Вы находитесь на странице: 1из 2

http://www.itaxindia.org/2011/08/income-tax-rates-12-13-individual-aop.

html

FormNo.49A ApplicationforAllotmentofPermanentAccountNumber
Undersection139AoftheIncomeTaxact,1961 Toavoidmistake(s),pleasefollowtheaccompanyinginstructionsandexamplesbeforefillinguptheform

Assessingofficer(AOcode)
Sign/ Tumbimpressionacrossthis photo

Areacode

AOtype

Rangecode

AONo.

Sir, I/Weherebyrequestthatapermanentaccountnumberbeallottedtome/us. I/Wegivebelownecessaryparticulars:

1 FullName(Fullexpandednametobementionedasappearinginproofofidentity/addressdocuments:initialsarenotpermitted)
Pleaseselecttitle, asapplicable

Shri

Smt.

Kumari

M/s

LastName/Surname FirstName MiddleName

2 Haveyoueverbeenknownbyanyothername?
Ifyes,pleasegivethatothername
Pleaseselecttitle, asapplicable

Yes

No

(pleasetick)asapplicable)

Shri

Smt.

Kumari

M/s

LastName/Surname FirstName MiddleName

3 Sex(forIndividualapplicantsonly)

Male

Female

(Pleasetickasapplicable)

4 DateofBirth/Incorporation/Agreement/PartnershiporTrustDeed/FormationofBodyofindividualsorassociationofPersons
Day Month Year

5 Father'sName(Only'Individual'applicants:Evenmarriedwomenshouldgivefather'snameonly)
LastName/Surname FirstName MiddleName

6 Address ResidenceAddress
Flat/Room/Door/BlockNo. NameofPremises/Building/Village Road/Street/Lane/PostOffice Area/Locality/Taluka/SubDivision Town/City/District State/UnionTerritory Pincode/Zipcode CountryName

OfficeAddress Nameofoffice
Flat/Room/Door/BlockNo. NameofPremises/Building/Village Road/Street/Lane/PostOffice Area/Locality/Taluka/SubDivision Town/City/District State / Union Territory Pincode / Zip code Country Name

http://www.knowyourpan.org/2010/03/know-your-pan-with-name-dob.html

http://www.itaxindia.org/2011/08/income-tax-rates-12-13-individual-aop.html

7 AddressforCommunication 8 TelephoneNumber&EmailIDdetails
Countrycode STDCode

Residence

Office

(Pleasetickasapplicable)

TelephoneNumber/Mobilenumber

EmailID

9 Statusofapplicant
Pleaseselectstatus, Individual Trusts asapplicable Hinduundividedfamily BodyofIndividuals Company LocalAuthority PartnershipFirm ArtificialJuridicalPersons Government AssociationofPersons LimitedLiabilityPartnership

10 RegistrationNumber(forcompany,firms,etc.) 11 WhethercitizenofIndia? 12 SourceofIncome


Salary IncomefromBusiness/Profession IncomefromHouseproperty Business/Professioncode Refertableatpointno.12

Yes

No

(Pleasetickasapplicable)

Pleaseselectstatus, CapitalGains

asapplicable

IncomefromOthersources Noincome

13 RepresentativeAssessee(RA)
Fullname,addressoftheRepresentativeAssessee,whoisassessibleundertheIncomeTaxActinrespectoftheperson,whoseparticularshavebeengiveninthecolumn1 12.

FullName(Fullexpandedname:initialsarenotpermitted)
Pleaseselecttitle, asapplicable

Shri

Smt.

Kumari

M/s

LastName/Surname FirstName MiddleName RA'sAddress Flat/Room/Door/BlockNo. NameofPremises/Building/Village Road/Street/Lane/PostOffice Area/Locality/Taluka/SubDivision Town/City/District State/UnionTerritory Pincode

14 DocumentssubmittedasProofofIdentity(POI)andProofofAddress(POA)
I/Wehaveenclosed asproofofaddress. I truetothebestofmyinformationandbelief. Place D Date D M M Y Y Y Y Signature/LeftThumbImpressionof Applicant(insidethebox) ,theapplicant,doherebydeclarethatwhatisstatedaboveis asproofofidentityand

http://www.knowyourpan.org/2010/03/know-your-pan-with-name-dob.html