Business Permit Application Form _____ New _____ Additional His Honor; the Mayor City of Cebu Sir:

I, __________________________________________, owner/operation, of legal age and citizen of __________________________________ hereby apply for a permit to engage in business and for this purpose the following information are submitted: BUSINESS/TRADE NAME : ____________________________________ SIGNAGE NAME (if differ from business/trade name: _____________________ NAME OF PERMITEE>in case of Corp., the name of Corporation: _____________________________ >in case of Single Proprietor,name of Owner: BUSINESS ADDRESS : _________________________________________ CAPITAL INVESTED : _________________________________________ DATE OF OPERATION : _________________________________________ DESCRIPTION OF BUSINESS : ___________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ BARANGAY : _________________________________________ The above declaration is subject to verification by proper authorities upon demand without objection. I promise to open only the business(es) granted approval by this application, subject to submission of the applicable requirements as listed at the back of this application form. The permit issued shall be posted in a conspicuous place in the establishment together with all the receipts evidencing payments of taxes, fees and other charges provided for in Section 11, City Ord. LXIX, as amended, series of 1993, otherwise I shall be liable to pay the penalties prescribed thereon. I promise to surrender the business permit with tax receipts duly annotated by the City Treasurer, upon expiration of the period stated therein or upon transfer for any cause. Otherwise, by non-compliance therewith, shall subject me to whatever amount of tax and other charges that may be imposed by the government. ________________________________ Signature of Applicant Community Tax Cert. No. ___________ Issued on __________ at ___________ TIN: ____________________________ SUBSCRIBED AND SWORN to before me this _____ day of _________________, 20___ at ________________________, Philippines. Affiant exhibiting to me his/her Community Tax Certificate No. ____________ issued on __________________, 20___ at ________________________, Philippines. Application No. ___________________ Date Received ___________________ Received by: __________________

________________________________ Notary Public

REQUIREMENTS FOR BUSINESS PERMIT APPLICATION:

GENERAL REQUIREMENTS: (Must be submitted by all types of Application) [ ] 1. Latest Barangay Clearance or duly accomplished application for Barangay Clearance [ ] 2. Sketch Plan of business location (to be drawn in separate sheet of paper) Note: [ [ [ [ [ [ ] 3. ] 4. ] 5. ] 6. ] 7. ] 8. ADDITIONAL DOCUMENTS: (To be submitted within 30 days upon Issuance of certification)

Sanitary Permit SSS Clearance Declaration for Electrical and/or Mechanical Provisions Public Liability Insurance Residence Certificate A and B for Single Proprietorship, C and C1 for Corporation Lease Contract between the Lessor and the Lease. If leased, attached mayors Permit, registration of the building owner/landlord as a real Estate Lessor. If not, Lease Contract between the Lessee and the Sub-Lessee with conformity of the Owner of the Building Administration. If owned, transfer Certificate of Title (TCT) or Tax Declaration (photocopy copy). [ ] 9. Fire Safety Inspection Certificate SPECIFIC REQUIREMENTS: (In addition to the General Requirements must be complied upon application) TYPE OF BUSINESS [ ] Sole/Single Proprietor [ ] Corporations/Branch Offices of Corporations REQUIREMENTS Business Name registration from DTI SEC/CDA; Certificate of Registration; Board Resolution in case of Corporation whose main office is outside Cebu City authorizing the opening of a branch in Cebu City and indicating the Capital Investment thereat. DTI Accreditation Certificate

[ ] Auto repair Shop, Electronics, Radio & other Electrical Equipments [ ] Bakery BFAD License [ ] Banking Institution Central Bank Authorization [ ] Custom Brokerage Custom Brokers License [ ] Dealers of Rice, Corn & Wheat NFA License [ ] Drugstore BFAD License [ ] General/Specialty & Engineering Contractor PCAB Contractors License [ ] LPG Dealer ERB Permit [ ] Manning & Crewing Services POEA Accreditation [ ] Merchant/Broker of Commodities for Future Future Commodity Merchant/Brokers License Transactions [ ] Messengerial & Courier Service DOTC Permit [ ] Mining DENR Clearance [ ] Pest Control Services Pest Control License [ ] Real Estate Broker DTI Issued Real Estate Brokers License [ ] Real estate Lessor Occupancy Permit & Ownership [ ] Recruitment Agency DOLE Permit [ ] Rent-A-Car & Transport Service LTFRB License [ ] Sell/Operation Firearms & Explosives Camp Crame License to Operate [ ] Security Agency PCSUCIA National License [ ] Selling, Disposing, and/or Dispensing of Liquor Liquor License [ ] Telecommunication NTC License [ ] Video rental Services Videogram Permit issued by VRB [ ] Videoke Machine/Video Game Machine PNP Approval [ ] Video Music Machine (coin-operated) SPEED Approval [ ] Government-owned lot/clearance [ ] Others: _______________________________ ______________________________________

-------------------------------------------------------------------------------------------------------------------------------------------HOW DO YOU WANT THE CITY GOVERNMENT TO USE THE MONEY THAT YOU PAY FOR BUSINESS PERMIT? (1) only. [ ] For the improvement of Peace & Order (more police, more patrol cars, etc.) Pls. Specify ___________ _________________________________________________________________________________ [ ] Asphalting of road (name of road) _____________________________________________________ [ ] Sodium lights (name of road/location) __________________________________________________ [ ] Artesian Well (location) ______________________________________________________________ [ ] Drainage improvement (location) ______________________________________________________ [ ] Others (pls. specify) ________________________________________________________________

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