Rule 4.34 - CVE Form 4.20 THE INSOLVENCY ACT 1986 Statement Of Company’s Affairs 5.95/99 Pursuant to Section 95/99 of the Insolvency Act 1986 For official use TO THE REGISTRAR OF COMPANIES Company Number [ 03158755 ] Insert full name of NAME OF COMPANY the company COUNTY JOINERY LIMITED Insert full name and } Paul John Webb address of of Sanderlings LLP, Sanderling House, 1071 Warwick Road, Acocks Green, Birmingham, 827 6QT The liquidator of the above-named company attach a statement of the Insert date company’s affairs as at Tuesday 10 May 2005 Signed SS Dated _10 May 2005 Insert presenters John Sheehan name and address [if Sanderlings LLP any] Sanderling House 1071 Warwick Road For off Acocks Green Liquidation Section Birmingham _ B27 6QT WAAL LX5GOR 0698 COMPANIES HOUSE 13/0505 FORM 4,19 STATEMENT OF AFFAIRS Staternent as to affairs of; COUNTY JOINERY LIMITED On the 10 May 2005 AFFIDAVIT This affidavit must be sworn or affirmed before a Solicitor or Commissioner of Oaths when you have completed the rest of this form. 1, Gordon Brazier Of, 26 Hollycombe Close Liphook Hampshire GU30 7HR Make oath and say that the several pages exhibited hereto and marked [A, Al and B] are to the best of my knowledge and belief a full, true and complete statement to the affairs of the above named company as at Tuesday 10 May 2005, Sworn at: Ven A w Ce th Date: wu f§ fos Signature: Soren ) Before me: ce. J -- Cen. tana tes A Solicitor / GormmisioncrofOath: - - - Before swearing the affidavit the Solicitor or Commissioner is requested to make sure that the full name, address and description of the Deponent are stated, and to initial any crossings-out or other alteration to the printed form. A deficiency in the affidavit in any of the above respects will mean that it is refused by the court, and will need to be re-sworn. FORM 4.19 A — SUMMARY OF ASSETS ? Assets Book Value Estimated to Realise £ £ Assets Specifically Pledged: - None [Nil] [Nil] [Nil] Assets Not Specifically Pledged: - Book Debts 6,157 4,618 Plant & Machinery 4,720 1,300 Motor Vehicle 3,200 1,700 7,618 Estimated Total Assets Available For Preferential Creditors 7,618 SIGNATURE t DATE Leon ad ty [s/us FORM 4.19 Al — SUMMARY OF LIABILITIES Estimated to Realise £ £ Estimated total assets available for 7,618 Preferential creditors [from page Al Liabilities Preferential Creditors: - None (Nil] 7,618 Estimated surplus [deficiency] as regards preferential creditors 7,618 Debts secured by a floating charge: - [Nil] Estimated surplus [deficiency available for Non-preferentiai creditors 7,618 Non-preferential creditors: - Trade & Expense [4,456] Inland Revenue [1,894] HM Customs & Excise [56,048] Directors Loan [28,000] [90,398] Estimated surplus [deficiency] as regards creditors [82,780] Issued and calted up capital 10 Estimated total surplus [deficiency] as regards [82,770] members SIGNATUR) DATE (4inlln. AZ wis ls Form 4.19 B — COMPANY CREDITORS NAME AND ADDRESS OF CREDITOR Amount of Debt £ Pinegen Publishing Limited, 95 Brighton Road, Surbiton, Surrey, KT6 5NF 411.25 Homme Care Publicity Services Limited, The Court Yard, 13-19 Anderton Street, Lancashire PR7 2AY 300.00 Yellow Pages 710.16 Inland Revenue, 9 Woolmead House, East Street, Farnham, Surrey, GU9 7TY 1,893.72 British Gas, Payment Area 16, Oldham, OL95 1AX 1,404.82 Altis Industries Limited, Liphook Road, Lindford, Bordon, Hampshire, GU35 1,259.34 OPP HM Custorns & Excise, Compass House, Romsey Road, Southampton, $O16 56,048.46 4HP Traviss & Co, Newton House, 38 Newton Road, Liphook, Hampshire, GU30 370.13 7DX Gordon Brazier, 26 Hollycombe Close, Liphook, Hampshire, GU30 7HR 28,000 TOTAL 90,397.88 7 DaTE ; A aALow, Aiki a ie / 4 / cy