FORM NO.

16
[See rule 31(1)(a)]

PART A
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. FKLPFPA Last updated on 07-Jun-2023

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
SBFC FINANCE LIMITED
103,1ST FLOOR CTS NO 95/A, C&B SQUARE(SANGAM COMPLX),
ANDHERI KURLA ROAD, LINGAPPA MANJUNATHA
CHAKALA - 400059 ALDUR VILLAGE, GANGANUR POST, CHAMARAJANAGAR -
Maharashtra 571124 Karnataka
+(91)22-67875304
NARAYAN.BARASIA@SBFC.COM
PAN of the Employee Reference No. provided by the
PAN of the Deductor TAN of the Deductor Employee/Specified senior Employer/Pension Payment order no. provided
citizen by the Employer (If available)

AAFCM3855R MUMM33520E BRMPM9388K

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital 2023-24 01-Apr-2022 31-Mar-2023
Building, Charni Road , Mumbai - 400002

Summary of amount paid/credited and tax deducted at source thereon in respect of the employee

Receipt Numbers of original

Amount of tax deposited / remitted
quarterly statements of TDS Amount of tax deducted
Quarter(s) Amount paid/credited (Rs.)
under sub-section (3) of (Rs.)
Section 200

Q1 QUZKFGIG 151130.00 0.00 0.00

Q2 QVCOZMLD 96942.00 0.00 0.00
Q3 QVFSOQLD 168654.00 0.00 0.00
Q4 QVIPISMA 237183.00 29994.00 29994.00
Total (Rs.) 653909.00 29994.00 29994.00
I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Book Identification Number (BIN)

Tax Deposited in respect of the
Sl. No. deductee Date of transfer voucher Status of matching
Receipt Numbers of Form DDO serial number in Form no.
(Rs.) (dd/mm/yyyy) with Form no. 24G
No. 24G 24G

Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

1 0.00 - 07-05-2022 - F
2 0.00 - 07-06-2022 - F
3 0.00 - 06-07-2022 - F
4 0.00 - 06-08-2022 - F

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 Certificate Number: FKLPFPA TAN of Employer: MUMM33520E PAN of Employee: BRMPM9388K Assessment Year: 2023-24

Challan Identification Number (CIN)

Tax Deposited in respect of the
Sl. No. deductee
(Rs.) BSR Code of the Bank Date on which Tax deposited Challan Serial Number Status of matching with
Branch (dd/mm/yyyy) OLTAS*

5 0.00 - 06-09-2022 - F
6 0.00 - 06-10-2022 - F
7 0.00 - 05-11-2022 - F
8 0.00 - 07-12-2022 - F
9 0.00 - 07-01-2023 - F
10 7613.00 0014431 06-02-2023 24116 F
11 6790.00 0011349 06-03-2023 37485 F
12 4807.00 0002271 24-04-2023 41309 F
13 10784.00 0002271 24-04-2023 41309 F
Total (Rs.) 29994.00

Verification

I, NARAYAN BARASIA, son / daughter of KRISHN KANT BARASIA working in the capacity of CFO (designation) do hereby certify that a sum of Rs. 29994.00 [Rs.
Twenty Nine Thousand Nine Hundred and Ninety Four Only (in words)] has been deducted and a sum of Rs. 29994.00 [Rs. Twenty Nine Thousand Nine Hundred and
Ninety Four Only] has been deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct and is
based on the books of account, documents, TDS statements, TDS deposited and other available records.

Place MUMBAI

Date 10-Jun-2023 (Signature of person responsible for deduction of Tax)

Designation: CFO Full Name:NARAYAN BARASIA

Notes:
1. Part B (Annexure) of the certificate in Form No.16 shall be issued by the employer.
2. If an assessee is employed under one employer during the year, Part 'A' of the certificate in Form No.16 issued for the quarter ending on 31st March of the financial year shall contain the details
of tax deducted and deposited for all the quarters of the financial year.
3. If an assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Form No.16 pertaining to the period for which such
assessee was employed with each of the employers. Part B (Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.

Legend used in Form 16

* Status of matching with OLTAS

Legend Description Definition
Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when payment
U Unmatched
details in bank match with details of deposit in TDS / TCS statement
Provisional tax credit is effected only for TDS / TCS Statements filed by Government deductors."P" status will be changed to Final (F) on
P Provisional
verification of payment details submitted by Pay and Accounts Officer (PAO)
In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the payment details
F Final mentioned in the TDS / TCS statement filed by the deductors. In case of government deductors, details of TDS / TCS booked in Government
account have been verified by Pay & Accounts Officer (PAO)
Payment details of TDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but the
O Overbooked amount is over claimed in the statement. Final (F) credit will be reflected only when deductor reduces claimed amount in the statement or
makes new payment for excess amount claimed in the statement

