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                                                                                                              Form 4 20


      Rule 4 34-CVL          The insolvency Act 1986
                             Statement of Company's                                  2 9          5          9        9
                             Affairs
                             Pursuant to Section 95/99 of the
                             Insolvency Act 1986

                                                                                                           For official use


                             To the Registrar of Companies                                                 bases heceed ceed



                                                                                      Company     Number

                                                                                      00738106


                             Name of Company
(a) Insert full name   of
              company         (a) GAZRILFORK CAFES LIMITED
                                                                                                                 Limited



{b) Insert full name(s)      We (b) ROBERT DAY
      and   address(es}
                                    ROBERT DAY AND COMPANY LIMITED, THE OLD
                                    LIBRARY, THE WALK, WINSLOW, BUCKINGHAM MK18
                                    3AJ
        {c) Insert date      the liquidator(s) of the above        named    company      attach   a statement        of the
                                  pany’s      afr
                             company's affairsas at (c:
                                                        ©) 4 DECEMBER 2014

                             Signed                 DA                Sey                 Date 4 DECEMBER 2014

     Presenters name         ROBERT DAY AND COMPANY                                     For Official Use




                                                                                                          TAA 1
address and reference
                (if any)     LIMITED                                        Liquidation Section       -
                             THE OLD LIBRARY
                             THE WALK
                             WINSLOW
                             BUCKINGHAM
                             MK18 3AJ

                                                                                                                           03/12/2014
                                                                                                                   COMPANIFS HOUSE




  © Crown Copynght          Reproduced by permission of the Controller of Her Majesty's Stationery Office Published by LexisNexis Butterworths Tolley
Rule 4 34-CVL                                                                       Form 4 19


                Statement of Affairs
                GAZRILFORK CAFES LIMITED

                Statement as to affairs of
                Gazrilfork Cafes Limited
                on the 1 December 2014 the date of the resolution for winding up



                Statement of Truth

                |, Chareewan Boonmasuwaran believe that the facts stated in this Statement of
                Affairs are true.




                Full Name       CHAR EE WAN       boon MALU WRAY


                Signed          CQ. Pu

                Dated             /-   (2-14




                                                                  ~   “*A3LYDVKB*
                                                                      03/12/2014          #82
                                                                  COMPANIFS    HOUSE
- Summary of Assets

Assets                                                                 Book    Estimated to
                                                                       Value     Realise
                                                                         £           £




Assets specifically pledged
                                                                                           Nil



Assets not specifically pledged

                                                                                           Nil




Estimated total assets available for preferential creditors
                                                                                         None




Signature    C.       L       L           Date   1   December   2014
‘Summary of Liabilities
                                                                                        Estimated
                                                                                        to realise
                                                                                               £

              Estimated total assets available for preferential
                    creditors (carried from page A)                                 £          None
                                                                        £               —
Liabilities
  Preferential creditors —- Employees —Holiday Pay



Estimated deficiency/surplus as regards preferential creditors                      £          None
                                                                        £
Estimated prescribed part of net property where applicable
(to carry forward)                                                            N/A

Estimated total assets available for floating charge holders                        £          None
                                                                        £
Debts secured by floating charges -




Estimated deficiency/surplus of assets after floating charges                       £          None

Estimated prescribed part of net property where applicable
(brought down)                                                          £

Total assets available to unsecured creditors                                       £          None
                                                                        £
Unsecured non-preferential claims (excluding any shortfall to
floating charge holders)
                                                                                            (57,204)

Estimated deficiency/surplus as regards non-preferential creditors      £                   (57,204)
(excluding any shortfall to floating charge holders)

Shortfall to floating charge holders (brought down)                     £

Estimated deficiency/surplus as regards creditors                       £                   (57,204)

Issued and called up capital                                      £                                (2)


Estimated total deficiency/surplus as regards members                           £           (57,204)




Signature      C)     : L       ¢                      Date 1 December 2014
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