Form for application for allotment of Tax Deduction and Collection Account Number [TAN] under section 397 [For person other than government entity]
PART I : Personal Details of the applicant | |||||
Select only one of the columns ‘A‘ to ‘G‘, whichever is applicable | |||||
(A) | Individual | ||||
1 | Name | (refer Note 1) | |||
2 | Address | (refer Note 2) | |||
(B) | Branch of Individual Business (Sole proprietorship concern) | ||||
1 | Name of Individual | (refer Note 1) | |||
2 | Name of Branch | (refer Note 1) | |||
3 | Address of Branch | (refer Note 2) | |||
(C) | LLP / Firm/Association of Persons / Trust / Body of Individual / Artificial Juridical Person/ Hindu undivided Family | ||||
1 | Name | (refer Note 1) | |||
2 | Registration number, if any | (refer Note 3) | |||
3 | Details of person responsible for deduction/collection of tax | Name | (refer Note 1) | ||
Designation | (refer Note 4) | ||||
Permanent Account Number | |||||
Contact Number | |||||
4 | Address | (refer Note 2) | |||
(D) | Branch of LLP/Firm/Association of Persons/Trust/ Body of Individual/Artificial Juridical Person/ Hindu undivided Family | ||||
1 | Name of LLP/firm /Association of Persons/ Association of Persons (trusts)/ Body of Individual / | (refer Note 1) | |||
Artificial Juridical Person | ||||||
2 | Registration number, if any | (refer Note 3) | ||||
3 | Name of Branch | (refer Note 1) | ||||
4 | Address of Branch | (refer Note 2) | ||||
5 | Details of person responsible for deduction/collection of tax | Name | (refer Note 1) | |||
Designation | (refer Note 4) | |||||
Permanent Account Number | ||||||
Contact Number | ||||||
(E) | Company (tick relevant box) (refer Note 7) | Central Government Company/ Company established by Central Act | ||||
State Government Company/ Company established by State Act | ||||||
Public Limited Company | ||||||
Private Limited Company | ||||||
One Person Company | ||||||
□ Section 8 Company | ||||||
□ Other Company | ||||||
1 | Name | (refer Note 1) | ||||
2 | Corporate Identity Number (CIN) | |||||
3 | Details of person responsible for deduction/collection of tax | Name | (refer Note 1) | |||
Designation | ||||||
Permanent Account Number | ||||||
Contact Number | ||||||
4 | Address | (refer Note 2) | ||||
(F) | Branch / Division of a Company (tick relevant box) | Central Government Company/ Incorporation established by Central Act | ||||
口 State Government Company/Incorporation established by State Act | ||||||
□ Public Limited Company | ||||||
Private Limited Company | ||||||
One Person Company | ||||||
Section 8 Company | ||||||
Other Company | |||||
1 | Name of Company | (refer Note 1) | |||
2 | Corporate Identity Number (CIN) | ||||
3 | Name of Branch/Division | (refer Note 1) | |||
4 | Address of Branch/Division | (refer Note 2) | |||
5 | Details of person responsible for deduction/collection of tax | Name | (refer Note 1) | ||
Designation | |||||
Permanent Account Number | |||||
Contact Number | |||||
(G) | Statutory/autonomous bodies (tick relevant box) | Statutory Body | |||
Autonomous Body | |||||
1 | Name of Office | (refer Note 1) | |||
2 | Name of Organisation | (refer Note 1) | |||
3 | Details of person responsible for deduction/collection of tax | Name | (refer Note 1) | ||
Designation | |||||
Permanent Account Number | |||||
Contact Number | |||||
4. | Address | (refer Note 2) | |||
Part II: Other Details of the applicant | |||||||
1 | Date of Birth/ Date of incorporation, whichever is applicable | (refer Note 5) | |||||
2 | Permanent Account Number | (refer Note 6) | |||||
3 | Nationality (tick relevant box), if applicable | Indian | F | oreign | |||
4 | Email id | ||||||
5 | Contact number | Country Code | Number | ||||
6. | TDS Assessing Officer Code | ||||||
7. | Other details to be provided as separate enclosure | (refer Note 8) | |||||
DECLARATION
a. I … … … … … … … . having Permanent Account Number ………… am liable to *deduct/collect tax in accordance with Chapter XIX-B of the Act.
b. I have enclosed
As Proof of Identity
As Proof of Address and
As Proof of Date of Birth/Incorporation
c. I … … … … … … … … … … ., in the capacity of (Self/………………….) do hereby declare that what stated above is true to the best of my knowledge and belief.
d. I declare that the applicant does not possess TAN and shall be liable for legal consequences if this declaration is found to be incorrect.
Place:
Date: ........................................ .. Signature
Name:
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. Registration number is mandatory for LLP.
4. In case of HUF, the designation shall be ‘Karta‘.
5. Date of birth/Date of incorporation shall be of the applicant. In case of branch/division, Date of incorpora- tion shall be of the branch/division.
6. Permanent Account Number shall be of the applicant. In case of branch/division, Permanent Account Num- ber shall be of the parent person.
7. This column is applicable only ifa single TAN is applied for the whole company. If separate TAN is applied for different divisions/branches, please fill details in (F).
8. Enclose documents as proof of identity, address and date ofbirth/incorporation as specified in rule 158.
9. Some of the information in the form would be pre-filled to the extent possible.
10. * Delete whichever is inapplicable.