Republic of the Philippines

Province of Tarlac
MUNICIPALITY OF MONCADA

APPLICATION FOR MAYOR’S PERMIT

Permit No:
Date:
OR No.
NEW RENEW
NAME: NATURE OF BUSINESS:
ADDRESS: CITIZENSHIP:

Nature of Business organization: X Single Proprietorship Partnership Corporation Cooperative

Main Activity:
Line of Business:
Principal Products/Services Rendered:

Location of Business:

Business Name :

ASSESSMENT:

Fee Description Amount

Mayor’s Permit on Business

Computer’s Fee
TOTAL
OR No.
PLATE No.

Signature of Applicant
CTC No.
Issued on
Issued at
TIN

Barangay Business Permit

Assessed by:
Sanitary Permit

JOSEPHINE V. MINA Fire Inspection Permit

Admin. Aide VI

LORENA B. BORGONIA REQUIREMENTS:

License Inspector I 1. CEDULA
2. BARANGAY BUSINESS PERMIT/BARANGAY CERTIFICATION
Verified by:

CARLOTA P. BAUTISTA
Market Supervisor III
• Poblacion 1, Moncada, Tarlac • Tel. No. (045) 606-5405/606-5406 • loc. 117
• FB: BPLO MONCADA Email: bplo_moncada@yahoo.com