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49A and Correction Form New
49A and Correction Form New
49A and Correction Form New
First Name Middle Name Name You would like printed on the card FATHER NAME Last Name First Name Middle Name Residential Address Flat/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub-Division Town/City/District For Change Request State Fill the address in Office Address only. Pin If you want Residence Address, leave Country Name of Office Blank
and proceed
C orrection Req.
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 Pin Country Tele Phone Number Country Code STD Code Tele Phone Number email ID VIJJU
DATE OF BIRTH / Incorporation / Agreement /
Partnership or Trust Deed / Formation of Body of Individuals / Association of Persons
Office Address
Correction Req.
Companies etc.,) Identity Proof Address Proof REPRESENTATIVE DETAILS: Last Name First Name Middle Name
Shri
Representative Address Flat/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub-Division Town/City/District State Pin PAN SURRENDER Number of Enclosures Signed Person Name Capacity Place Verified today, Dated
Country
Kumari
M/s
C orrection Req.
C orrection Req. Address for Communication Residence Office Sex Female C orrection Req.
C orrection Req. Status of the Applicant Firm BOI HUF Comp AOP(T) AJP
Other sources
orrection Req.
Smt
Kumari
M/s
Country
AO type
Range code
AO No.
Sir, I/We hereby request that a permanent account number be allotted to me/us. I/We give below necessary particulars: Full Name (Full expanded name to be mentioned as appearing in proof of identity/address documents: initials are not permitted)
P as applicable
Shri
Smt.
Kumari
M/s
Abbreviation of the above name, as you would like it, to be printed on the PAN card
Yes
No
P as applicable
Shri
Smt.
Kumari
M/s
Male
Female
Date of Birth/Incorporation/Agreement/Partnership or Trust Deed/ Formation of Body of individuals or Association of Persons Day Month Year
Father's Name (Only 'Individual' applicants: Even married women should fill in father's name only )
Flat/Room/ Door / Block No. Name of Premises/ Building/ Village Road/Street/ Lane/Post Office Area / Locality / Taluka/ Sub - Division Town / City / District State / Union Territory
Office Address
Country Name
Name of office Flat/Room/ Door / Block No. Name of Premises/ Building/ Village Road/Street/ Lane/Post Office Area / Locality / Taluka/ Sub - Division Town / City / District State / Union Territory Pincode / Zip code Country Name
Residence
Office
P as applicable
Hindu undivided family Body of Individuals Company Local Authority Partnership Firm Artificial Juridical Persons
In case of a citizen of India, then Please mention your AADHAAR number (if allotted) Source of Income
.Salary Income from Business / Profession Income from House property Business/Profession code. [For Code: Refer instructions]
as applicable
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 the column 1-13.
Full Name (Full expanded name: initials are not permitted)
P as applicable
Shri
Smt.
Kumari
M/s
Flat/Room/ Door / Block No. Name of Premises/ Building/ Village Road/Street/ Lane/Post Office Area / Locality / Taluka/ Sub - Division Town / City / District State / Union Territory Pincode / Zip code Country Name
Documents submitted as Proof of Identity(POI) and Proof of Address (POA) I/We have enclosed... as proof of identity and as proof of address. [Please refer to the instructions (as specified in Rule 114 of I.T. Rules, 1962) for list of mandatory certified documents to be submitted as applicable]
I/We...
do hereby declare that what is stated above is true to the best of my/our information and belief.
Place
D Date
D -
M -
Request For New PAN Card Or/ And Changes Or Correction in PAN Data
Only Individuals to affix recent photograph Only Individuals to affix recent photograph
(3.5 cm x 2.5 cm)
(3.5 cm x 2.5 cm)
Please read Instructions 'h' & 'i' for selecting boxes on left margin of this form.
Signature/Left Thumb Impression
1. Full Name (Full expanded name to be mentioned as appearing in proof of identity/address documents: initials are not permitted)
P as applicable
Shri
Smt.
Kumari
M/s
2. Father's Name (Only 'Individual' applicants: Even married women should fill in father's name only ) Last Name / Surname First Name Middle Name 3. Date of Birth/Incorporation/Agreement/Partnership or Trust Deed/ Formation of Body of individuals or Association of Persons Day Month Year
6. Signature Mismatch
Name of office (to be filled only in case of office address) Flat/Room/ Door / Block No. Name of Premises/ Building/ Village Road/Street/ Lane/Post Office Area / Locality / Taluka/ Sub - Division Town / City / District State / Union Territory Pincode / Zip code Country Name
8. If you desire to update your other address also, give required details In additional sheet. 9. Telephone Number & Email ID details
Country code Area/STD Code Telephone / Mobile number
Email ID
10. AADHAAR number (if allotted) 11. Mention other Permanent Account Numbers (PANs) inadvertently allotted to you PAN 1 PAN 1 12. Verification PAN 3 PAN 4
.do hereby declare that what is stated above is true to the best of my/our information and belief.
NAME (Full Name including Surname) FATHER'S NAME (Full Name including Surname) DATE OF BIRTH RESIDENTIAL ADDRESS
: :
Note : This certificate is issuing for PAN Card from the Concern Dept.