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DEED OF UNDERTAKING/WAIVER
NEWRENEWALADDITIONAL
QUARTERLYSEMI-ANNUALYANNUALY
BUSINESS TRADE NAME TEL. NO.
MAYOR’S PERMIT NO.
DATE
BUSINESS ADDRESS
NAME OF TAXPAYER
ADDRESS OF TAXPAYERS HOUSE NO. STREET NAME BARANGAY CITY/MUNICIPALITY
NAME OF PRESIDENT / CEO / MANAGER
COMMUNITY TAX CERTIFICATE NO.:
SSS NO.:
DATE ISSUED:
CITY GOVERNMENT OF VALENZUELA
TIN NO.:
PLACE ISSUED:
(INDIVIDUAL OR CORPORATE)
IF TRANSFER OF OWNERSHIPFROM WHOM ACQUIRED:
DELIVERY TRUCKS/VANS/VEHICLES
NO. OF UNITS
STORAGE OF FLAMMABLES ESTIMATED AREA USED IN BUSINESS
NO. OF GALLONS:
NAME OF OWNER:
ADDRESS:
KIND OF OWNERSHIP % OF ALIEN CAP INVESTMENT
LOCATIONAL CLEARANCE NO.:
SEC. REG. NO.:
DATE OF ISSUE:
DATE OF ISSUE:
CERTIFICATE OF OCCUPANCY NO:
BOI REG. NO.:
DTI REG. NO.: DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
TO BE FILLED UP BY PROCESSOR/ASSESSOR
TO BE FILLED UP BY NEW APPLICANT ONLY
IF PLACE OF BUSINESS IS RENTED / NOT OWNED
CDA REG. NO.:
ENDORSEMENTS:OFFICE DATE ENDORSED DATE RELEASED OFFICE DATE ENDORSED DATE RELEASED
ENGINEERING DEPARTMENT/BUILDING OFFICAL
POLICE DEPARTMENT
HEALTH DEPARTMENT
FIRE/ELECTRICAL DEPARTMENT
SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION
RENT PER MONTH:
ADMINISTRATOR: (If name of owner is not available)
RENT START: (Month/Year)
CODE LINE OF BUSINESS/ACTIVITIES GROSS SALES/RECEIPTS CAPITAL INVESTMENTSUBSCRIBED PAID-UP
TOTAL NO. OFEMPLOYEES/WORKERS
TOTAL NO. OFEMPLOYEES/WORKERS FROMVALENZUELA
SURNAME FIRST NAME MIDDLE INITIAL TEL. NO.
HOUSE NO. STREET NAME BARANGAY
Form VC BPO1
Republic of the Philippines
Metropolitan Manila
APPROVED BY:
CHIEF - BPLO
CITY MAYOR
SIGNATURE OF APPLICANT/REPRESENTATIVE
POSITION/TITLE
1.2.3.
REQUIREMENTS:RENEWAL:
Barangay Clearance (2011)Community Tax Certificate (Cedula) 2011Previous permit and application
1.2.3.
NEW BUSINESS:Barangay Clearance Community Tax Certificate (Cedula)Sketch of Business LocationAll other requirements required by law, ordinance and rules are subject to Pos-Audit process.
YTATAXPAYER’S COPY
I, , of legal age, Filipino and a resident of Valenzuela City, after having duly sworn to in accordance with law, avers that:
As an applicant for a business permit/license for the City of Valenzuela and as a law abiding citizen and taxpayer thereof, I undertake to comply with all therequirements for the issuance of a business permit and license as required by law or City Ordinance. I further undertake to allow any duly authorized inspectors of the City Government to conduct ocular inspection of my establishment to ensure faithful compliance to any regulatory measures and post inspection requirements and in case of violation or non-compliance thereof it will result in the closure of the business establishment without need of notice, Executive Order and revocation of my business permit. I executed this undertaking and waiver to attest to the truth and veracity of the foregoing based on personal knowledge and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this day of at Valenzuela City, Philippines
SHERWIN T. GATCHALIAN
DEED OF UNDERTAKING/WAIVER
NEWRENEWALADDITIONAL
QUARTERLYSEMI-ANNUALYANNUALY
BUSINESS TRADE NAME TEL. NO.
