Form No. 134

Form for application for allotment of Tax Deduction and Collection Account Number [TAN] under section 397 [In the case of Government Entity]

Prescribed under rule 216(1)(a) · Rule 216

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Row No.	PART A: Details of the applicant
1	Category of Deductor/Collector		Central Government

			State Government

			Local Authority (Central Government)

			Local Authority (State Government)

2	Name of the Local Authority	(refer Note 1)
3	Name of State (where category as per Sl. No. 1 is State Government	(refer Note 1)
4	Name of Office	(refer Note 1)
5	Office Address	(refer Note 2)
6	Name of Organization	(refer Note 1)
7	Name of Department	(refer Note 1)
8	Name of Ministry	(refer Note 1)
9	Account Office Name	(refer Note 1)
10	Accounts Office Identification Number (AIN)
11	Permanent Account Number, if any
12	Official e-mail ID
13	Details of person responsible for deduction/collection of tax	Name		(refer Note 1)
		Designation
		Permanent Account Number
		Contact Number
14	Contact number	Country Code		Number
15	TDS Assessing Officer Code

PART B

Declaration

a. I … … … … … … . having Permanent Account Number ………… am liable to *deduct/collect tax/deduct tax and collect tax in accordance with Chapter XIX-B of the Act.

b. I have enclosed Certificate issued by the PAO/ZAO/DTO/CDDO.

c. I … … … … … … … … … … ., in the capacity of … … … … … … … . do hereby declare that what stated above is true to the best of my knowledge and belief.

d. I declare that the entity does not possess TAN and shall be liable for legal consequences if this declaration is found to be incorrect.

Place:

Date: ........................................ .. Signature

Name:

Designation:

Notes:

1. The name shall be provided in full.

2. The address shall contain i. Country/Region, ii. Flat/Door/Building, iii. Road/Street/ Block/Sector, iv. PIN/ZIP Code, v. Post Office, vi. Area/locality, vii. District, viii. State.

3. Some of the information in the form would be pre-filled to the extent possible.

4. * Delete whichever is inapplicable.

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Source: Income-tax Rules, 2026, Appendix III – notified by the CBDT vide G.S.R. 198(E) dated 20 March 2026. Reproduced for reference; the layout of the official Gazette form may differ slightly. Please verify with the official notification.