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Form No, 498 [S00 soction 208A and ral 1148) Form of application for allotment ot Tax Deduction and Collection Account Number * under Section 203A of the Income Tax Act, 1961 ‘Assessing Officer (TDS/TCS) ‘Assessing Officer Code (TDS/TCS) ‘roa code. AO Type, Range Code 720 Numbor Whereas “ie ‘anare liable to “deduccolet or dedut tax ad coe ax n acordance wih Chapter XVI! under the heading “B.~ Deduction {soure’ or BB, -Colecton a soured ofthe Icometax Act, 964 ‘and whores no Tax Deduction Account NumborTax Colecton Account Number or Tax Deduction Account Numb and Tax Colecion Account amber has boon ated to mals ‘We gio below te necessary paras: {Please refer to nstictons bere tng up the form ] 1 Name = (Fil oly ono ofthe columns ‘toy, whichever is applicable) (0) Conta / State Government “Tek th anpropratsonty Contrat Goverment] State Govenmont[—] Local Auhorty (Catal Govt) [-—] Local Autorty (State Govt) ] Name of Office a a Namo of Department Name of Ministry [ ] Designation of the person responsibie 2 for* making payment / collecting tax (©) Statutory / Autonomous Bodies “Tick the appropiate entry Statutory Body[——] __Atonemnous Body [—] Name of Oca Designation ofthe person responsible for* making payment / collecting tax {€) Company (See Note 1): “Tick the appropriate erty “ie is) [ek appa) Name of Company Designation ofthe person responsible for * making payment /cofecting tax () BranctyDivision of a Company: “ick the appropriate entry Tite 4s) [tik it appeabe) Name of Company Name of Dlvsion NamelLocation of Sranch Designation ofthe person responsible for* making payment / collecting tax (6) Individual / Hindu Undivided Family (Karta) - (See Note 2): Tick the appropriate entry Tite (bok the appropriate entry for indivi) Last Name F Suiname First Name Midele Name Government CompanyiCorporation [—] Government Company/Gorpraton [—] other [—] ‘established by a Cental Act cstabishod by a Stato Act Company CLTTTTTT Tr rr rrr rrr rrr rr ir) CLTTTTT TT rrr rrr rrr rrr rrr) CLTTTTTT Tr rr rrr rrr rrr rr ir) CLTTTTT TT rrr rrr rrr rrr rrr) ‘Government Company/Corporaion [] Government CompanyiCorporaion Other [—] ‘established by a Conal Act cstabishod by a State Act company CITTTTTT TTT rr rr rrrrrrrriry Incividual [——] Hindu Undivided Famity [——] (9 Branch of individual Business (Sole proprietorship concerny/ Hindu Undivided Family (Karta) Tick the appropriate erty Individual Hindu Undivided Famiy (Kari) Branch of Icha business [——] Branch of Hines Undivided Famiy [——] “Tie (ck the appropriate eniry for incvidual) shi 27] sm] Kumari J Last Name F Suiname First Name idole Name NameiLocation of branch {g) Firm / Association of Persons / Associa Name ton of Persons (Trusts) / Body of Individuals / Arificial Juridical Person (See Note 3): [ ] (b) Branch of Firm / Association of Persons / Association of Persons (Trusts) / Body of Incividuale / Arificial Juridical Person: Name of Fim / Assocation of Persons / Association of Persons (Trusts) / Body of Individuals / Attica Juridical Person: 2 ness ‘Area Locality | Talika / Sub-Diision Town / Cty / Distict Stato / Union Teritory CLTTTITPTIT TT rrr rrr rrr rr rrr PIN code [ ] ema IDs a) » 23. Nationaty of Deductor (Tek the appropriate entry) Ingan C4 Foreign cq 4. Permanent Account Number (PAN) = (spect wharever applicable) 5 Existing Tax Deduction Account Number (i ry) CLTTTTTT Tt r rir rir 6 Existing Tax Collection Account Number (i ary) CITTTTTT rrr rrr iry 7 Date (OD-MM-YYYY) CO-OL-CLITT) ‘Signed (Applicant) Verification “We, in my/our capact to the best of my/our knowledge and belie Vertied today the [T]-L1]-CLLLI adomm yyyy do hereby declare that what is stated above is true at (Signature/Lett Thumb Impression of Applicant) Notes 1 This column is applicable only ia single TAN is applied for the whole company. If separate TANs are applied for different divisions/branches, please fill details in (4) 2 For branch of Individual business/Hindu Undivided Family, please fil details in (0. 