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Rule 4 34-CVL The Insolvency Act 1986                                                   Form 4 20




                                 5.95/99
STATEMENT OF COMPANY'S AFFAIRS
Pursuant to Section 95/99 of the Insolvency Act 1986


                                                                     For official use




                                                                     Company Number

                                                                       01212029
To the Registrar of Companies Company Number

STEELFORM        LIMITED

(Insert full name(s) and address(es)]

| JM Titley and M Maloney the Joint Liquidators of the above named Company, attach a
statement of the Company's affairs as at 19 February 2013

                 J    —
Signed               cat                          Date      19 February 2013




Presentor's name, address and reference (if
any)

                                         For official use
Leonard Curtis




am                                                                      wa     COMPANIES HOUSE
Rule 4 34-CVL                                                                                         Form 4 19




                     Statement of Affairs


                     Statement as to affairs of

                     STEELFORM LIMITED
                     on the 19 February 2013 being a date not more than 14 days before 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        Cant]       . Qaue/




                     Signed   ..




                     Dated                i4s{2o13        a




 CVLMF419 06-04-10
STEELFORM LIMITED

                                                                                                            APPENDIX |

                      DIRECTOR’S ESTIMATED STATEMENT OF AFFAIRS AS AT 19 FEBRUARY 2013

                                                              Book value                        Estimated to Realise
                                             Note      £                    £                     £               £
Assets specifically pledged
None                                                          Nil                                     Nil
Less fixed charge holder                                   (Nia)                                   (Nia)
Surplus / (Shortfall) c/fwd                                   Nil                                     Nil

Assets not specifically pledged
Cash at bank                                   1       30,095                                    30,095
Cash at bank (Debtors)                         2       17,199                                    17,199
Debtors / Retentions                           3        7,260                                      3,630
PAYE Refund                                    4        4,553                                 Uncertain
                                                                           59,107                                50,924
Preferential creditors
Employee claims / ERA 2006 claims (est }       5                              (Nil)                                 (Nil)
Net property available for prescribed part                                 §9,107                                50,924

Less: Prescribed part calculation              6                             (Nia)                                 (Nia)
Available for floating charge creditor                                     59,107                                50,924
Shortfall c/fwd                                                               (Nil)                                 (Nu)
Surplus / (shortfall) c/fwd                                                59,107                                50,924

Add back prescribed part                                                      Nia                                    Nia
Available for ordinary unsecured creditors                                 59,107                                50,924

Ordinary Unsecured creditors
Employee claims / ERA 2006 claims (est )       5      (21,000)                                   (21,000)
H M Revenue & Customs — PAYE / NI (est )       7      (20,000)                                   (20,000)
H M Revenue & Customs - VAT (est )             7      (24,000)                                   (24,000)
Director’s Loan Account                        8      (11,510)                                   (11,510)
Trade and expense creditors (est.)             9      (10,394)                                   (10,394)
Total value of unsecured creditors                                         (86,904)                              (86,904)
 Estimated deficiency as regards creditors                                 (27,797)                              (35,980)
 Issued share capital                                                         (100)                                 (100)
 Estimated deficiency as regards members                                   (27,897)                              (36,080)




               \\ \
  Signed                                                                   19 February 2013
           Mr Gary Pulley
STEELFORM LIMITED



                                                                                                             APPENDIX II

                                     NOTES TO THE ESTIMATED STATEMENT OF AFFAIRS

All book values have been taken from the Company's latest financial information or from valuations obtained from
independent valuers It should be noted that the no provision has been made for the costs of preparation of the same,
the costs of convening the meetings of members and creditors, agents’ costs or the costs and expenses of the
Liquidation


