Rule 2.29 Form 2.16B The Insolvency Act 1986 Notice of statement of affairs Name of Compan: pany pany number Company Coombe Cross Hotel Limited 03875898 In the Court case number Hight Court of Justice, Chancery Division, 1407 of 2011 Companies House [full name of court] (a) Insert full name(s) and address(es) of -t We, (a) Simon Robert Haskew of Begbies Traynor (Central) LLP, Harbourside House, 4-5 The Grove, admunistrator(s) Bristol BS1 4QZ and Ian Edward Walker of Begbies Traynor (Central) LLP, Balliol House, Southernhay Gardens, Exeter EX] 1NP attach a copy of - * Delete as applicable * the statement(s) of affairs, in respect of the administration of the above company Signed Joint / Admuinistrator(s) Dated al - OG. AD Contact Details: Begbies Traynor (Central) LLP You do not have to give any contact information in the box opposite but if you do, it will help Companies Harbourside House, 4-5 The Grove, Bristol BS1 4QZ. House to contact you tf there 1s a query on the form The contact information that you give will be visible Tel Number 0117 937 7130 i to searchers of the public record Fax Number 0117 937 713! DX Number il | When you have completed and signed this form please send 1t to the Registrar of Companies at Companies House, Crown Way, Cardiff, CF14 3UZ DX 33050 Cardiff “ATKLFVBY* A35 23/06/2011 99 COMPANIES HOUSE . neers Rule 2 29 Form 2 148 96 J38 20it STATEMENT OF AFFAIRS = penne” Name of Company ee Company Number Coombe Cross Hotel Limited 03875898 In the Court case number Hight Court of Justice, Chancery Division, Companies House 1407 (2011 Statement as to the affairs of Coombe Cross Hotel Limited Harbourside House 4-5 The Grove Bristol BS1 4QZ on the 1 March 2011, the date that the company entered administration Statement of Truth | believe the facts stated in this statement of affairs are a full, true and complete statement of the affairs of the above named company as at 1 March 2011 the date that the company entered administration Full Name Male one \ Ons GErenrk Signed CODE Bers n6tsr Les AN Dated orlotlu “To The &X\ OF O02 Gara’ PXCcouTia cn foorakins CorPatescs BY FERRIS DET Coombe Cross Hotel Limited Statement Of Affairs as at 1 March 2011 A- Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge: Freehold Land & Property 731,393 00 923,470 00 Santander UK plc (1,041,972 76) Deficiency c/d (118,502 76) Assets subject to floating charge: Fixtures & Fittings 7,836 00 26,530 00 Uncharged assets: Estimated total assets availab! referential creditors 26,530 00 Signature To THE $e? & OM aol Oe Aceon irPoraklar PeParsn o a Oy CRAP WHE OSTUMRKS Coombe Cross Hotel Limited Statement Of Affairs as at 1 March 2011 Ai - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 26,530 00 Liabilities Preferential Creditors - Santander UK plc - Preferential Claim 3,200 00 3,200 00 Estimated deficiency/surplus as regards preferential creditors 23,330 00 Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL 23,330 00 Estimated prescribed part of net property where applicable (to carry forward) 7,666 00 Estimated total assets available for floating charge holders 15,664 00 Debts secured by floating charges post 15 September 2003 Deficiency b/d 118,502 76 118,502 76 Estimated deficiency/surplus of assets after floating charges (102,838 76) Estimated prescribed part of net property where applicable (brought down) 7,666 00 Total assets available to unsecured creditors 7,666 00 Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Trade Creditors 60,583 84 Director's Loan Account 390,000 00 National Westminster Bank Pic 5,950 76 HMRC (non VAT) 12,466 08 HMRC (VAT) 40,742 48 509,743 16 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F.C's post 14 September 2003) (502,077 16) Shortfall in respect of F C's post 14 September 2003 (brought down) 102,838 76 Estimated deficiency/surplus as regards creditors (604,915 92) Issued and called up capital Ordinary Shareholders 200 200 Estimated total deficiency/surplus as regards members (604,917 92) ———— Date Oo | 6 | Xu TO EBB of AL row bupcs PrOroeny 7? 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