Download - PAN Application Utility
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PAN APPLICATION UTILITY Version (1.0)
1) Please Fill up Data Input Sheet Form in CAPITAL LETTERS.
2) In Change & Correction of Form in every Question Answer Whether Yes or No.
3) Please Write all Date of Births Without any Space.4) IF Income Nature is Selected as Other Sources then do not Select Salary or Business Income in
Any Feedbacks please Mail to : -
Parikshit M Ekbote
Email ID - [email protected]
All the Best
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Next Steps.
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DATA INPUT SHEET (FOR NEW PAN APPLICATION)
PLEASE WRITE ALL INFORMATION IN CAPITAL LETTERS
Income NatureWardArea CodeAO TypeRange CodeAO NO.RangeCommissioner
Name Details
Assessee Name
PrefixSurnameFirst NameFather NameName on PAN
Other Name Details ( If Any)
Have you Known by other NameDetails of Other NameApplicable
PrefixSurnameFirst NameFather 's Name
Father's Name Details
SurnameFirst NameFather's Name
Residential Address DetailsFlat NoPremises NameRoad / Street / LaneArea / LocalityTown /CityStatePin
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Office Address Details ( IF Any)
Name of the OfficeFlat No.
Premises NameRoad / Street / LaneArea / LocalityTown /CityStatePin
Other Details
Address for CommunicationTelephone Details
STD CODE
TEL No.EmailSex
Date of BirthRegistration Number ( In Case of Firms & Companies)Citizen of IndiaAre u a Salaried Employee?Name of the Organisation Where WorkingNature of Business
Representative AssesseePrefixLast NameMiddle NameFirst Name
Address Details (Representative Assessee)
Address
FlatPremises
Road/Street/LaneArea/LocalityTown/CityStatePin
Attached Proof Details
Status of the Applicant ( Tick According to Codes)
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Proof of IdentityProof of Address
Verified Date
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DATA INPUT OF CHANGE AND CORRECTION IN PAN
Change of Name
Change of Name ?Prefix
Last Name / SurnameMiddle NameFirst NameName on PAN Card
Change of Father's Name
2 Change of Father's Name?
Last Name / SurnameMiddle NameFirst Name
3 Change Birth Date ?
DOB
Enter Date(Without any Space) Here
4
Gender
5
6 Signature Mismatch
7 Change of Address for CommunicationAddress for Communication
Pemanent Account Number Enter Here
Date of Birth Incorporation / Agreement / Partnership or
Trust Deed / Formation of Body of Indviduals / Associationof Persons
Change of Gender
Photo Mismatch
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Office NameFlat No.Premises NameRoad/Street/LaneArea/LocalityTown / CityState
Pin
8 If Your Desire to Change other address, also
9 Change Telephone No. or Email IDSTD CodeTel No.Email ID
10 Any Other PAN's Alloted to YouPAN 1PAN 2PAN 3PAN 4
Full NameNo.of Proof's
Verified Date ( Without any Space in Between)
Verification
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Request For New PAN Card or / And Changes Or Correction in PAN Data
Only ' individuals'
Permanent Account Number (PAN) to affix recent
photograph
(3.5cm x 2.5cm)
Please read Instructions ' f ' & ' g ' for selecting boxes on left margin of this form
0 1 Name
Please tick as applicable Shri 0 Smt 0 Kumari 0 M/s 0 Signature/Left Thumb ImpressionLast Name / Surname First Name
Middle Name
Name as you would like it printed on card
0 2 Father's Name ( Only Individual applicants : Even Married women should give father's name only)
Last Name / Surname First Name
Middle Name
0 3 Date of Birth / Incorporation / Agreement / Partnership or Trust Deed / Formation - -of Body of Individuals / Association of Persons D D M M Y Y Y Y
0 4 Sex ( for ' individual ' applicant only) Male 0 Female 0
0 5 Photo Mismatch
0 6 Signature Mismatch
0 7 Address for Communication Please indicate if this is Residence 0 or Office 0
Office Name ( to be f illed only in case of Office Address)
Flat / Door/ Block No.
Name of Premises / Building/ Village
Road / Street / Lane / Post Office
Area / Locality / Taluka / Sub- Division
Town / City / District
0( Indicating PAN is mandatory)
0 8 If you desire to update your other address also, give required details in additional sheet.0 9 STD Code Tel No.
Tel No.
email ID 0
0 10 Mention other Permanent Account Numbers (PANs) inadvertently alloted to you
PAN 1 PAN 3
PAN 2 PAN 4
I 0 , the applicant , do here by declare that what is slated above is
true to the best of my information and belief . I have enclosed (Number of Documents) in support of proposed changes/corrections.
Verified Today,the - -
Signature/Left thumb impression of
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Applicant ( inside the box)
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FORM 49A Form No ITS 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 and examples carefully before fil ling up the form) Only 'individuals' to Affix
recent photograph
To, Area AO Range AO (3.5 x 2.5 cm)The Assessing Officer Code Type Code No.
Ward/Circle 0
Range 0
Commissioner 0
Sir,I/We hereby request that a permanent Account number be alloted to me/us.
I/We give below necessary particulars Signature /Left Thumb
1 Full Name ( Full expanded name : initials not Permitted) impression
Please Tick as applicable Shri 0 Smt 0 Kumari 0 M/s 0
Last Name / Surname First Name
Middle Name
2 Name you would like printed on the card
3 Have you been known by any other name? Please tick as applicable Yes 0 No 0
If yes, give that other name
(Full Expanded name, initials not permitted) Shri 0 Smt 0 Kumari 0 M/s 0Last Name/Surname First Name
Middle Name
4 Father's Name (Only individual applicants : Even married should give father's name only)Last Name / Surname First Name
Middle Name
5 AddressR. Residential Address
Flat/Door/BlockNo.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District State/Union Territory PIN
0O.Office Address (Name of the 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
0
6 Address for Communication Please Tick as applicable R 0 Or O 0
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STD Code Tel No.
7 Tel No. Email 0
8 Sex (For Individual Applicants only) Please Tick as applicable Male 0 Female 0
9 Status of the Applicant Please tick as applicable
Individual P 0 Firm F 0 Body of Individuals B 0Hindu Undivided Family H 0 Association of Person A 0 Local Authority L 0
Company C 0 Association of Person (Trust) T 0 Artificial Judicial Person J 0
10 Date of Birth/ Incorporation/Agreement/Partnership or Trust Deed - -Formation of Body of Individuals/Association of Persons D D M M Y Y Y Y
11 Registration Number (In case of Firms, Companies etc) 0
12 Whether Citizen of India? Please tick as applicable Yes 0 No 0
13 (a) Are you salaried employee? If yes, indicate Government 0 Others 0
Name of the Organisation where working 0(b) If you are engaged in a business/profession, indicate nature of business or profession and fill relevant code
0(C) If your are not covered by (a) or (b) above, indicate sources of income, if any
0
14 Full name, address of the Representative Assessee ,who is assessable under the Income tax Act in respect of the person,whose particulars have been given in column 1 to 13.
Full name (Full expanded name : initials not permitted) please tick as applicable Shri 0 Smt 0 Kumari 0 M/s 0Last 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
0
15 I/We have enclosed 0 as proof of identity and 0as proof of address.
I/we 0 the applicant , do hereby declare that what is stated above is true
to the best of my/our information and belief.
Verified today, the - -
Signature / Left Thumb impression
of Applicant (inside the Box)
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