MAYOR’S PERMIT NO.
DATE
BUSINESS ADDRESS
NAME OF TAXPAYER
ADDRESS OF TAXPAYERS HOUSE NO. STREET NAME BARANGAY CITY/MUNICIPALITY
NAME OF PRESIDENT / CEO / MANAGER
COMMUNITY TAX CERTIFICATE NO.:
SSS NO.:
DATE ISSUED:
CITY GOVERNMENT OF VALENZUELA
TIN NO.:
PLACE ISSUED:
(INDIVIDUAL OR CORPORATE)
IF TRANSFER OF OWNERSHIPFROM WHOM ACQUIRED:
DELIVERY TRUCKS/VANS/VEHICLES
NO. OF UNITS
STORAGE OF FLAMMABLES ESTIMATED AREA USED IN BUSINESS
NO. OF GALLONS:
NAME OF OWNER:
ADDRESS:
KIND OF OWNERSHIP % OF ALIEN CAP INVESTMENT
LOCATIONAL CLEARANCE NO.:
SEC. REG. NO.:
DATE OF ISSUE:
DATE OF ISSUE:
CERTIFICATE OF OCCUPANCY NO:
BOI REG. NO.:
DTI REG. NO.: DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
TO BE FILLED UP BY PROCESSOR/ASSESSOR
TO BE FILLED UP BY NEW APPLICANT ONLY
IF PLACE OF BUSINESS IS RENTED / NOT OWNED
CDA REG. NO.:
ENDORSEMENTS:OFFICE DATE ENDORSED DATE RELEASED OFFICE DATE ENDORSED DATE RELEASED
ENGINEERING DEPARTMENT/BUILDING OFFICAL
POLICE DEPARTMENT
HEALTH DEPARTMENT
FIRE/ELECTRICAL DEPARTMENT
SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION
RENT PER MONTH:
ADMINISTRATOR: (If name of owner is not available)
RENT START: (Month/Year)
CODE LINE OF BUSINESS/ACTIVITIES GROSS SALES/RECEIPTS CAPITAL INVESTMENTSUBSCRIBED PAID-UP
TOTAL NO. OFEMPLOYEES/WORKERS
TOTAL NO. OFEMPLOYEES/WORKERS FROMVALENZUELA
SURNAME FIRST NAME MIDDLE INITIAL TEL. NO.
HOUSE NO. STREET NAME BARANGAY
Form VC BPO1
Republic of the Philippines
Metropolitan Manila
APPROVED BY:
CHIEF - BPLO
CITY MAYOR
SIGNATURE OF APPLICANT/REPRESENTATIVE
POSITION/TITLE
1.2.3.
REQUIREMENTS:RENEWAL:
Barangay Clearance (2011)Community Tax Certificate (Cedula) 2011Previous permit and application
1.2.3.
NEW BUSINESS:Barangay Clearance Community Tax Certificate (Cedula)Sketch of Business LocationAll other requirements required by law, ordinance and rules are subject to Pos-Audit process.
YBBPLO COPY
I, , of legal age, Filipino and a resident of Valenzuela City, after having duly sworn to in accordance with law, avers that:
As an applicant for a business permit/license for the City of Valenzuela and as a law abiding citizen and taxpayer thereof, I undertake to comply with all therequirements for the issuance of a business permit and license as required by law or City Ordinance. I further undertake to allow any duly authorized inspectors of the City Government to conduct ocular inspection of my establishment to ensure faithful compliance to any regulatory measures and post inspection requirements and in case of violation or non-compliance thereof it will result in the closure of the business establishment without need of notice, Executive Order and revocation of my business permit. I executed this undertaking and waiver to attest to the truth and veracity of the foregoing based on personal knowledge and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this day of at Valenzuela City, Philippines
SHERWIN T. GATCHALIAN
DEED OF UNDERTAKING/WAIVER
NEWRENEWALADDITIONAL
QUARTERLYSEMI-ANNUALYANNUALY
BUSINESS TRADE NAME TEL. NO.
