forms 49a word

7/25/2019 Forms 49A Word

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photograph

photograph

(3.5 cm x 2.5 cm)

Under section 139A of the Income Tax Act, 1961

(3.5 cm x 2.5 cm)

avoid mistake (s), please follow the accompanin! instr"ctions and examples #efore $llin! "p the form

Assessin" o#cer $A% code&


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'i"n/ left(umb impression across

Area code

A% t)pe*an"e code

A% No.

this photo


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'i"nature/+eft (humb Impression


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I%&e here# re'"est that a permanent acco"nt n"m#er #e allotted to me%"s

I%&e !ive #elow necessar partic"lars

, Full Name $Full e-panded name to be mentioned as appearin" in proof of identit)/address documents initials are notpermitted&

Please select title,

as applicable

'hri 'mt.

umari

0/s

+ast Name / 'urname

First Name


6/77

0iddle Name


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8/77

1Abbre2iation of the abo2e name3 as )ou ould li5e it3 to be printed on the PAN card


9/77

67a2e )ou e2er been 5non b) an) other name8


10/77

(Pleasetick as applicable)

9es

No

If es, please !ive that other name


11/77

Please select title,

as applicable

'hri

'mt.

umari

0/s


12/77

+ast Name / 'urname

First Name


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14/77


15/77

4:ender $for Indi2idual applicants onl)&

(Please tick as applicable)

0ale

Female


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;


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18/77

0iddle Name


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*esidence Address

*lat%+oom% oor % -lock .o


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.ame of /remises% -"ildin!% 0illa!e


22/77

+oad%treet% 2ane%/ost 4ce


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24/77

Area % 2ocalit % Tal"ka% "#5 ivision

Town % it % istrict


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tate % Union Territor/incode % 7ip code6o"ntr .ame


27/77

%#ce Address

.ame of o4ce


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*lat%+oom% oor % -lock .o


29/77

.ame of /remises% -"ildin!% 0illa!e


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+oad%treet% 2ane%/ost 4ce


31/77


32/77

Area % 2ocalit % Tal"ka% "#5 ivision

Town % it % istrict


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tate % Union Territor/incode % 7ip codeo"ntr .ame

B Address for Communication *esidence %#ce (Please tick as applicable)


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Full Name

9 (elephone Number Email I< details

o"ntr code Area%T ode Telephone % 8o#ile n"m#er

mail I

,D'tatus ofapplicant

Pleaseselectstatus,

Indi2idual

(rusts

asapplicable

:o2ernment

7indu undi2ided famil)

Compan)

Partnership Firm

Association of Persons

=od) of Indi2iduals

+ocal Authorit)

Arti@cial uridical Persons

+imited +iabilit) Partnership

*e"istration Number $for compan)3 @rms3 ++Ps3 etc.&

Incase of a citizen of India3 then


36/77

Please mention )our AA


37/77

/incode

,;


38/77

Applicant (inside the #ox)


39/77


40/77

Form to be filled legibly in BLOCK LETTERS and preferably in B LACK INK. Form so!ld be filled in Englis only.

Ea" bo#$ %ere&er pro&ided$ so!ld "ontain only one "ara"ter 'alpabet (n!mber ( p!n"t!ation sign) lea&ing a blan* bo# after ea" %ord.

+Indi&id!al, appli"ants so!ld affi# t%o re"ent "olo!r potograps %it %ite ba"*gro!nds 'si-e ./ "m # 0./ "m) in te spa"e pro&ided on te form. Te potograps so!ld not be stapled or "lipped to te form. Te "larity

of image on 1AN "ard %ill depend on te 2!ality and "larity of potograp affi#ed on te form.Signat!re ( Left and t!mb impression so!ld be pro&ided a"ross te poto affi#ed on te left side of te form in s!" a manner tat portion of signat!re(impression is on poto as %ell as on form

Signat!re (Left and t!mb impression so!ld be %itin te bo# pro&ided on te rigt side of te form. Te signat!re so!ld not be on te potograp affi#ed on rigt side of te form. If tere is any mar* on tis potograp

s!" tat it inders te "lear &isibility of te fa"e of te appli"ant$ te appli"ation %ill not be a""epted.

T!mb impression$ if !sed$ so!ld be attested by a 3agistrate or a Notary 1!bli" or a 4a-etted Offi"er !nder offi"ial seal and stamp.

AO "ode 'Area Code$ AO Type$ Range Code and AO N!mber) of te 5!risdi"tional Assessing Offi"er m!st be filled !p by te appli"ant. Tese details "an be obtained fromte In"ome Ta# Offi"e Or IT 1AN Ser&i"e Centers may 'managed by 6TIITSL) Or 6TIITSL %ebsite %%%.!tiitsl."om

) 4!idelines for filling te Form78A9

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42/77

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A


43/77

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6

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S


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45/77

N

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=

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46/77

1

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N

A

3

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I


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49/77

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50/77

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53/77

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54/77

3

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55/77

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forms 49a word

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