auto pan form

8/3/2019 Auto Pan Form

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6:46 PM 01 - 05 - 2012

Status of Applicant IndividualWard / Circle

Area Code

Ao Type

Range Code

Ao No.

Prefix Smt.

First Name SUMITRA

Middle Name DEVI

Last Name/Surmane SHARMA

Name of printed on Pan card SUMITRA SHARMA

Give that other name

First Name

Middle Name

Last Name/Surmane

First Name BHANWAR

Middle Name LALLast Name/Surmane SHARMA

Flate/Door/Block No. 73

Name of Premises/Building/Village OPP. SR. SEC. SCHOOL, SYOPUR

Road/Street/Lane/Post Office PRATAP NAGAR, TONK ROAD,

Area/Locality/Taluka/Sub - Division

Town/City/District JAIPUR

State / Union Territory RAJASTHAN

Pin Code 302033

Office Name

Flate/Door/Block No.

Name of Premises/Building/Village

Road/Street/Lane/Post Office


Contact Number - 09410078650

OFFICE ADDRESS

ADV. JITENDRA KUMAR PORWAL

807, ALKA PURI - ETAWAH

ASSESSEE NAME

DETAIL OF OTHER NAME

FATHER'S NAME

REDIDENTIAL ADDRESS


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Town/City/District

State / Union Territory

Pin Code

Adress for communication Residential Address

S.T.D. Code 141

Mobile Phone & Telephone Number 2790811

Email ID

Sex Female

Date of Birth / Incorporation /Agreement

/ Partnership or Trust Deed / Formation

Body of Individual/ Association of

Persons

09.01.1949

Registration Number (In case of

Firms,Companies etc.

Whether citizen of India Yes

Are you a salaried employee ? If yes,

Indicate Government No

Name of Organisation where working

If Business, Indicate Nature of Business

Indicate Sources of Income Income from Other Sources

First Name

Middle Name

Last Name/Surmane





Town/City/District


Pin Code

Proof of Identity Indentity Signed By Gazetted OfficeProof of Address Indentity Signed By Gazetted Office

Click here Pan 49A Form

OTHER INFORMATION

ULL NAME ADDRESS OF THE REPRESENTATIVE ASSESSEE (COLUMN 1

PROOF OF IDENTITY & ADDRESS


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0 0 0 0

1

S H A R M A S U M I T R A

D E V I

2 S U M I T R A S H A R M A

3

4

S H A R M A B H A N W A R

L A L

5

R

7 3

O P P . S R . S E C . S C H O O L , S Y O P U R

P R A T A P N A G A R , T O N K R O A D ,

Town/City/DistrictJ A I P U R 3 0 2 0 3 3

O

Town/City/District


Pin Code




Pin CodeState / Union Territory


RAJASTHAN

Office Address ( Name Of Office )

M/s

Last Name/Surmane

Middle Name

(Full expanded name : initials are not permitted)



Middle Name


Address

Residential Address

No

First Name

Father's Name (Only Individual applicants : Even married women should give father's name only)

Last Name/Surmane

If yes, please give that other name

Shri Smt. Kumari

First Name

First Name

Have you ever been know by any other name ? Please Tick as applicable Yes

Middle Name

Last Name/Surmane

Name you would like printed on card

Kumari M/s

Range

Type Code No

as applicable Shri Smt.

Sir,

Range

Commmissioner

I/We hereby Request that a permanent account number be allotted to me/us

Signature/Left Thunb

Impression

Full Name ( Full expanded name : initials are not permitted )

Please Tick

Ward/Circle 0

Only 'Individuals' to

affix recent

photograph

(3.5 cm 2.5 cm)

AO

I/We give below necessary particulars :

Form No. ITS 4Form No. 49A

To,

Code

Ao

The Assessing Office

Application for Allotment of Permanent Account Number

Under Section 139A of Income Tax Act, 1961

(To avoid mistake(S) ,Please follow the accompanying instructions and examples carefilly before filling up to the form)

Area



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6 R or O

7 + 9 1

8

9

P F B

H A L

C T J

10 1 7 - 0 7 -

11

12

13

14

R

Town/City/District

15

01 - 05 - 2012

as proof of address

I/We Sumitra Devi Sharma the applicant do hereby declare that what is stated

Adv. JKP - 09410078650

above is true to the best of my / our information and belief.