MAYOR’S PERMIT NO.
DATE
BUSINESS ADDRESS
NAME OF TAXPAYER
ADDRESS OF TAXPAYERS HOUSE NO. STREET NAME BARANGAY CITY/MUNICIPALITY
NAME OF PRESIDENT / CEO / MANAGER
COMMUNITY TAX CERTIFICATE NO.:
SSS NO.:
DATE ISSUED:
CITY GOVERNMENT OF VALENZUELA
TIN NO.:
PLACE ISSUED:
(INDIVIDUAL OR CORPORATE)
IF TRANSFER OF OWNERSHIPFROM WHOM ACQUIRED:
DELIVERY TRUCKS/VANS/VEHICLES
NO. OF UNITS
STORAGE OF FLAMMABLES ESTIMATED AREA USED IN BUSINESS
NO. OF GALLONS:
NAME OF OWNER:
ADDRESS:
KIND OF OWNERSHIP % OF ALIEN CAP INVESTMENT
LOCATIONAL CLEARANCE NO.:
SEC. REG. NO.:
DATE OF ISSUE:
DATE OF ISSUE:
CERTIFICATE OF OCCUPANCY NO:
BOI REG. NO.:
DTI REG. NO.: DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
TO BE FILLED UP BY PROCESSOR/ASSESSOR
TO BE FILLED UP BY NEW APPLICANT ONLY
IF PLACE OF BUSINESS IS RENTED / NOT OWNED
CDA REG. NO.:
ENDORSEMENTS:OFFICE DATE ENDORSED DATE RELEASED OFFICE DATE ENDORSED DATE RELEASED
ENGINEERING DEPARTMENT/BUILDING OFFICAL
POLICE DEPARTMENT
HEALTH DEPARTMENT
FIRE/ELECTRICAL DEPARTMENT
SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION
RENT PER MONTH:
ADMINISTRATOR: (If name of owner is not available)
RENT START: (Month/Year)
CODE LINE OF BUSINESS/ACTIVITIES GROSS SALES/RECEIPTS CAPITAL INVESTMENTSUBSCRIBED PAID-UP
TOTAL NO. OFEMPLOYEES/WORKERS
TOTAL NO. OFEMPLOYEES/WORKERS FROMVALENZUELA
SURNAME FIRST NAME MIDDLE INITIAL TEL. NO.
HOUSE NO. STREET NAME BARANGAY
Form VC BPO1
Republic of the Philippines
Metropolitan Manila
APPROVED BY:
CHIEF - BPLO
CITY MAYOR
SIGNATURE OF APPLICANT/REPRESENTATIVE
POSITION/TITLE
1.2.3.
REQUIREMENTS:RENEWAL:
Barangay Clearance (2011)Community Tax Certificate (Cedula) 2011Previous permit and application
1.2.3.
NEW BUSINESS:Barangay Clearance Community Tax Certificate (Cedula)Sketch of Business LocationAll other requirements required by law, ordinance and rules are subject to Pos-Audit process.
YTTREASURER’S COPY
I, , of legal age, Filipino and a resident of Valenzuela City, after having duly sworn to in accordance with law, avers that:
As an applicant for a business permit/license for the City of Valenzuela and as a law abiding citizen and taxpayer thereof, I undertake to comply with all therequirements for the issuance of a business permit and license as required by law or City Ordinance. I further undertake to allow any duly authorized inspectors of the City Government to conduct ocular inspection of my establishment to ensure faithful compliance to any regulatory measures and post inspection requirements and in case of violation or non-compliance thereof it will result in the closure of the business establishment without need of notice, Executive Order and revocation of my business permit. I executed this undertaking and waiver to attest to the truth and veracity of the foregoing based on personal knowledge and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this day of at Valenzuela City, Philippines
SHERWIN T. GATCHALIAN
DEED OF UNDERTAKING/WAIVER
NEWRENEWALADDITIONAL
QUARTERLYSEMI-ANNUALYANNUALY
BUSINESS TRADE NAME TEL. NO.
