FORM No.49B
[See section 203A and rule 114A]
Form of application for allotment of Tax Deduction Account Number under section 203A of Income Tax Act, 1961
To
The Assessing Officer (TDS)
The Assessing Officer Code (TDS/TCS)
Area code
AO Type
Range Code
AO Number
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’/*’BB.- Collection at source’ of the Income-tax Act, 1961:
And whereas no tax Deduction Account Number/Tax Collection Account Number or Tax Deduction Number and Tax Collection Account Number has been allotted to me/us*;
I/*We hereby request that a tax deduction account number be allotted to me/us*;
I/*We give below the necessary particulars:
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
Local Authority
(Central Govt.)	(State Govt.)
Name of Office
Name of Organisation
Name of Department
Name of Ministry
Designation of the person

Responsible for making

Payment / collection tax
(b)	Statutory/Autonomous Bodies/
Tic the appropriate entry	Statutory Body
Autonomous Body
Local Authorities:
Name of Office
Name of Organisation
Designation of the person

responsible for making

Payment/ collection tax

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

Name of Company
Name of Division
Designation of officer

responsible for *making

Payment / collection tax
(d)	Branch /Division of Company:

Tick the appropriate entry	Government Company
Government Company
/Corporation established by a Central Act	/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 person

Responsible for making

Payment/ collection tax
(e)	Individual/Hindu Undivided Family (Karta) (See Note 2):
Tick the appropriate entry	Individual
Hindu Undivided Family
Title (tick the appropriate	Shri
Smt
Kumari
entry for individual)
Last Name/Surname
First Name
Middle Name
(f)	Branch of Individual Business (Sole proprietorship concern)/Hindu Undivided Family (Karta)
Tick the appropriate entry	Branch of
Branch of Hindu Undivided Family
Individual business
Title (tick the appropriate	Shri
Smt
Kumari
entry for individual)
Individual/Hindu Undivided Family (Karta):
Last Name/Surname
First Name
Middle Name
Name/Location of Branch
(g)	Firm/Association of persons /Association of persons (Trusts) Body of Individuals/ Artificial Juridical person(See Note3):

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.
Name of Premises/Building
Road/Street/Lane
Area/Locality
Town/City/District
State/Union Territory
Pin Code
Telephone No.:	STD Code
Phone No.
e-mail Ids	a)
b)
3.	Nationality of Deductor (Tick ( the appropriate entry) Indian	(	Foreign	(
4. Permanent Account Number (Specify wherever applicable)
5.	Existing Tax Deduction Account Number , if any
6.	Existing Tax Collection Account Number , if any
7.	Date(DD-MM-YYYY)
Signed (Applicant)
Verification
I/We*
in my/our* capacity as
do hereby declare that what is stated above is true to the best of my/our* knowledge and
belief.
Verified today this the
day of
20
at
Signature / Left Thumb Impression of Applicant (Applicant)
Notes: 1. This column is applicable only if a single TAN is applied for the whole company. If separate TANSs 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 individuals / Artificial Juridical person, please fill details in (h).

*Delete whichever is inapplicable.

Form 49B 1

Form 49B

Prachi

2007-05-19

shree

Bangalore