Group 3
(Select, then complete
Section E, F & G)
(Select, then complet
e
Sections C, E, F & G)
THE LICENCES ON TRADES AND BUSINESS ACT
TB01
APPLICATION FOR TRADE AND BUSINESS LICENCE
.
(TRADE AND BUSINESS LICENCE RETURN)
Jamaica
Financial Year:
TB01 - Application for Trade and Business Licence (Rev. 2015/08) Ministry of Local Government
Section C: WHOLESALER / RETAILER DETAILS
I ............................................................. acting in my capacity as Justice of the Peace / Police Superintendent
for the parish ..................................................... certify that ............................................................................. is
a fit and proper person to sell wine, beer or other malt liquors.
Signature
Date
STAMP
/ SEAL
Statement of Fitness
NOTE: To sell wine, beer or any other malt liquor you MUST first be certified as fit to do so by either a Superintendent
of Police from the parish OR a Justice of the Peace from the parish in which your business is carried on.
(To be Completed by Wholesaler/Retailer Applicants Only)
12. Indicate the type of Licence Application/Return from one of the three groups below:
THE STATEMENT OF FITNESS BELOW MUST BE COMPLETED AND ENDORSED BY THE PROPER AUTHORITY
(Name of Business Owner)
(Name of Superintendent/JP)
PLEASE SEE OVERLEAF FOR CONTINUATION OF FORM
13. Do you intend to sell wine, beer, or any other malt liquor ? . . . . . . .
(Go to Section E)
14. Do you have a Spirit Licence ? . . . . . . . . . . . . . . . . . . . . . .
(Go to Section E)
(Go to 14)
(See Note below)
20 02
-
2. Taxpayer Registration Number (TRN):
7. Contact Numbers:
8. E-mail Address
3. Trade Name:
11. Are your accounts computerized ?
Section A: APPLICANT'S INFORMATION
9. Tick box(es), if appropriate:
5. Business Address/Registered Office:
4. Parish in which business/trade is carried on:
6
Mailing Address (if different from 5):
Section B: APPLICATION / RETURN DETAILS
10. Date Trade/Business
Commenced:
Fax:
Business:
Cell:
( d d )( y y y y ) ( m m )
1. Applicant/Business Name (for individuals - Last, First, Middle):
(branch #)
Yes No
Partly
Yes
Yes
No
No
Revised Return
New Address
Group 2
(Select, then complet
e
Sections D, E, F & G)
Newspaper Proprietor (Other than Daily)
Newspaper Proprietor (Daily Newspaper)
Merchant
General Factor
Super-cargo
Wharfinger
A
uctionee
r
Commission Agent
Retailer, state Annual Gross Sales $___________________________________
Group 1
Wholesalers &
Retailers
Newspaper
Proprietors
Others
Wholesaler, state Annual Gross Sales $_________________________________
(To be Completed by Applicants who are Newspaper Proprietors Only)
Section D: DETAILS OF NEWSPAPER
15. Newspaper Title/Name:
16. Address at which Newspaper is Published:
Section G: DECLARATION
I declare that this return/application is in all factual respects true; and I apply for a
licence in terms hereof.
FOR OFFICIAL USE ONLY
Section E: DETAILS OF PROPRIETOR(S)
17. Proprietor's Name ( Last, First, Middle ) :
19. Proprietor's Home Address:
21. Proprietor's TRN:
20. Proprietor's Name ( Last, First, Middle ) :
22. Proprietor's Home Address:
24. Proprietor's TRN:
23. Proprietor's Name ( Last, First, Middle ) :
25. Proprietor's Home Address:
(branch #)
18. Proprietor's TRN:
(branch #)
...
...
(branch #)
...
Principal Officer's Signature
Date
27. Principal Officer's TRN:
26. Principal Officer's Name:
28. Principal Officer's Home Address:
(branch #)
...
Section F: DETAILS OF PRINCIPAL OFFICER
(
To be Completed b
y
ALL Applicants - Use Additional Sheet if Necessar
y)
(To be Completed by ALL Applicants)
29. Position/Title:
Name
Contact / Telephone Numbers
Date
Signature
Recommended Course of Action:
Remarks:
Officer's Name:
Site Vist then Issue TBL. Issue TBL then Site Vist.Issue TBL, no Site Vist.
Position: Date
Signature
Title/Position
Please complete if prepared by person other than Principal Officer.
FOR OFFICIAL USE ONLY
