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PAN Application Form (New) 49AN PDF Fillable #pdf
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5. Date of Birth / Incorporation/Agreement/Partnership or T rust Deed / Formation of Body of individuals or Association of Persons (DD / MM / YYYY) 3. Have you ever been known by any other name ? Yes No (Please tick as applicable)7. Address (Residence Address) Flat/Room/Door/Block No. Name of Premises/Building/V illage Road/S treet/Lane/Post Of fice Area/Locality/T aluka/Sub-Division T own/City/District St ate/Union Territory 6. Father ’s Name (Only Individual applicant s: Even married women should fill in father ’s name only) Last Name / Surname First Name Middle Name 4. Gender (for Individual applicant s only) Male Female(Please tick as applicable)Last Name / Surname First Name Middle Name1. Full Name (Full exp anded name to be mentioned as appearing in proof of identity/address doc\ ument s:initials are not permitted) Please select title as applicable Shri Smt. \ Kumari M/s Last Name / Surname First Name Middle Name 2. Abbreviation of the above name, as you would like it, to be printed on t\ he P AN cardForm No. 49A Application for Allotment of Permanent Account Number ( In case of Indian Citizens/Indian Comp anies/ Entities incorparated in India/Unincorporated entities formed in India ) Under section 139A of the Income Tax Act, 1961 T o avoid mist ake(s), please follow the accomp anying instructions and examples before filling up the form. Assessing Officer (AO Code) Sir , I/W e hereby request that a permanent account number be alloted to me/us. I/W e give below necessary p articulars. Area Code AO Type Range Code AO No.Signature/Left Thumb Impression across this photo Signature/Lef t Thumb Impression Flat/Room/Door/Block No. Name of Premises/Building/V illage Road/S treet/Lane/Post Of fice Area/Locality/T aluka/Sub-Division T own/City/District St ate/Union Territory (Office Address) P U N J A B PIN Code I N D I A Country P U N J A B PIN Code I N D I A CountryOnly ‘Individuals’ to af fix recent photograph (3.5 cm X 2.5 cm) Only ‘Individuals’ to af fix recent photograph (3.5 cm X 2.5 cm) TIN FC - CODE - 02565 Branch ID : 2565 Please select title as applicable Shri Smt. \ Kumari M/s Address (Residence Address) Flat/Room/Door/Block No. Name of Premises/Building/V illage Road/S treet/Lane/Post Of fice Area/Locality/T aluka/Sub-Division T own/City/District St ate/Union Territory P U N J A B PIN Code I N D I A Country Full Name (Full exp anded name: initials are not permitted) Last Name / Surname First Name Middle Name 13. Source of Income Please select status; as applicable Income from Business/Profession Income from House property Business/Profession code(For code : Refer Instruction) Income from other sources No IncomeCapit al Gains 10. S tatus of applicant Hindu undivided family Body of Individuals Comp any Local Authority Partnership Firm Artificial Juidical PersonsPlease select st atus, as applicable12. In case of a citizen of India, then Please mention your AADHAAR number (if allotted) 8. Address for Communication Residence Office (Please tick as applicable)9. T elephone Number & email ID det ailsCountry Code Area/STD Code T elephone / Mobile Number e-mail id 1 1. Registration Number (for comp any, firms, LLPs, etc.) Salary 14. Represent ative Assessee (RA) Full Name, address of the Represent ative Assessee, who is assessable under the Income Tax Act in respect of the person, whose p articulars have been given in the column 1-13. 15. Document s submitted as Proof of Identity (POI) and Proof of Address (POA) I/W e have enclosed as proof of identity and as proof of address as proof of date of birth. [ Please refer to the instructions (as specified in Rule 1 14 of I.T . Rules, 1962) for list of mandatory certified document s to be submitted as applicable.] + 9 1 16. I/W e \ the applicant, in the cap acity of fo hereby declare that what is st ated above is true to the best of my/our information and belief. Signature/Lef t Thumb Impression of Applicant (inside the box) Apply for P AN, TAN, FILE e-TDS/ TCS/24 G Returns at TIN-FC : TIN F ACILIT ATION CENTRE Moti Bhuru Bazar , (Main Bazar) Near Dhodha Chowk, Kotkapura. Ph. : 01635-220579, Mb. 946 304 0808, 981 510 1878 email : sahujag@gmail\ .com Place : Date : 2 0 1 (06/08/2015)Please select title as applicable Shri Smt. \ Kumari M/s Association of PersonsGovernment T rust s Individual Limited Liability Partnership




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