In consideration of the fact the I am being allowed to pay the business taxes and other relevant

fees due to the City Government of Caloocan for calendar year 2019, I,
______________________________, owner / authorized representative of
______________________________ do hereby release, waive, discharge and covenant not to
take any legal action against any officer/s or employee/s of the Business Permits and
Licensing Office in case where the aforesaid office will not grant me the necessary due to my
failure