FORM NO. 49A FORM OF APPLICATION FOR ALLOTMENT OR 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 subsection (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 (Yes/No) other name? 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 Pin 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 Pin 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 (Male/Female)only) 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 Pin 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 Pin 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 (Partners/Members/Directors) a) Number of 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 Pin 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 Pin 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
