Rule 4.34 Form 4.20 S.95/99 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 { 01541904 Name of Company (a) Insert full name of (a) CSG 24 HR Recovery Limited company (b) Insert full name and We (b) addresses S Watts Adcroft Hilton (Chesterfield) Limited 10 Marsden Street Chesterfield Derbyshire $40 1JY . United Kingdom (c) Insert date the liquidator(s) of the above-named company attaches a statement of the company’s affairs as at (c) 12 October 2012 Signed Rott Date 15 October 2012 For Official Use Presenter’s name, Adcroft Hilton (Chesterfield) Limited Liquidation Section Post Room yuna address and reference (if any) 10 Marsden Street Chesterfield Derbyshire $40 1JY United Kingdom 18/10/2012 #198 COMPANIES HOUSE Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of CSG 24 HR Recovery Limited on the 12 October 2012 being a date not more than 14 days before 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 eK deace LY ECAUWNIALIC~D> Signed Lal vem Dated (ZfiofizZ wenatre