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Application Form

The document is a unified application form for a business permit for the year 2025 in Antipolo, Rizal, for the business named 'EASYPRICE STORE' owned by Lolito Forte Antonio. It includes sections for business information, operation details, and verification of documents by various city offices. The application indicates the business is a wholesaler of essential goods and provides necessary contact information and compliance undertakings.

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jeffrey magbanua
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69 views2 pages

Application Form

The document is a unified application form for a business permit for the year 2025 in Antipolo, Rizal, for the business named 'EASYPRICE STORE' owned by Lolito Forte Antonio. It includes sections for business information, operation details, and verification of documents by various city offices. The application indicates the business is a wholesaler of essential goods and provides necessary contact information and compliance undertakings.

Uploaded by

jeffrey magbanua
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL
CITY OF ANTIPOLO
BUSINESS PERMIT AND LICENSING OFFICE

UNIFIED APPLICATION FORM FOR BUSINESS PERMIT FOR THE YEAR 2025

Payment
New X Annually Date of Receipt
Renewal Bi Annually Tracking Number
Additional Quarterly Business ID Number TMP-2025-0001283

A. BUSINESS INFORMATION AND REGISTRATION


Please choose one: Sole Proprietorship One-Person Partnership Corporation Cooperative
Corporation
Gender: Male
DTI/SEC/CDA Registration No. : Tax Identification Number (TIN):
Business Name: EASYPRICE STORE
Trade Name/Franchise (if applicable):
Main Office Address:
House No./Bldg. No. PUROK 3 ZONE 6 New life Lot No. Block No.
Building Name : Subdivision:
Street Name: City/Municipality : City of Antipolo
Barangay : Cupang Province : Province of Rizal Zip Code

Tel. No. / Mobile : Email Address: pagasa101time@gmail.com


Name of Owner: LOLITO FORTE ANTONIO
Name of President / Officer-in-Charge:
B. BUSINESS OPERATION
Business Area (in sqm) : Total No. of Employees: No. of employees residing No. of Delivery Vehicles (if applicable)
20.00 1 Male 1 Female 2 Insid 0 Outside
4-wheel- 3- 2-
up wheel wheel
e
Same as Main Office
Address
House No./Bldg. No. PUROK 3 ZONE 6 New life Lot No. Block No.
Building Name : Subdivision:
Street Name: City/Municipality : City of Antipolo
Barangay : Cupang Province : Province of Rizal Zip Code

Owned? Yes No If YES, Tax Declaration No. or Property Identification No.

Please attatch a copy of your


Are you enjoying tax incentive from any Government Entity? No Yes certificate/specify the entity :

Business Activity (Please check one): Main Office Branch Admin Office Warehous Other, Please
Office Only e specify
PSIC
Code Nature of Business CODE
ESW WHOLESALER - ESSENTIAL

Oath of Undertaking
I hereby agree to the immediate cancellation of this application or the permit to be issued as well as undertakte to comply with all orders to cease
and desist from operating, including closure order should any appropriate government agency find any falsehood or misrepresentation and
deficiencies in this application or on the operation of the above described business.

Signature over printed name Position/Title


(Note: Statement of Assessment issued in relation to this application is suject to re-assessment of taxes and fees.)
For corporation, only responsible person (President, Chief Accountant and Corporate Secretary) should sign the form. In case Liason Officer or
any representative, kindly present an authorization letter signed by the identified responsible person of the entity.
UNIFIED APPLICATION FORM FOR BUSINESS Page 2 of 2
TMP-2025-0001283 Application No. 80-655351

VERIFICATION OF DOCUMENTS

OFFICE/AGENCY DATE EVALUATED VERIFIED/EVALUATED BY


CTO - CITY TREASURERS OFFICE

OBO - OFFICE OF THE BUILDING OFFICIAL

BFP - BUREAU OF FIRE

CVO - CITY VETERINARY OFFICE

CHO - CITY HEALTH OFFICE

ZAO - ZONING ADMINISTRATOR OFFICE


CEWMO - CITY ENVIRONMENT WASTER
MANAGEMENT OFFICE
PESO - PUBLIC EMPLOYMENT SERVICES OFFICE

BPLO - BUSINESS PERMIT AND LICENSING OFFICE

4/7/2025 3:16 PM
Initial Evaluation Reviewed by Approval recommended by

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