MAYOR’S PERMIT NO.
DATE
BUSINESS ADDRESS
NAME OF TAXPAYER
ADDRESS OF TAXPAYERS HOUSE NO. STREET NAME BARANGAY CITY/MUNICIPALITY
NAME OF PRESIDENT / CEO / MANAGER
COMMUNITY TAX CERTIFICATE NO.:
SSS NO.:
DATE ISSUED:
CITY GOVERNMENT OF VALENZUELA
TIN NO.:
PLACE ISSUED:
(INDIVIDUAL OR CORPORATE)
IF TRANSFER OF OWNERSHIPFROM WHOM ACQUIRED:
DELIVERY TRUCKS/VANS/VEHICLES
NO. OF UNITS
STORAGE OF FLAMMABLES ESTIMATED AREA USED IN BUSINESS
NO. OF GALLONS:
NAME OF OWNER:
ADDRESS:
KIND OF OWNERSHIP % OF ALIEN CAP INVESTMENT
LOCATIONAL CLEARANCE NO.:
SEC. REG. NO.:
DATE OF ISSUE:
DATE OF ISSUE:
CERTIFICATE OF OCCUPANCY NO:
BOI REG. NO.:
DTI REG. NO.: DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
TO BE FILLED UP BY PROCESSOR/ASSESSOR
TO BE FILLED UP BY NEW APPLICANT ONLY
IF PLACE OF BUSINESS IS RENTED / NOT OWNED
CDA REG. NO.:
ENDORSEMENTS:OFFICE DATE ENDORSED DATE RELEASED OFFICE DATE ENDORSED DATE RELEASED
ENGINEERING DEPARTMENT/BUILDING OFFICAL
POLICE DEPARTMENT
HEALTH DEPARTMENT
FIRE/ELECTRICAL DEPARTMENT
SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION
RENT PER MONTH:
ADMINISTRATOR: (If name of owner is not available)
RENT START: (Month/Year)
CODE LINE OF BUSINESS/ACTIVITIES GROSS SALES/RECEIPTS CAPITAL INVESTMENTSUBSCRIBED PAID-UP
TOTAL NO. OFEMPLOYEES/WORKERS
TOTAL NO. OFEMPLOYEES/WORKERS FROMVALENZUELA
SURNAME FIRST NAME MIDDLE INITIAL TEL. NO.
HOUSE NO. STREET NAME BARANGAY
Form VC BPO1
Republic of the Philippines
Metropolitan Manila
APPROVED BY:
CHIEF - BPLO
CITY MAYOR
SIGNATURE OF APPLICANT/REPRESENTATIVE
POSITION/TITLE
1.2.3.
REQUIREMENTS:RENEWAL:
Barangay Clearance (2011)Community Tax Certificate (Cedula) 2011Previous permit and application
1.2.3.
NEW BUSINESS:Barangay Clearance Community Tax Certificate (Cedula)Sketch of Business LocationAll other requirements required by law, ordinance and rules are subject to Pos-Audit process.
YEENGINEERING’S COPY
I, , of legal age, Filipino and a resident of Valenzuela City, after having duly sworn to in accordance with law, avers that:
As an applicant for a business permit/license for the City of Valenzuela and as a law abiding citizen and taxpayer thereof, I undertake to comply with all therequirements for the issuance of a business permit and license as required by law or City Ordinance. I further undertake to allow any duly authorized inspectors of the City Government to conduct ocular inspection of my establishment to ensure faithful compliance to any regulatory measures and post inspection requirements and in case of violation or non-compliance thereof it will result in the closure of the business establishment without need of notice, Executive Order and revocation of my business permit. I executed this undertaking and waiver to attest to the truth and veracity of the foregoing based on personal knowledge and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this day of at Valenzuela City, Philippines
SHERWIN T. GATCHALIAN
DEED OF UNDERTAKING/WAIVER
NEWRENEWALADDITIONAL
QUARTERLYSEMI-ANNUALYANNUALY
BUSINESS TRADE NAME TEL. NO.
