diff --git a/crates/ruff/resources/test/fixtures/flake8_type_checking/TCH004_10.py b/crates/ruff/resources/test/fixtures/flake8_type_checking/TCH004_10.py
new file mode 100644
index 0000000000..0fc70b83cc
--- /dev/null
+++ b/crates/ruff/resources/test/fixtures/flake8_type_checking/TCH004_10.py
@@ -0,0 +1,16 @@
+from __future__ import annotations
+
+from typing import TYPE_CHECKING
+
+if TYPE_CHECKING:
+    from typing import Tuple, List, Dict
+
+x: Tuple
+
+
+class C:
+    x: List
+
+
+def f():
+    x: Dict
diff --git a/crates/ruff/resources/test/fixtures/flake8_type_checking/TCH004_9.py b/crates/ruff/resources/test/fixtures/flake8_type_checking/TCH004_9.py
new file mode 100644
index 0000000000..25867433fe
--- /dev/null
+++ b/crates/ruff/resources/test/fixtures/flake8_type_checking/TCH004_9.py
@@ -0,0 +1,14 @@
+from typing import TYPE_CHECKING
+
+if TYPE_CHECKING:
+    from typing import Tuple, List, Dict
+
+x: Tuple
+
+
+class C:
+    x: List
+
+
+def f():
+    x: Dict
diff --git a/crates/ruff/src/checkers/ast.rs b/crates/ruff/src/checkers/ast.rs
index 1aa697a387..f046b01d73 100644
--- a/crates/ruff/src/checkers/ast.rs
+++ b/crates/ruff/src/checkers/ast.rs
@@ -1945,7 +1945,21 @@ where
                 value,
                 ..
             } => {
-                self.visit_annotation(annotation);
+                // If we're in a class or module scope, then the annotation needs to be available
+                // at runtime.
+                // See: https://docs.python.org/3/reference/simple_stmts.html#annotated-assignment-statements
+                if !self.annotations_future_enabled
+                    && matches!(
+                        self.current_scope().kind,
+                        ScopeKind::Class(..) | ScopeKind::Module
+                    )
+                {
+                    self.in_type_definition = true;
+                    self.visit_expr(annotation);
+                    self.in_type_definition = false;
+                } else {
+                    self.visit_annotation(annotation);
+                }
                 if let Some(expr) = value {
                     if self.match_typing_expr(annotation, "TypeAlias") {
                         self.in_type_definition = true;
diff --git a/crates/ruff/src/rules/flake8_type_checking/mod.rs b/crates/ruff/src/rules/flake8_type_checking/mod.rs
index 5fa2217443..7d8f0c26d7 100644
--- a/crates/ruff/src/rules/flake8_type_checking/mod.rs
+++ b/crates/ruff/src/rules/flake8_type_checking/mod.rs
@@ -26,6 +26,8 @@ mod tests {
     #[test_case(Rule::RuntimeImportInTypeCheckingBlock, Path::new("TCH004_6.py"); "TCH004_6")]
     #[test_case(Rule::RuntimeImportInTypeCheckingBlock, Path::new("TCH004_7.py"); "TCH004_7")]
     #[test_case(Rule::RuntimeImportInTypeCheckingBlock, Path::new("TCH004_8.py"); "TCH004_8")]
+    #[test_case(Rule::RuntimeImportInTypeCheckingBlock, Path::new("TCH004_9.py"); "TCH004_9")]
+    #[test_case(Rule::RuntimeImportInTypeCheckingBlock, Path::new("TCH004_10.py"); "TCH004_10")]
     #[test_case(Rule::EmptyTypeCheckingBlock, Path::new("TCH005.py"); "TCH005")]
     #[test_case(Rule::TypingOnlyThirdPartyImport, Path::new("strict.py"); "strict")]
     fn rules(rule_code: Rule, path: &Path) -> Result<()> {
diff --git a/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_10.py.snap b/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_10.py.snap
new file mode 100644
index 0000000000..b308635bbd
--- /dev/null
+++ b/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_10.py.snap
@@ -0,0 +1,6 @@
+---
+source: crates/ruff/src/rules/flake8_type_checking/mod.rs
+expression: diagnostics
+---
+[]
+
diff --git a/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_4.py.snap b/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_4.py.snap
index d1924b10c2..38e43aef40 100644
--- a/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_4.py.snap
+++ b/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_4.py.snap
@@ -1,6 +1,16 @@
 ---
-source: src/rules/flake8_type_checking/mod.rs
+source: crates/ruff/src/rules/flake8_type_checking/mod.rs
 expression: diagnostics
 ---
-[]
+- kind:
+    RuntimeImportInTypeCheckingBlock:
+      full_name: typing.Any
+  location:
+    row: 4
+    column: 23
+  end_location:
+    row: 4
+    column: 26
+  fix: ~
+  parent: ~
 
diff --git a/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_9.py.snap b/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_9.py.snap
new file mode 100644
index 0000000000..9e350e0180
--- /dev/null
+++ b/crates/ruff/src/rules/flake8_type_checking/snapshots/ruff__rules__flake8_type_checking__tests__runtime-import-in-type-checking-block_TCH004_9.py.snap
@@ -0,0 +1,27 @@
+---
+source: crates/ruff/src/rules/flake8_type_checking/mod.rs
+expression: diagnostics
+---
+- kind:
+    RuntimeImportInTypeCheckingBlock:
+      full_name: typing.Tuple
+  location:
+    row: 4
+    column: 23
+  end_location:
+    row: 4
+    column: 28
+  fix: ~
+  parent: ~
+- kind:
+    RuntimeImportInTypeCheckingBlock:
+      full_name: typing.List
+  location:
+    row: 4
+    column: 30
+  end_location:
+    row: 4
+    column: 34
+  fix: ~
+  parent: ~
+