Btrcp Form 16a - Business Name Application Form For Sole Proprietor (Page 2 of 2) in pdf

GENERAL INSTRUCTIONS IN ACCOMPLISHING AND FILING

the BUSINESS NAME APPLICATION FORM



Accomplish the application form by typing/printing (upper case/capital letter); completely and clearly. All

required fields/information are printed in italics. For online application form, these are marked with red

asterisk (*).



Do not abbreviate the information supplied in this application form particularly the business name, owner’s

name and address. Post Office Box number is not acceptable as owner’s address.



Only the applicant/registrant is allowed to sign the application form except in cases where the court

authorized or appointed executor, or an appointed heir is authorized to be the signatory pursuant to Section

8.2 of DAO No. 10-01, series of 2010, as amended.



Submit to the any DTI Field Office this application form and present any of the prescribed identification

documents.

A. Business Details

For RENEWAL Application only

For NEW Application (proposed Business Names)

Business Location. Indicate the Barangay, City/Municipality, and Region where business is/will be located.

If Barangay, include also City/Municipality and Region; if City/Municipality, include Region.

Tax Identification Number (TIN). Indicate TIN duly issued by BIR to you as individual taxpayer.

B. Owner’s Details

First Name, 6. Middle Name, 7. Last Name, 8. Suffix (if applicable). Write these information legibly and

correctly as these would appear in the Certificate of BN Registration.

Date of Birth. Owner must be of legal age (at least eighteen [18] years old).

10. Citizenship. For Filipino applicants, present one (1) valid ID that is nationally-issued or as listed in the DAO 10-

08, s. 2010. Foreign Nationals must present the original and submit clear certified copy of the following, if

applicable, namely: Certificate of Authority to Engage Business in the Philippines pursuant to Foreign Investment

Act (Rep. Act No. 7042 as amended); Certificate of Authority to Engage in Retail Trade per Rep. Act No. 8762

(Retail Trade Liberalization Law), or such other applicable laws, as the case may be.

11. Email address – yahoo or hotmail or gmail or any active email account.

12. Contact nos. – active landline and/or mobile no.

C. Owner’s Address

13. House/Building No. This information include building name and floor number, Lot, Phase and Block numbers,

and Subdivision, among others. This information will be printed in the Certificate of BN Registration.

14. Street, 15. Barangay, 16. Town/City and 17. Province. These information will be printed in the Certificate of BN

Registration.

18. Zip Code. Check the Philippine Postal Service Web site for proper Zip Code.

APPLICABLE FEES

BN Registration Fee (New and Renewal)

Amount

Territorial Scope

(Depending on Territorial Scope)

P 200.00

Barangay

P 500.00

City/Municipality

P1,000.00

Regional

P2,000.00

National

Documentary Stamp Tax

15.00

(BIR Revenue Memorandum Order 13-2008 – March 13, 2008)

Surcharge for late Renewal Application

50% of BN Registration Fee

(If application is filed on the 4

, 5

or 6

month after expiration)

Btrcp Form 16a - Business Name Application Form For Sole Proprietor Page 2

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