3 For branch of firm/Association Of Persons/Association Of Persons (Trusl) / Body Of Individuals/Artilicial Juridical Person, please fil details in (h). 4 * Delete whichever is inapplicable, @ i) © © fe o © co) Instructions for filling up Form 498 Form is wo be filled leibly in ENGLISH in BLOCK LETTERS and in BLACK INK nly. Each box, wherever provided, shovld contin oly one charter (lphabevnamberfpunctution mark leaving «blank box ater each word ‘Thumb impression, if used, shouldbe aested by a Magistrate ora Notary Public or « Gazetted Otficer, under oficial sel end tan, Desietrs are required to provide details of Astetting Officer (TDS TCS) in the application. These details cam be obtained rom the Income Tax Office The deductrfcllector mos fill up Area Code, AO Type, Range Code and AO Number. fhe applicants unable to determine the details, TIN Feiittion Cente CFIN-FC) may assist in ding so Form shuld be filled up completely “Designation of te person responsile foe making paymentcollecting tax’ field is mandatory to fl up, wherever splisable. The aldess of applicant shouldbe an Taian Adds only [tem No] Item Detalle ldclines or filing up the forme 1 ‘Nue ‘Deductor/Colector sal ill he deals ofits mame depending on its category in anyone ofthe Belds 1 (2) 0 1) specified inthe form. If deductoncolletr fils tails in more than one category the application form will be reece 14) | Name - Cental ‘Cena / State Governen Local Autboritydeductrfeoletor wil ill up he nse in this field. Name of ‘State Goverment Otice is mandatory: Name of Organisation Departmen Ministry may be filled with relevant details For example if Directorate of Income Tax (stems) in Income Tax Department i applying fora TAN, i sv fil the Name eld Name of Office DIRECTORATE OF INCOME TAX (SYSTEMS) [Name of Organisation INCOME. TAX DEPARTMENT. Name of Department DEPARTMENT OF REVENUE [Name of Ministry MINISTRY OF FINANCE, Centraltate GovernmenLocal Aubority Deductor/Collector ~ wll select it appropeat etry by ticking in the elevant box for Central Government a Sate Government or Local Avtkoiy (Cente Gov) oe Local Authority (State Govt), 106) | Name — Saamory/ ‘Name of Office ie Mandatory. ‘Autonomous Bodies Relevant Rox far Statutory Body or Autonomous Bad i tobe ticked by the deductorfealiector. For example if Bandra office of Brihanmumbai Monicipal Corporation is applying for a TAN, i wil ill the Name fede a Name of Office [BRIFTANMUMBAT MUNICTPAL CORPORATION, BANDRA, Name of Organisation 2 BRIHANMUMBAI MUNICIPAL CORPORATION Statuory/Autonomous Bodies will selec its appropiate entry by ticking inthe relevent box. 1@ | Name — Company The dedvetofcollstor i company fg 4 Bank) this pointe applicable. Is mandatory to fl he Name of Company “This category Ito be filled by the company iit is applying TAN for the company as whole. In cae company wants o apply diferent TANS for diferent ivsionsfranches pot Id) shod he filed Name should be provided without any abveviations. Diferent vasatons of “Private Limited? viz. Pvt Lid Deva Li, Pt Timited, Pid, PL, Tad are not allowed. Ht should be “Private Limited! o Limited” only For example, Name of Company ABC PRIVATE. LIMITED Cuegory of compans~ DeductrCollectr wil sec its appropiate cory by dking inthe relevant box. 100 | Branch oF a company 1 BrancuDivision of a Compan is applying forts separte TAN, it wll metion the Name and Location of the Branch (in whose rame TAN i sought) in this Feld. Different Branches of a company applying for separate TANs wil fil this eld For example, Cement Division of ABC Private Limited located at Andheri wil fil as Name of Company ABC PRIVATE. LIMITED [Name of Division 1 CEMENT DIVISION [Name/Location of Branch ANDHERI BRANCH on, ABC Bank of India — Nariman Point Branch, Mumbai will be writen as Name of