Rule 4 34-CVL Form 4 20 The Insolvency Act 1986 Statement of Company’s S 9 5/9 9 Affairs . Pursuant to Section 95/99 of the Insolvency Act 1986 To the Registrar of Companies Company Number i 01495876 Name of Company HARRIS CLAIMS GROUP LIMITED I/We David Rubin of David Rubin & Partners ~* Pearl Assurance House 319 Ballards Lane London N12 8LY the Liquidator of the above named company hereby attaches a statement of the Company’s affairs as at 13 March 2015 ra Signed Date \ . Ae 5 Presenter’s name address and For official use = wi Reference (if any) Liquidation Section Post Room David Rubin & Partners Pearl Assurance House DX 57368 Finchley | 19/03/2015 #141 ANIES HOUSE Ref DAR/EM/SHS/H957 come I Rule 4 34-CVL Form 4 19 Statement of Affairs IN THE MATTER OF THE INSOLVENCY ACT 1986 Name of Company Company Number 7 HARRIS CLAIMS GROUP LIMITED 01495876 Statement as to the affairs of ® Harris Claims Group Limited of Assessor House, Daws Lane, London, NW7 4ST Statement of Truth I believe that the facts stated in this statement of affairs and any continuation sheets are to the best of my knowledge a true statement of the affairs of the above named Company as at 13 March 2015, being a date not more than 14 days before the date of the resolution for winding-up a Full Name Mr Jonathan Samuelson Signed *— 4 om (2 [3's HARRIS CLAIMS GROUP LIMITED ESTIMATED STATEMENT OF AFFAIRS AS AT 13 MARCH 2015 Book Estimated Notes Value To Realise £ £ ASSETS (SUBJECT TO FLOATING CHARGE) Cash at bank 20,516 20,516 Intercompany debt 39,373 39,373 $455 tax 1 173,902 173,902 233,791 UNSECURED CREDITORS - as per list B attached FSPG Chartered Accountants 16,800 HM Revenue & Customs 1 185,848 (202,648) SURPLUS AVAILABLE TO CONTRIBUTORIES 31,143 SHARE CAPITAL Ordinary shares of £1 each fully paid (50,000) DEFICIENCY AS REGARDS CONTRIBUTORIES (18,857) NOTES | The Company ts insolvent on the basts that it cannot pay the S455 tax lability to HMRC which 1s overdue However, if any S455 tax 1s paid to HMRC tt will be repayable in view of the fact that the overdrawn Directors Loan Accounts have been repaid There are no known employee claims The costs of the Liquidation have not yet been calculated Signature TA cae U2 [ is HARRIS CLAIMS GROUP LIMITED ESTIMATED STATEMENT OF AFFAIRS AS AT 13 MARCH 2015 A - SECURED CREDITORS NAME ADDRESS. AMOUNT £ HSBC Bank Plc 8 Canada Square, London, E14 SHQ Created 29/06/2004, Registered at Compantes House 06/07/2004 Nil B - UNSECURED CREDITORS NAME ADDRESS AMOUNT Trade and Expense Creditors £ FSPG Chartered Accountants 21 Bedford Square London WC1B 3HH 16,800 00 Crown HM Revenue & Customs DMB 310, BX5 5AB 185,848 11 Total Unsecured Liability 202,648.11 eo I PJ, a BRIS