FORM NO. 49A
[See rule 114]
FORM OF APPLICATION FOR ALLOTMENT OF PERMANENT ACCOUNT NUMBER UNDER SECTION 139A OF THE INCOME-TAX ACT, 1961
To,
The Assessing Officer, | Please affix your recent photograph (3.5cm X 2.5cm) (In case of individuals only) |
| (Signature of the applicant inside the white box provided above) |
Sir,
Whereas my/ our total income of in respect of which I/we am/ are assessable under the Income-tax
[Name]
Act, 1961, during the accounting year ending on
| | | | | | | | | |
D | D | | M | M | | Y | Y | Y | Y |
exceeded rupees , the maximum amount which is not chargeable to income tax,
Whereas my/our cases does not fall under sub-section (1) of section 139A and I am /we are carrying on a business the total sales/turnover/gross receipts of which are or is likely to exceed fifty thousand rupees in the accounting year ending on
| | | | | | | | | |
D | D | | M | M | | Y | Y | Y | Y |
Whereas my/our case does not fall under sub-section (1) of section 139A, and I am/We are required to furnish a return of income under sub-section (4A) of section 139 for the accounting year ending on .
And whereas no permanent account number has been allotted to me/us.
· Thought earlier PAN had been allotted to me ./ us, no permanent account number under new series has been allotted;
· I / We hereby request that a permanent account number / permanent account number under new series be allotted to me us;
I/We give below the necessary particulars :-
Last Name/Surname* First Name*
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Middle Name*
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Last Name/Surname* First Name*
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Middle Name*
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
3? Address
A? Residential Address
Flat/Door/Block No.
| | | | | | | | | | | | | | | | | | | |
Name of Premises/Building/village
| | | | | | | | | | | | | | | | | | | |
Road/Street/Lane/Post office
| | | | | | | | | | | | | | | | | | | |
Area/Locality/Taluka/Sub-Division
| | | | | | | | | | | | | | | | | | | |
Town/City/district
| | | | | | | | | | | | | | | |
State/Union Territor
| | | | | | | |
Pin
| | | | | |
B? Office Address
Name of office
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Flat/Door/Block No.
| | | | | | | | | | | | | | | | | | | |
Name of Premises/Building/village
| | | | | | | | | | | | | | | | | | | |
Road/Street/Lane/Post Office
| | | | | | | | | | | | | | | | | | | |
Area /Locality/Taluka/Sub division
| | | | | | | | | | | | | | | | | | | |
Town /City /District
| | | | | | | | | | | | | | | |
State/Unoon territory
| | | | | | | |
Pin
| | | | | |
4? Address for communication | please tick as applicable | | A | | or B | | Tele.No. if any | | | | | | | |
5? Status of the assessee | Please tickl as applicable | |
Individual | P | | Firm | F | | Body of Individuals | B | |
Hindu Undivided Family | H | | Association of Persons | A | | Local Authority | L | |
Company | C | | Association Persons (Trusts) | T | | Artificial Juridical Person | J | |
6? If an individual, please give father’s name
Last Name/Surname First Name*
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Middle Name*
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
7? Sex (Individuals only) | Tick as applicable | | Male | M | | Female | F | |
8? Date of Birth/Incorporation/ Aggreement/Partnership or trust Deed/Formation of Body of individuals/Association | | | | | | | | | | | |||||||||
9? Wether Citizen of India ) | Please Ticklicable as applicable | | Yes | | | No | | | |||||||||||
10? Registration Number (in case of firms, companies, etc.) | |
11? Source(s) of income
Salaries | | House Property | | Business/Profession | | Capital gains | | Income from other sources | |
12? Particulars of business, if any
Head Office
Name of Office
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Flat/Door/Block No.
| | | | | | | | | | | | | | | | | | | |
Name of Premises/Building/village
| | | | | | | | | | | | | | | | | | | |
Road/Street/Lane/post offic
| | | | | | | | | | | | | | | | | | | |
Area /Locality/Taluka/Sub-division
| | | | | | | | | | | | | | | | | | | |
Town /City /District
| | | | | | | | | | | | | | |
Pin
| | | | | |
Nature of Business | | Tax Deduction Account No. If any | | | | | | | | | | |
Date of commencement | | | - | | | - | | | | | No.of branches | | | | |
D D M M Y Y Y Y
Branches (if required, please add separate sheet for each branch)
Name of the branch
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Flat/Door/Block No.
| | | | | | | | | | | | | | | | | | | |
Name of Premises/Building/Village
| | | | | | | | | | | | | | | | | | | |
Road/Street/Lane/Post office
| | | | | | | | | | | | | | | | | | | |
Area /Locality/Taluka/Sub-division
| | | | | | | | | | | | | | | | | | | |
Town /City /District State/Unoin/Territory
| | | | | | | | | | | | | | | | | | | | | | | | |
Pin
| | | | | |
Nature of Business | | Tax deduction Account No.if-any | | | | | | | | | | |
Date of commencement | | | - | | | - | | | | | No.of branches | | | | |
D D M M Y Y Y Y
13? If Firms/Hindu/Undivided Family/ Association of Persons/Body of individuals /Company, the names, address etc. of partners/directors/member(for information about more person, please add seperate Sheet(s) in the formate given below)
DETAILS OF PARTNERS/MEMBERS /DIRECTORS
a? Number of Partners/Member/Directors : | a? | a? |
(b) Full Name (no initials please) Please Tick Shri Smt. Kumari M/s
Last Name/Surname First Name
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Middle Name
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
c? Address
Flat/Door/Block No.
| | | | | | | | | | | | | | | | | | | |
Name of Premises/Building/Village
| | | | | | | | | | | | | | | | | | | |
Road/Street/Lane/Lane/Post-Office
| | | | | | | | | | | | | | | | | | | |
Area /Locality/Taluka/Sub-division
| | | | | | | | | | | | | | | | | | | |
Town /City /District State/Unoin/Territory
| | | | | | | | | | | | | | | | | | | | | | | | |
Pin
| | | | | |
14? Full name, address etc., of other person in respect of whose total income the applicant is assessable under the Income-tax Act inrespect of the person, whose particulars have been given in columns 1 to 13 (Please see Instruction No. 14)
Full Name (no initials please) Please Tick Shri Smt. Kumari M/s
Last Name/Surname* First Name
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Middle Name*
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Flat/Door/Block No.
| | | | | | | | | | | | | | | | | | | |
Name of Premises/Building/Village
| | | | | | | | | | | | | | | | | | | |
Road/Street/Lane/Post-Office
| | | | | | | | | | | | | | | | | | | |
Area /Locality/Taluka/Sub-dvision
| | | | | | | | | | | | | | | | | | | |
Town /City /District State/Unoin/Territory
| | | | | | | | | | | | | | | | | | | | | | | | |
Pin
| | | | | |
1? (i) permanent Account number, if any allotted earlier*
| | | | | | | | | |
(ii) GIR No. If any , allotted earlier
| | | | | | |
(iii) Ward/Circle/Range
| | | | | | | | | | | | | | | | | | | |
I/We , the applicant do hereby declare that what is stated above is true to the best of my/our information and belief.
Verified today, the , day of , (month) 19 .
______________
Signed (Applicant)
Permanent Account Number allotted | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | |
Date of allotment of Permanent Account Number | | | - | | | - | | | | | | | | |
D D M M Y Y Y Y
No comments:
Post a Comment