Form 420 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 08109516 Name of Company Oxa Industrial Services Limited |/We Peter O'Hara, Wesley House, Huddersfield Road, Birstall, Batley, West Yorkshire, WF17 9EJ Simon Weir, Wesley House, Huddersfield Road, Birstall, Batley, West Yorkshire, WF17 9EJ the liquidator(s) of the above named company attach a statement of the company affairs as at 02 June 2015 . <« Sow A IN O'Hara & Co For Offirsal tea Wesley House Huddersfield Road Inso Ref O0094/POH/SW 03/06/2015 #121 Software Supplied by Tumkey Computer Technology Limited Glasgow COMPANIES HOUSE Rute 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of Oxa Industrial Services Limited on the 2 June 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 Dens Oxvey Signed x > ——_——— Dated Ltuvé 2zois Oxa Industrial Services Limited Statement Of Affairs as at 2 June 2015 A- Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge: Assets subject to floating charge: Uncharged assets: Book Debts 2,000.00 2,000.00 Estimated total assets availabie for preferential creditors 2,000 00 Signature ea pate t/Glrors Oxa Industrial Services Limited Statement Of Affairs as at 2 June 2015 A1- Summary of Liabilities Estimated to Realise £ Estimated total assets avaliable for preferential creditors (Carried fram Page A) 2,000.00 Liabilities Preferential Creditors.- Employee Asrears/Hol Pay 2,000.00 2,000 00 Estimated deficiency/surplius as regards preferential creditors NIL Debts secured by floating charge pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL NIL Estimated prescribed part of net property where applicable (to carry forward) NIL €stimated total assets available for floating charge holders NIL Debts secured by floating charges post 15 September 2003 NIL Estimated deficiency/surplus of assets after floating charges NiL Estimated presenbed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors NIL Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Trade & Expense Creditors 1,200 Co Employees 4,000.00 PAYE / NIC 13,000.00 Corporation Tax 1,200 00 VAT 1,800 00 21,200.00 Estimated deficiency/surplus as regards non-preferential creditors {excluding any shortfall in respect of F.C's post 14 September 2003) (21,200.00) Estimated doficiency/surpius as regards creditors (21,200 00) Issued and catled up capital Ordinary Sharehatders 100 00 100.00 Estimated total deficlency/surplus as regards members (21,300 00) Signature \lae \e SS Date 2] [4 [rer v x O'Hara & Co Oxa Industrial Services Limited A5 - Unsecured Creditors Statement of Affairs Figures Key Name £ CHO1 HM Revenue & Customs 1,800 00 ICHU Benton Park View Longbenton Newcastle NE98 1ZZ CHO02 HM Revenue & Customs PAYE 1,200.00 ICHU Benton Park View Longbenton Newcastle NE98 12Z CHO3 HM Revenue & Customs 13,000.00 (CHU Benton Park View Longbenton Newcastle NE98 122 CMmM01 Momentum Taxation & Accountancy 1,200.00 14 Harelands Courtyard Offices Melsonby Richmond North Yorkshire DL10 SNY CRO1 Redundancy Payments Office 4,000.00 Cobait Square 83 Hagley Road Birmingham West Midlands B16 8QG 5 Entries Totalling 21,200.00 @- Denotes associate creditor Signature Qe Page 1 0f1 x IPS SQL Ver 2010 t3 May 2015 1415 ff O'Hara & Co Oxa Industrial Services Limited A4 - Preferential Creditors Statement of Affairs Figures Key Name £ CRO1 Redundancy Payments Office 2,000 00 Cobalt Square 83 Hagley Road Birmingham West Midlands B16 8QG 1 Entries Totalling 2,000.00 Signature a Page 1 of t A IPS SQL Ver 2010 13 May 2015 14 15