Friday, April 1, 2011

FORM OF APPLICATION FOR ALLOTMENT OF PERMANENT ACCOUNT NUMBER

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              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










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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










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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 :-

1?   Full Name (no initials please)                                      Please Tick                                                        Shri                    Smt.    Kumari         M/s

Last Name/Surname*                                                                                             First Name*






























                                                                                                                                Middle Name*






























2.     Have you ever been known by any other name?                   Please Tick  as applicable      Yes                      No
       If yes, Please give other name (no initials please)    Please Tick.  as applicable    Shri Smt. Kumari          M/s
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


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-




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


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