Company [ABC BANK OF INDIA [Name of Division Name/Location of Branch NARIMAN POINT BRANCH, MUMBAT CCuegory of a company — Deductr/Caletor wil selec its appropiate entry by icing inthe relevant box 160) | Name tnavidoatnda ist Name is Mandatory Name ofthe deductncollector sould ‘writen in fll and not in abbreviated or. Undivided Family (Kara) ‘As an exception, very large Middle names may be abbreviated. Name should not be prefixed with Shi, St ‘Mis, Kumasi, Late, Major, Dr, et. Incase name is profited with Tile, aplication may be rejected, Individuals! HUFs (Kara) must state thee ull expanded name and fl inthe appropriate feds for Last, Middle oc Fst Nate For example, Dinesh Kumar Garg wil be writen as Last NamefSarname First Name Middle Name GARG DINESH KUMAR, , if mide name isnot there, it wil be lft blank. Fr example, Gunjan Bansal wil be writen as Last Name/Sarmame First Name Middle Name BANSAL GUNIAN a Sole Propretor/HUF wants to cbain a single TAN in hither name for all businesses ran by hime ‘her hehe shal ll ame inthis eld DesctoriColector wil sels ts appropiate erry ie, Invi! / Hindu Undivided Family) hy tcking inthe sclevan box Invi shal select ts spropriate nity by Hiking in he rlevan box for ‘Shi, “Sm “Koran UP wil leave the mentioned fields Hank 10] Branch of tnd This fied wil be filled nly if TAN is being applied for Wench of Individual Business (Sale Froprictership BasinsxSole Propistarship | Concer/Hindy Undivided Fail concern Hine Undivided (Other Tie (De. Lats, Sm et.) relate roles given in Hem No, Ke) wil be applicable here also Family (HUF) In case an IndviduaTUF wants to obtain separate TANs fr diferent businesses being run by hint, this ‘aegory willbe applicable, Henee, the name of the concern wil be filled inthe field for Name/Lacation of ‘Branch Name of Branch shouldbe entered athe relevat fel. For example, Last Name/Surname First Name Middle Name KOHLI BHUWAN [Name/Location of Branch WELLWORTH BOOK HOUSE. DeditolColetor wil select fn relevant box for Indvigel oF sopra category (ve. Indvide indy Undivided Family) by Undivided Family 1g) | FrnvAssciation of peony | The Name ofthe Fin/Assocation of posons/Assocaton af pesons (TrstsVBody of Inavidual/Artiicial Associaton of persons (Truss) | sural Person will be writen in fll a the fila provided. Body of Indvidoas Artificial Juice Peron, Tihy | Branch of FinAssocation of — | IFalifree barshes of fiem are applying for separate TANG, his category is applicable. The Name of Fim PersoastAssociaion of Persons | AOPIete. wil inclnde the desertion ofthe Branch. Name of Branch should be entered in the relevant Fe (rwssyBody of Individuals?” | For example, Artificial Juridical Person Name of Fi SHAH & COMPANY [NamesLocation of Branch FORT BRANCH 2 Adress ‘Dedactr/CoMestor shall mention the address of he location where the tax is being deducted. Its compal- sory forthe deductoreolecter to mention atleast two details out of four ie PlavDoorBlock No.. Name of PromisesBulding/Vilage, Road/SuectLanefPoxt Ofice ac Atea/Locality/TalukalSub Division). Tow/Ciy! Distiet, State, Union Testory and PIN Code ate mandatory. The applicant should nat mention 2 foreign sates 2 | Telephone Number and (Ie Telepnone Number ix mentioned, STD Code ix manson, ‘email ID (2) Incase of mobile number, county code should be mentioned ax STD Code STD Code ‘Telephone No. CCOETTT) COTE T rrr rrr) ‘Where ‘1 the country cade of Indl (G) lismandatory fr applicants o mention either thei telephone number orn e-mail iso tat they can be ‘contacted incase of any diezepancy inthe eplicsion form, (Applicants may provide thir vali e-mnil IDs fr receiving intimation about the ats of thei ppiction trough e-mail 3 | Nationality of DeductontColestor_| This fed ie mandatory for ll categories of deductofcollestor 4 | Permanent Account Number | DeductovCalletor will mention the existing i0-

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