Signature / Left Thumb

Impression of Applicant

(Inside the box)

Venfied today the

State / Union Territory Pin Code

I/We have enclosed Indentity Signed By Gazetted Office as proof of identity and tity Signed By Gazetted





Full name address of the Representative Assessee,who is assessable under the Income Tax Act in respect of the person,

Middle Name

Address

Residential Address

Whose particulars have been given in column 1 to 3

Last Name/Surmane First Name

Income From Other Sources

(A) Are you a salaried employee ? If yes, Indicate Government

(B) If you are engaged in a business/profession indicate nature of business or profession and fill the relevant code.

(C) If you are note covered by (a) or (b) above indicate sources of income, if any


Other

Adress for communication Please Tick as applicable

Tel. No.

Email ID

Sex (For Individual Applicant Only) Please Tick as applicable FemaleMale

Status of Applicant Please Tick as applicable

Company

Hindu Undivided Family

Association of Person (Trusts)

Individual

Date of Birth / Incorporation /Agreement / Partnership or Trust Deed

Artificial Juridical person

Association of Persons

Firm Body of Individuals

Local Authority

/ Formation Body of Individual/ Association of Persons

Registration Number (In case of Firms,Companies etc.

Whether citizen of India Please Tick as applicable Yes No


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0 0 0 0

1

S H A R M A S U M I T R A

D E V I

2 S U M I T R A S H A R M A

3

4

S H A R M A B H A N W A R

L A L

5

R

7 3

O P P . S R . S E C . S C H O O L , S Y O P U R

P R A T A P N A G A R , T O N K R O A D ,

Town/City/DistrictJ A I P U R 3 0 2 0 3 3

O

Town/City/District

Form No. 49A Form No. ITS 4Application for Allotment of Permanent Account Number

Only 'Individuals' to

affix recent

photograph

(3.5 cm 2.5 cm)

Under Section 139A of Income Tax Act, 1961

(To avoid mistake(S) ,Please follow the accompanying instructions and examples carefilly before filling up to the form)

To,

Area AO Range Ao

The Assessing Office Code Type Code No

Ward/Circle 0

Range

CommmissionerSir,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 : initials are not permitted ) Signature/Left Thunb

ImpressionPlease Tick as applicable Shri Smt. Kumari M/s


Middle Name

Name you would like printed on card

Have you ever been know by any other name ? Please Tick as applicable Yes No

If yes, please give that other name

(Full expanded name : initials are not permitted) Shri Smt. Kumari M/s


Middle Name

Father's Name (Only Individual applicants : Even married women should give father's name only)


Middle Name

Address

Residential Address






RAJASTHAN

Office Address ( Name Of Office )







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6 R or O

7 + 9 1

8

9

P F B

H A L

C T J

10 1 7 - 0 7 -

11

12

13

14

R

Town/City/District

15

Adress for communication Please Tick as applicable

Tel. No.

Email ID

Sex (For Individual Applicant Only) Please Tick as applicable Male Female

Status of Applicant Please Tick as applicable

Individual Firm Body of Individuals

Hindu Undivided Family Association of Persons Local Authority

Company Association of Person (Trusts) Artificial Juridical person

Date of Birth / Incorporation /Agreement / Partnership or Trust Deed

/ Formation Body of Individual/ Association of Persons

Registration Number (In case of Firms,Companies etc.

Whether citizen of India Please Tick as applicable Yes No

(A) Are you a salaried employee ? If yes, Indicate Government Other


(B) If you are engaged in a business/profession indicate nature of business or profession and fill the relevant code.

(C) If you are note covered by (a) or (b) above indicate sources of income, if any

Income From Other SourcesFull 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 3


Middle Name

Address

Residential Address






I/We have enclosed Indentity Signed By Gazetted Office as proof of identity and tity Signed By Gazetted

Venfied today the 01 - 05 - 2012 Signature / Left ThumbImpression of Applicant

(Inside the box)

as proof of address

I/We Sumitra Devi Sharma the applicant do hereby declare that what is stated

above is true to the best of my / our information and belief.

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