Signature Not Verified

Signed by : NARAYAN BARASIA
Date : 10-Jun-2023 19:10:39
Location : MUMBAI
Reason : FORM 16

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 FORM NO. 16
PART B
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. FKLPFPA Last updated on 07-Jun-2023

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen
SBFC FINANCE LIMITED
103,1ST FLOOR CTS NO 95/A, C&B SQUARE(SANGAM COMPLX),
ANDHERI KURLA ROAD, LINGAPPA MANJUNATHA
CHAKALA - 400059 ALDUR VILLAGE, GANGANUR POST, CHAMARAJANAGAR -
Maharashtra 571124 Karnataka
+(91)22-67875304
NARAYAN.BARASIA@SBFC.COM
PAN of the Deductor TAN of the Deductor PAN of the Employee/Specified senior citizen

AAFCM3855R MUMM33520E BRMPM9388K

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 900A, 9th Floor, K.G. Mittal Ayurvedic Hospital 2023-24 01-Apr-2022 31-Mar-2023
Building, Charni Road , Mumbai - 400002

Annexure - I

Details of Salary Paid and any other income and tax deducted

Whether opting for taxation u/s 115BAC No

1. Gross Salary Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 630793.00

Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 23116.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 653909.00

(e) Reported total amount of salary received from other employer(s) 0.00

2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) Death-cum-retirement gratuity under section 10(10) 0.00

(c) Commuted value of pension under section 10(10A) 0.00

Cash equivalent of leave salary encashment under section 10

(d) 0.00
(10AA)

(e) House rent allowance under section 10(13A) 0.00

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Certificate Number: FKLPFPA TAN of Employer: MUMM33520E PAN of Employee: BRMPM9388K Assessment Year: 2023-24

Amount of any other exemption under section 10

(f) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

(g) Total amount of any other exemption under section 10 0.00

Total amount of exemption claimed under section 10

(h) 0.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(g)]

Total amount of salary received from current employer

3. 653909.00
[1(d)-2(h)]
4. Less: Deductions under section 16
(a) Standard deduction under section 16(ia) 50000.00

(b) Entertainment allowance under section 16(ii) 0.00

(c) Tax on employment under section 16(iii) 2400.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 52400.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 601509.00

7. Add: Any other income reported by the employee under as per section 192 (2B)

Income (or admissible loss) from house property reported by

(a) 0.00
employee offered for TDS

(b) Income under the head Other Sources offered for TDS 0.00

Total amount of other income reported by the employee

8. 0.00
[7(a)+7(b)]
9. Gross total income (6+8) 601509.00

10. Deductions under Chapter VI-A Gross Amount Deductible Amount

Deduction in respect of life insurance premia, contributions to

(a) 19810.00 19810.00
provident fund etc. under section 80C

Deduction in respect of contribution to certain pension funds

(b) under section 80CCC 0.00 0.00

Deduction in respect of contribution by taxpayer to pension

(c) scheme under section 80CCD (1) 0.00 0.00

(d) Total deduction under section 80C, 80CCC and 80CCD(1) 19810.00 19810.00

Deductions in respect of amount paid/deposited to notified

pension scheme under section 80CCD (1B)
(e) 0.00 0.00

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 Certificate Number: FKLPFPA TAN of Employer: MUMM33520E PAN of Employee: BRMPM9388K Assessment Year: 2023-24

Deduction in respect of contribution by Employer to pension

(f) scheme under section 80CCD (2) 0.00 0.00

Deduction in respect of health insurance premia under section

(g) 0.00 0.00
80D

Deduction in respect of interest on loan taken for higher

(h) education under section 80E 0.00 0.00

Gross Qualifying Deductible

Amount Amount Amount
Total Deduction in respect of donations to certain funds,
(i) 0.00 0.00 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(j) 0.00 0.00 0.00
under section 80TTA

Amount Deductible under any other provision (s) of Chapter VI-A

(k) [Note: Break-up to be filled and signed by employer in the table
provide at the bottom of this form]

Total of amount deductible under any other provision(s) of

(l) 0.00 0.00 0.00
Chapter VI-A

Aggregate of deductible amount under Chapter VI-A

11. 19810.00
[10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(l)]

12. Total taxable income (9-11) 581699.00

13. Tax on total income 28840.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 1154.00

17. Tax payable (13+15+16-14) 29994.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 29994.00

Verification
I, NARAYAN BARASIA, son/daughter of KRISHN KANT BARASIA .Working in the capacity of CFO (Designation) do hereby
certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements,
and other available records.

Place MUMBAI (Signature of person responsible for deduction of tax)

Full
Date 10-Jun-2023 NARAYAN BARASIA
Name: Signature Not Verified
Signed by : NARAYAN BARASIA
Date : 10-Jun-2023 19:10:39
Location : MUMBAI
Page 3 of 4 Reason : FORM 16

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 Certificate Number: FKLPFPA TAN of Employer: MUMM33520E PAN of Employee: BRMPM9388K Assessment Year: 2023-24

2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below
Particular's of Amount for any other
Sl. exemption under section 10 Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2..
3.
4.
5.
6.