MAYOR’S PERMIT NO.
DATE
BUSINESS ADDRESS
NAME OF TAXPAYER
ADDRESS OF TAXPAYERS HOUSE NO. STREET NAME BARANGAY CITY/MUNICIPALITY
NAME OF PRESIDENT / CEO / MANAGER
COMMUNITY TAX CERTIFICATE NO.:
SSS NO.:
DATE ISSUED:
CITY GOVERNMENT OF VALENZUELA
TIN NO.:
PLACE ISSUED:
(INDIVIDUAL OR CORPORATE)
IF TRANSFER OF OWNERSHIPFROM WHOM ACQUIRED:
DELIVERY TRUCKS/VANS/VEHICLES
NO. OF UNITS
STORAGE OF FLAMMABLES ESTIMATED AREA USED IN BUSINESS
NO. OF GALLONS:
NAME OF OWNER:
ADDRESS:
KIND OF OWNERSHIP % OF ALIEN CAP INVESTMENT
LOCATIONAL CLEARANCE NO.:
SEC. REG. NO.:
DATE OF ISSUE:
DATE OF ISSUE:
CERTIFICATE OF OCCUPANCY NO:
BOI REG. NO.:
DTI REG. NO.: DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
TO BE FILLED UP BY PROCESSOR/ASSESSOR
TO BE FILLED UP BY NEW APPLICANT ONLY
IF PLACE OF BUSINESS IS RENTED / NOT OWNED
CDA REG. NO.:
ENDORSEMENTS:OFFICE DATE ENDORSED DATE RELEASED OFFICE DATE ENDORSED DATE RELEASED
ENGINEERING DEPARTMENT/BUILDING OFFICAL
POLICE DEPARTMENT
HEALTH DEPARTMENT
FIRE/ELECTRICAL DEPARTMENT
SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION
RENT PER MONTH:
ADMINISTRATOR: (If name of owner is not available)
RENT START: (Month/Year)
CODE LINE OF BUSINESS/ACTIVITIES GROSS SALES/RECEIPTS CAPITAL INVESTMENTSUBSCRIBED PAID-UP
TOTAL NO. OFEMPLOYEES/WORKERS
TOTAL NO. OFEMPLOYEES/WORKERS FROMVALENZUELA
SURNAME FIRST NAME MIDDLE INITIAL TEL. NO.
HOUSE NO. STREET NAME BARANGAY
Form VC BPO1
Republic of the Philippines
Metropolitan Manila
APPROVED BY:
CHIEF - BPLO
CITY MAYOR
SIGNATURE OF APPLICANT/REPRESENTATIVE
POSITION/TITLE
1.2.3.
REQUIREMENTS:RENEWAL:
Barangay Clearance (2011)Community Tax Certificate (Cedula) 2011Previous permit and application
1.2.3.
NEW BUSINESS:Barangay Clearance Community Tax Certificate (Cedula)Sketch of Business LocationAll other requirements required by law, ordinance and rules are subject to Pos-Audit process.
YHHEALTH OFFICE COPY
I, , of legal age, Filipino and a resident of Valenzuela City, after having duly sworn to in accordance with law, avers that:
As an applicant for a business permit/license for the City of Valenzuela and as a law abiding citizen and taxpayer thereof, I undertake to comply with all therequirements for the issuance of a business permit and license as required by law or City Ordinance. I further undertake to allow any duly authorized inspectors of the City Government to conduct ocular inspection of my establishment to ensure faithful compliance to any regulatory measures and post inspection requirements and in case of violation or non-compliance thereof it will result in the closure of the business establishment without need of notice, Executive Order and revocation of my business permit. I executed this undertaking and waiver to attest to the truth and veracity of the foregoing based on personal knowledge and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this day of at Valenzuela City, Philippines
SHERWIN T. GATCHALIAN
DEED OF UNDERTAKING/WAIVER
NEWRENEWALADDITIONAL
QUARTERLYSEMI-ANNUALYANNUALY
BUSINESS TRADE NAME TEL. NO.
