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 08351326 | Name of Company The Queens Head Wednesbury Limited tfa The Queens Head t/We Anthony John Sargeant, 23-24 Westminster Buildings, Theatre Square, Nottingham, NG1 6LG the liquidator(s) of the above named company attach a statement of the company affairs as at 27 January 2014 Signed Date 27 January 2014 VA / Bridgewood Financial Solutions Ltd od 23-24 Westminster Butldings Theatre Square Insolven Nottingham PA NG1 6LG g on *A30RGKB3* A03 31/01/2014 #29 Ref THEQOIC/AJS/TW/CL COMPANIES HOUSE Software Supplied by Turnkey Computer Technology Limited Glasgow L "Rule 4 34-CVL Form 4 19 Statement of Affairs Statement as to affairs of The Queens Head Wednesbury Limited t/a The Queens Head on the 27 January 2014 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 —TimothY¥ Dwi Signed AT Aun Dated 21 ~ [- Zo1q 4 The Queens Head Wednesbury Limited t/a The Queens Head Statement Of Affairs as at 27 January 2014 A- Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge’ Assets subject to floating charge: Uncharged assets: Estimated total assets available for preferential creditors NIL Signature Tati Date Oa ~Zo!4- ¢ The Queens Head Wednesbury Limited t/a The Queens Head Statement Of Affairs as at 27 January 2014 A1 - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) NIL Liabilities Preferential Creditors - NIL Estimated deficiency/surplus 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 Estimated 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 prescribed 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 2,572 41 Banks/institutions 281 00 HMRC - PAYE & NIC 785 18 HMRC - VAT 1,493 10 §,131 69 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F.C’s post 14 September 2003) (5,131 69) Estimated deficiency/surpius as regards creditors (5,131 69) Issued and called up capital Ordinary Shareholders 100 00 100 00 Estimated total deficiency/surplus as regards members (5,231 69) Signature oe “W Date 2 T- {-/ a £5 01 vlog Aenuer yz 240 €102 428A 10S Sdl jo 1 abe ainjeubig yi D 69'FEL'S Buyyejo) sayz ¢4 SZ $6 INL OCUN “HIOWON “UINOWWEA JIS) UIE} YOINUD BL aoueinsuy ayehiemoy 0019 LL 69 Y4Z ZZDu "HOOH ‘622 XOg Od O08S 40S9, +L 69 dz ZSM ‘llesie ‘aue7] ueels) JBJEAA SHEIS YINOS 00S9 000 dM} ZL ‘wosd3 ocE xog og PEP YpaD wniweid Odd Sv 607 HXt €849 ‘Ayjiudiaeg ‘aye]sQ JeLIsnpuj Waysan, ‘g YO0Ig dno SHd 00d9 00 18 LL £X@ ‘Jeaopuy ‘0001 xog Od yueg spho7] 4019. O09 LLL HV6 PAC ‘SPURIpIW ISAAA ‘VOI! ‘peoy pleyWooig “Wed prsywoorg SE Wun PayLur] SPUEIPIW ISBN S71 0019 ZZt gL Sez 864N ‘uA Uodl aRSeoMaN ‘MaIA Wed UOIUAG ‘BdIHO SUONNQU]UOD souezNsuU] ;PUOHEN BAVd - SWOSND Y enueAsY WH LOHO aSr ZLNG ‘xassng ysapy ‘Burypon, Ol €6r'L ‘peoy uo}Buweg ‘asnoy aBpug uoyGuuing ‘aoiaiag Aousajosuy pue juauaaiojuy LVA - SWO}sng pue anuanay WH 00HOD 009 AME PLSS ‘vopliseg ‘aauig inoAAeapug ‘asnoy snuer ‘Bulsea] jeqo|D eyeq Isul4 paywiy saonosay eyeq jsul4 0049 LO 224 GH9 LON ‘weybuioN ‘eZ XOg Od 4UO-3 0049 88 09L'L HAE SLND ‘Aaung Aspaqued ‘pGz xo Od seg) yshug 089 00 PLb spuelpiy ysana ‘Aaipng ‘Aajbpag ‘Jaa Asipng Z| ‘@snoy 18qo}99 popu] sjueyuncssy 05 99 Aemayyig o0go 3 ssoippy owen fey sio}ipaig Aueduwioy - g peay susant syL eA poy Ainqsaupapjg peop Suaent eUyL