10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below
Particular's of Amount deductible under
Sl. any other provision(s) of Chapter VIA Gross Amount Qualifying Amount Deductible Amount
No.
Rs. Rs. Rs. Rs.
1.
2.
3.
4.
5.
6.

MUMBAI (Signature of person responsible for deduction of

Place
tax)
Full
Date 10-Jun-2023 NARAYAN BARASIA
Name:

Signature Not Verified

Signed by : NARAYAN BARASIA
Date : 10-Jun-2023 19:10:39
Location : MUMBAI
Page 4 of 4 Reason : FORM 16

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 Employee Code: 11468 Employer TAN: MUMM33520E Employee PAN: BRMPM9388K AY: 2023-2024

2. (f) Break up for ‘Amount of any other exemption under section 10’ to be filled in the table below

Gross Amount Qualifying Amount Deductible Amount

Details of any other exemption under section 10
Rs. Rs. Rs.

Total of 2 (f) 0 0 0

10(k). Break up for ‘Amount deductible under any other provision(s) of Chapter VIA ‘to be filled in the table below

Details of deductible under any other provision(s) of Chapter Gross Amount Qualifying Amount Deductible Amount
VIA Rs. Rs. Rs.

Total of 10 (k) 0 0 0

Place : MUMBAI

Date : 10 Jun 2023 (Signature of person responsible for deduction of tax)

Designation : CFO Full Name : NARAYAN BARASIA

Signature Not Verified

Signed by : NARAYAN BARASIA
Date : 10-Jun-2023 19:10:39
Location : MUMBAI
Reason : FORM 16

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 Employee Code: 11468 Employer TAN: MUMM33520E Employee PAN: BRMPM9388K AY: 2023-2024

FORM NO. 12BA

[See rule 26 A(2)(b)]
Statement showing particulars of perquisites, other fringe or Amenities and profits in lieu of salary with value thereof
SBFC FINANCE LIMITED
103,1ST FLOOR CTS NO 95/A, C&B SQUARE(SANGAM COMPLX),
1. Name and address of the Employer :
ANDHERI KURLA ROAD,
CHAKALA - 400059
2. TAN : MUMM33520E
3. TDS Assessment Range of the employer :
Manjunatha L
4. Name, designation and PAN of the Employee: Area Business Manager - ME
BRMPM9388K
Is the Employee a director or a person :
5. with substantial interest in the company No
(where the employer is a company)
Income under the head salaries of the
6. 630793
employee (other than from perquisites) :
7. Financial Year : 2022-2023
8. Valuation of Perquisites : 23116
Amount if any,
SR Value Of Perquisite as Amount of Taxable
Nature Of Perquisite (See Rule 3) recovered from
NO. per rule (Rs.) Perquisites(Rs)
employee
1. Accommodation 0 0 0
2. Cars/Other Automotive 0 0 0
3. Sweeper, Gardner, Watchman or attendant 0 0 0
4. Gas, Electricity, Water 0 0 0
5. Interest free or concessional loans 0 0 0
6. Holiday Expenses 0 0 0
7. Free or concessional Travels 0 0 0
8. Free Meals 0 0 0
9. Free Education 0 0 0
10. Gifts, Vouchers, etc. 23116 0 23116
11. National Pension Scheme Employer 0 0 0
12. Club Expenses 0 0 0
13. Use of movable assets by employees 0 0 0
14. Transfer of assets to employees 0 0 0
15. Value of any other benefit/amenity/service/privilege 0 0 0
16. Stock Options (non-qualified options) 0 0 0
17. Other benefits or amenities 0 0 0
18. Total Value Of perquisites 0 0 23116
19. Profits in lieu of salary as per section 17(3) 0 0 0
9. Details Of Tax :-
(a) Tax Deducted from salary of the employee under section 192(1): 29994
(b) Tax by employer on behalf of the employee under section 192(1A): NIL
(c) Total Tax Paid : 29994
(d) Date Of Payment into Government treasury :- As per Form 16
DECLARATION BY EMPLOYER
I NARAYAN BARASIA, son of KRISHN KANT BARASIA working in the capacity of CFO do hereby declare on behalf of SBFC FINANCE LIMITED
that the information given above is based on the books of accounts, documents, and other relevant records or information available with us and details
of value of such perquisite are in accordance with section 17 and rules framed there under and that such information is true and correct.
SBFC FINANCE LIMITED

Signature of the person responsible for deduction of tax

Place : MUMBAI Full Name : NARAYAN BARASIA
Date : 10 Jun 2023 Designation : CFO

Signature Not Verified

Signed by : NARAYAN BARASIA
Date : 10-Jun-2023 19:10:39
Location : MUMBAI
Reason : FORM 16

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