FORM NO. 134 [See Rule 216 - Application for allotment of a tax deduction and collection account number.] Form for application for allotment of Tax Deduction and Collection Account Number [TAN] under section 397 [In the case of Government Entity]
| 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:
- The name shall be provided in full.
- 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.
- Some of the information in the form would be pre-filled to the extent possible. 4. * Delete whichever is inapplicable.