PAN Application Form(49A),PAN Card Application Form,Income Tax Form 49A,Income Tax PAN Card Form 49A

FORM NO. 49A
Application For Allotment of Permanent Account Number
( Under Section 139A of the Income-Tax Act, 1961. )

(To avoid mistake(s), please follow the accompanying instructions and examples carefully before filling up the form)

To

The Assessing Officer

Sir,

Whereas my/our total income/ the total income of
In respect of which I/We am/are assessable under the income-tax act, 1961, during the accounting year ending on
DD MM YYYY
exceeded rupees                                        the minimum amount which is not chargeable to income-tax:

Whereas my/our case doesn't fill under sub-section (1) of section 139 and I am/we are carrying on business the total sales/turnover/gross receipts of which are or is likely to exceed fifty thousand rupees in the accounting year ending on
            DD MM YYYY
exceeded rupees                                        the minimum amount which is not chargeable to income-tax:

Whereas my/our case does not fill under sub-section 139A, and I my/we required to furnish a return of income under sub-section (1A) of section 139 for the accounting year ending on
DD MM YYYY

And whereas no Permanent Account Number has been allotted to me/us.

* Though earlier PAN had been allotted to across, 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;
* Applicable in places notified by the Board under Subsection(4) of Section 139A of the Income Tax Act, 1961.
I/we give below the necessary particulars:-

Please fill as applicable ( Shri / Smt./ Kumari / M/s )

1. Full Name (no initials please)
Last Name/Surname

First Name

Middle Name

2. Have you ever been known by any other name?

(Yes/No)

If yes, please give other name (no initials please)

Please fill 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/Teluka/Sub-Division

Town/City/District

State/Union Territory

B. Office Address

Flat/Door/Block No.

Name of Premises/Building/Village

Road/Street/Lane/Post Office

Area/Locality/Teluka/Sub-Division

Town/City/District

State/Union Territory

4. Email Address

5. Status of the Applicant (Individual/Hindu Undivided Family/Company/Firm/Association Of Person/Association Of Persons(Trust)/Body Of Individuals/Local AuthorityArtificial Judicial Person)

6. If any individual, please give Father's Name (no initials please)

Last Name/Surname

First Name

Middle Name

7. Sex (For Individual Applicant only)

(Male/Female)

8. Date of (Birth /Incorporation/Agreement/Partnership or Trust Deeds/Formation Of Body Of Individuals/Association Of Persons)

9. Whether citizen of India? (Yes/No)

10. Registration Number (In case of Firms, Companies etc.)

11. Source(s) of Income ( Saleries / House Property / Business 0r Profession /Capital Gains / Income From Other Source(s) )

12. Particulars of Business, if any
HEAD OFFICE

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/Union Territory

Nature of Business

Tax Deduction Amount No. if any

Date of commencement

DD MM YYYY

No. of Branches

BRANCHES (If required, please add in the given boxes below)

Name of Branch (No.1)

Flat/Door/Block No.

Name of Premises/Building/Village

Road/Street/Lane/Post Office

Area/Locality/Taluka/Sub-Division

Town/City/District

State/Union Territory

Nature of Business

Tax Deduction Account No, if any

Date of commencement :

DD MM YYYY

Name of Branch (No.2)
Flat/Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
State/Union Territory
Pin
Nature of Business
Tax Deduction Account No, if any
Date of commencement	DD MM YYYY

13. If Firm/Hindu Undivided Family/Association of Persons/Body of Individuals/Company, the names, Addresses etc. of Partners/Members/Directors/ (For information about more persons, please add separate sheet(s) in the format given below)

DETAILS OF PARTNERS/MEMBERS/DIRECTORS

a) Number of

(Partners/Members/Directors)
No.

Please fill as applicable

(Shri / Smt. / Kumari / M/S)

b) Full Name of the first member/partner etc. (no initials please)
Last Name/Surname
First Name
Middle Name
c) Address
Flat /Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/SubDivision
Town/City/District
State/Union Territory
Pin

Last Name/Surname

First Name

Middle Name

c) Address

Flat /Door/Block No.

Name of Premises/Building/Village

Road/Street/Lane/Post Office

Area/Locality/Taluka/SubDivision

Town/City/District

State/Union Territory

14. Full Name, address of the representative assessable under the Income Tax Act in respect of the person, whose particulars have been given in column 1 to 13 (Please see Instruction no.14)

Please fill as applicable

(Shri / Smt. / Kumari / M/S)

Full Name(no initials please)

Last Name/Surname

First Name

Middle Name

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 Territory

15.(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.

*Applicable in places notified by the Board under Subsection(4) of Section 139A of the Income Tax Act, 1961.

Verified today, the

DD MM YYYY