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 03840778 Name of Company Corrugated Beam Form Limited |/We Catherine Lee-Baggaley, 1st Floor, Consort House, Waterdale, Doncaster, DN1 3HR lan Michael Rose, 1st Floor, Consort House, Waterdale, Doncaster, DN1 3HR the liquidator(s) of the above named company attach a statement of the company affairs as at 02 April 2015 Signed Date 02 April 2015 Silke & Co Limited 1st Floor For a Use Consort House Insolvency Section Post Room fi cu Waterdale Doncaster DN1 3HR Ref CJ5NC/CLB/MR/JCE Software Supplied by Turnkey Computer Technology Limited Glasgow voroarot 5 #104 COMPANIES HOUSE Rule 4 34-CVL Form 419 Statement of Affairs’ Statement as to affairs of Corrugated Beam Form Limited on the 2 April 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 Da we Sorta oc LP Sie Dated Lf 4 /; 5 Corrugated Beam Form Limited Statement Of Affairs as at 2 April.2015 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge. Assets subject to floating charge’ Uncharged assets. Plant & Machinery 4,006 03 450 00 Office Furniture & Equipment 731 53 80 00 Motor Vehicle 12,627 71 4,400 00 Cash at Bank 12,618 22 12,618 22 Overdrawn Director's Loan Account 28,203 00 Uncertain Overdrawn Shareholder Loan Account 42,547 00 Uncertain Estimated total assets available for preferential creditors 14,548 22 Signature Uf Sed Date 2h, Ly 135 Corrugated Beam Form Limited Statement Of Affairs as at 2 April 2015, A1 - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 14,548 22 Liabilities Preferential Creditors - NIL Estimated deficiency/surplus as regards preferential creditors 14,548 22 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 14,548 22 Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders 14,548 22 Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges 14,548 22 Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors 14,548 22 Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Trade & Expense 7,500 00 Natwest Bank Pic (Credit Card) 850 00 HM Revenue & Customs 103,005 31 111,355 31 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F C's post 14 September 2003) (96,807 09) Estimated deficiency/surplus as regards creditors (96,807 09) Issued and called up capital Ordinary Shareholders 4,000 00 1,000 00 Estimated total deficiency/surplus as regards members (97,807 09) Signature JVA bt Date 2/ 4h; a Silke & Co Limited Corrugated Beam Form Limited |. A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ Ccl00 Inspired Accountants Ltd 2,140 00 4, Parkside Court Greenhough Road Lichfield Staffordshire WS13 7AU CNOO Natwest Bank Ple (Credit card) 850 00 1st Floor 10 Brindley Place Birmingham B1 2TZ CNO1 NGR Transport 4,160 00 16 Norton Grange Norton Canes Cannock Staffordshire WS11 9QZ cvoo HM Revenue & Customs 103,005 34 Debt Enforcement, Durrington Bridge House Barrington Road Worthing West Sussex BN12 4SE Ccwoo0 Walsall Council 1,200 00 Business Rates Service Walsall Council PO Box 23 Walsall WS1 1TW 5 Entries Totalling 111,355 31 @ - Denotes associate creditor | Signature JL. abr >/4 / y Page 1 of 1 IPS SQL Ver 2010 01 April 2015 10 32