MAYOR’S PERMIT NO.
DATE
BUSINESS ADDRESS
NAME OF TAXPAYER
ADDRESS OF TAXPAYERS HOUSE NO. STREET NAME BARANGAY CITY/MUNICIPALITY
NAME OF PRESIDENT / CEO / MANAGER
COMMUNITY TAX CERTIFICATE NO.:
SSS NO.:
DATE ISSUED:
CITY GOVERNMENT OF VALENZUELA
TIN NO.:
PLACE ISSUED:
(INDIVIDUAL OR CORPORATE)
IF TRANSFER OF OWNERSHIPFROM WHOM ACQUIRED:
DELIVERY TRUCKS/VANS/VEHICLES
NO. OF UNITS
STORAGE OF FLAMMABLES ESTIMATED AREA USED IN BUSINESS
NO. OF GALLONS:
NAME OF OWNER:
ADDRESS:
KIND OF OWNERSHIP % OF ALIEN CAP INVESTMENT
LOCATIONAL CLEARANCE NO.:
SEC. REG. NO.:
DATE OF ISSUE:
DATE OF ISSUE:
CERTIFICATE OF OCCUPANCY NO:
BOI REG. NO.:
DTI REG. NO.: DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
DATE OF ISSUE:
TO BE FILLED UP BY PROCESSOR/ASSESSOR
TO BE FILLED UP BY NEW APPLICANT ONLY
IF PLACE OF BUSINESS IS RENTED / NOT OWNED
CDA REG. NO.:
ENDORSEMENTS:OFFICE DATE ENDORSED DATE RELEASED OFFICE DATE ENDORSED DATE RELEASED
ENGINEERING DEPARTMENT/BUILDING OFFICAL
POLICE DEPARTMENT
HEALTH DEPARTMENT
FIRE/ELECTRICAL DEPARTMENT
SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION
RENT PER MONTH:
ADMINISTRATOR: (If name of owner is not available)
RENT START: (Month/Year)
CODE LINE OF BUSINESS/ACTIVITIES GROSS SALES/RECEIPTS CAPITAL INVESTMENTSUBSCRIBED PAID-UP
TOTAL NO. OFEMPLOYEES/WORKERS
TOTAL NO. OFEMPLOYEES/WORKERS FROMVALENZUELA
SURNAME FIRST NAME MIDDLE INITIAL TEL. NO.
HOUSE NO. STREET NAME BARANGAY
Form VC BPO1
Republic of the Philippines
Metropolitan Manila
APPROVED BY:
CHIEF - BPLO
CITY MAYOR
SIGNATURE OF APPLICANT/REPRESENTATIVE
POSITION/TITLE
1.2.3.
REQUIREMENTS:RENEWAL:
Barangay Clearance (2011)Community Tax Certificate (Cedula) 2011Previous permit and application
1.2.3.
NEW BUSINESS:Barangay Clearance Community Tax Certificate (Cedula)Sketch of Business LocationAll other requirements required by law, ordinance and rules are subject to Pos-Audit process.
RTMFIRE DEPARTMENT COPY
I, , of legal age, Filipino and a resident of Valenzuela City, after having duly sworn to in accordance with law, avers that:
As an applicant for a business permit/license for the City of Valenzuela and as a law abiding citizen and taxpayer thereof, I undertake to comply with all therequirements for the issuance of a business permit and license as required by law or City Ordinance. I further undertake to allow any duly authorized inspectors of the City Government to conduct ocular inspection of my establishment to ensure faithful compliance to any regulatory measures and post inspection requirements and in case of violation or non-compliance thereof it will result in the closure of the business establishment without need of notice, Executive Order and revocation of my business permit. I executed this undertaking and waiver to attest to the truth and veracity of the foregoing based on personal knowledge and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this day of at Valenzuela City, Philippines
SHERWIN T. GATCHALIAN