Form 4 20 Rule 4 34 - CVL The Insolvency Act 1986 Statement of Company's Affairs Pursuant to section 95/99 of the Insolvency Act 1986 For Official Use To the Registrar of Companies Company Number 01202942 Name of Company | | HEM Interiors Group Limited 1 |/We David Frederick Wilson, 29 Park Square West , Leeds, LS1 2PQ the liquidator(s) of the above named company attach a statement of the company affairs as at 04 February 2015 Signed Date 04 February 2015 DFW Associates COMPANIES HOUSE 29 Park Square West Leeds Insolvenc *A40VH50G" #98 Ref CVLO0025/DFW/KB A09 09/02/2045 | Software Supplied by Turnkey Computer Technology Limited Glasgow Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of HEM Interiors Group Limited on the 4 February 2015 the date of the resolution for winding up Statement of truth | believe that the facts stated in this Statement of Affairs are true Full Name ERVA GDA E MACTI Signed A. Ah [7 Dated ¢-2- Vat S HEM Interiors Group Limited Statement Of Affairs as at 4 February 2015 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge Lloyds Bank Plc (2,586 75) Deficiency c/d (2,586 75) Assets subject to floating charge’ Uncharged assets Plant & Machinery 6,500 00 3,400 00 Furniture & Equipment 4,500 00 2,800 00 Book Debts 7,813 49 7,813 49 Shares in Office Supplies (Northern) Ltd 49,999 00 NIL Intercompany debt 8,587 59 NIL Estimated total assets available for preferential creditors 14,013 49 Signature A Wh Date