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Tan 49 B

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Form No.

49B
[See section 203A and rule 114A]
Form of application for allotment of Tax Deduction and Collection Account Number
under Section 203A of the Income Tax Act, 1961

To,
Assessing Officer (TDS/TCS)
Income Tax Office
Moradabad

Assessing Officer Code (TDS/TCS)


Area code LKN
AO Type WT
Range Code 15
AO Number 2

Sir,
Whereas *I/we *am/are liable to *deduct/collect or deduct tax and collect tax in accordance with Chapter XVII
under the heading *‘B. – Deduction at source’ or 'BB. -Collection at source' of the Income-tax Act, 1961;
And whereas no Tax Deduction Account Number/Tax Collection Account Number or Tax Deduction Account
Number and Tax Collection Account Number has been allotted to *me/us;
*I/We give below the necessary particulars:
[ Please refer to instructions before filling up the form ]
1 Name (Fill only one of the columns ‘a’ to ‘h’, whichever is applicable.)
(a) Central / State Government:
Tick the appropriate entry Central Government State Government
Local Authority (Central Govt.) Local Authority (State Govt.)
Name of Office

Name of Department

Name of Ministry

Designation of the person responsible


for *making payment / collecting tax

(b) Statutory / Autonomous Bodies :


Tick the appropriate entry Statutory Body Autonomous Body
Name of Office

Name of Organisation

Designation of the person responsible


for *making payment / collecting tax

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(c) Company (See Note 1) :
Government Company/Corporation
Tick the appropriate entry
established by a Central Act
Government Company / Corporation
established by a State Act
Other Company
Title (M/s) (tick if applicable)
Name of Company

Name of Division

Name / Location of Branch


Designation of the person responsible
for *making payment / collecting tax

(d) Branch / Division of a Company:


Government Company/Corporation
Tick the appropriate entry
established by a Central Act
Government Company / Corporation
established by a State Act
Other Company
Title (M/s) (tick if applicable)
Name of Company

Name of Division

Name / Location of Branch


Designation of the person responsible
for *making payment / collecting tax

(e) Individual / Hindu Undivided Family (Karta) - (See Note 2) :


Tick the appropriate entry Individual ✘ Hindu Undivided Family
Shri Smt. ✘ Kumari
Last Name / Surname M A H A J A N
First Name P R I Y A N K A
Middle Name
(f) Branch of Individual Business (Sole proprietorship concern) / Hindu Undivided Family (Karta)
Tick the appropriate entry Branch of Individual business Branch of Hindu Undivided Family
Last Name / Surname
First Name
Middle Name
Name/Location of branch

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(g) Firm / Association of Persons / Association of Persons (Trusts) / Body of Individuals / Artificial
Juridical Person (See Note 3) :
Name

(h) Branch of Firm / Association of Persons / Association of Persons (Trusts) / Body of Individuals /
Artificial Juridical Person:
Name of Firm / Association of Persons / Association of Persons (Trusts) / Body of Individuals / Artificial
Juridical Person:

Name/Location of branch
2 Address
Flat / Door / Block No. D E 0 1
Name of Premises / Building / Village R A M G A N G A V I H A R
Area / Locality / Taluka / Sub-Division B E H I N D S T A D I U M
Town / City / District M O R A D A B A D
State / Union Territory U T T A R P R A D E S H
PIN code 2 4 4 0 0 1
Telephone No. STD Code Telephone No. #########01 ###
e-mail IDs a)
b)
3 Nationality of Deductor (Tick the appropriate entry)
Indian ✘ Foreign
4 Permanent Account Number (PAN) - (specify wherever applicable) A P J P M 2 4 3 4 A

5 Existing Tax Deduction Account Number (if any)

6 Existing Tax Collection Account Number (if any)

7 Date (DD-MM-YYYY)
- -

Signed (Applicant)

*I/We, PRIYANKA MAHAJAN in my/our capacity as SELF


do hereby declare that what is stated above is true to the best of my/our knowledge and belief.

Verified today the - -


d d m m y y y y
at MORADABAD (Signature/Left Thumb Impression of Applicant)
Notes :
1 This column is applicable only if a single TAN is applied for the whole company. If separate TANs are applied for
different divisions / branches, please fill details in (d).
2 For branch of Individual business/Hindu Undivided Family, please fill details in (f).
3 For branch of firm/Association Of Persons/Association Of Persons (Trust)/Body Of Individuals / Artificial
Juridical Person, please fill details in (h).
4* Delete whichever is inapplicable.

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