Signboard Renewal Fee
Sign & Signboard Structure Insp. Fee
CHO
Health Certificate Fee
Laboratory Fee
Sanitary Inspection Fee
Sanitary Permit Fee
CPDO
Zoning Fee
CVO
Meat Handlers/Vendors Fee
Meat Processor
Meat Shop Operator
Meat Van Accreditation Fee
CTOO
BFP
OTHERS:

Verification of Documents (For Business Bureau Personnel Only)

DESCRIPTION Check if submitted Remarks
Sketch
Barangay Clearance
Community Tax Certificate(Cedula)
Valid ID (Photocopy)
Certificate of Partial Compliance (BFP)
Solid Waste Mgt. Certificate (CENRO)
Barangay Resolution
FDA License
BSP Registration
Building Permit
CDA Registration
DTI Registration
ICAB Accreditation
Lease Contract/Agreement/Certification
Market Clearance (CTO/CEE)
PCAB License
SEC Registration/Articles of Incorporation
Secretary's Cert/SPA
Tax Declaration (Land)
Tax Declaration (Bldg.)
Fire Safety Inspection Cert. (BFP)
Occupancy Permit (CEO/OCBO)
Sanitary Health Clearance (CHO)
Zoning/Locational Clearance (CPDO)
Others: Received by and Recommending Approval:

DATE
Approved by:

ATTY. LAWRENCE D. BANTIDING

Encoded by/Date: Officer-in-Charge