REQUEST FOR ELECTRONIC ASSESSMENT OF LOCAL BUSINESS TAX

INSTRUCTION: Please fill out this form completely to have your request processed.
Email address *
CONTACT NUMBER (Landline/Mobile) *
E-MAIL ADDRESS *
Make sure that the e-mail address that you've provided is valid and can be accessed via GMail, Yahoo! mail, Outlook, and the likes.
BUSINESS ACCOUNT NUMBER *
TAXPAYER'S NAME/BUSINESS TRADE NAME *
ASSESSMENT FOR: *
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