          Cash at Bank
          The book value of the cash at bank has been provided by the director from the Company’s books and records
          and ts made up of cash at bank The cash at bank ts estimated to be realisable in full, subject to any accrued
          bank charges or interest to be applied to the account
          Cash at Bank (Debtors)
          The cash at bank (debtors) relate to debtors received and passed to Leonard Curtis in the pre-liquidation
          period, which are currently being held, to be passed to the appointed liquidators
          Debtors / Retentions
          The book value of the debtors and retentions has been provided from information from the director and from
          Information in the Company's books and records A general provision of 50% has been applied in respect of
          bad/doubtful debts
          PAYE Refund
          The director has indicated that a PAYE refund |s due to the Company in the sum of £4,553        The estimated to
          realise value has been shown as uncertain for the purpose of the Statement of Affairs as itis likely to be set off
          against crown arrears
          Preferential creditors
          The Company had 9 employees who will be entitled to claim arrears of pay and holiday pay (subject to certain
          limits) from the Redundancy Payments Office ("RPO") (a government department) The RPO will then lodge a
          preferential claim against the Company in respect of the payments it has made The Employees have been paid
          up to date in respect of wages and holiday pay and no provision has been made for preferential claims
          Employees will also be able to lodge redundancy claims and compensation claims under the Employment
          Rights Act 1996, as amended         An estimated provision for these claims has been made as shown tn the
          statement of affairs, the provision should not be regarded as an agreed amount
          Prescribed part
          As the Company has no unsatisfied post-Enterpnse Act charges, there will be no requirement to set aside a
          prescribed part in this case
          The method of caiculating the prescnibed part 1s given below
          Where the net property does not exceed £10,000
          50% of that property
          Where the net property exceeds £10,000
          50% of the first £10,000, plus 20% of the property which exceeds £10,000, up to a maximum prescnbed part of
          £600,000




                  Vv
 Signed                                                                         19 February 2013
              r        Gary Pulley
STEELFORM LIMITED




1.            H M Revenue & Customs - PAYE / NI & VAT
              The liabihty to HMRC in respect of unpatd PAYE, NIC and VAT has been extracted from the Company's books
              and records The outstanding liabilities are in respect of the following penods
              PAYE /NIC ~ 2012/13
              VAT - 2012/13
8.            Director’s Loan Account
              The value of the director's loan account has been provided by the director from the Company's books and
              records   The value shown in the statement of affairs should not be regarded as agreed amount
9.            Trade and expense creditors
              Details of the Company's trade and expense creditors have been extracted from the Company's books and
              records A detailed list of these amounts has been provided at Appendix Ill The amounts shown should not be
              regarded as agreed




     Signed                                                                       419 February 2013
STEELFORM LIMITED

                                                               APPENDIX Il

                    SCHEDULE OF CREDITORS

See attached list




 Signed                                     19 February 2013
B - Company Creditors                                      Page          1



Code            Name & Address                                    Amount of Debt

coo01           Advanced Stee! Services Limited                          £280 08
                South Ribble Ind Est
                Grove Road
                Walton Le Dale
                Preston
                 PR5 4AJ
C0002            baap Ind Supplies (Lancs) Limited                       £115 20
                 The Trafalgar Centre
                 Belfield Road
                 Rochdale
                 OL16 2UX


C0003            Boc                                                         £133 74
                 Customer Service Centre
                 PO Box 12
                 Priestley Road
                 Worsley
                 Manchester
                 M28 2UT
C0004            BWI Industries                                         £1,610 03
                 Lanaster Road
                 Carnaby Ind Est
                 Birdlington
                 Yorkshire
                 YO15 30Y
C000s            Barclay & Mathieson Limited                            £1,403 40
                 Unit 1 Eaton Ave
                 Matrix Park
                 Buckshaw Village
                 Chorley
                 Lancashire
                 PR7 7NA
C0006            Cromadex                                                    £108 48
                 26th Floor
                 Portiand House
                 Bressenden Place
                 London
                 SW1E 5BG
C0007            Daisy Communications                                        £123 41
                 Daisy House
                 Lindred Road Business Park
                 Nelson
                 Lancs
                 BB9 5SR
C0008            Falcon Panel Products Limited                          £1,635 66
                 Clock House
                 Station Approach
                 Shepperton
                 Middlesex
                 TW17 8AN




                  Signature                          bate 46: (4 2\ 2013
 $875Q
B - Company Creditors                                  Page          2



Code             Name & Address                               Amount of Debt

co009            British Gas                                             £91 82
                 Spinneyside
                 Penman Way
                 Grove Park
                 Leicester
                 LE19 18Z
C0010            Jonn Chorley & Co Lmiterd                         £3,309 87
                 Dallam Lane
                 Warrington
                 Cheshire
                 WA2 7PZ


c0011            Martindale Ind Fasteners Ltd                        £175 13
                 Unit 3D Shay Lane Ind Est
                 Longridge
                 Preston
                 Lanes
                 PR3 3BT
C0012            Pitlar Wedge                                            £840 62
                 Stafford Street
                 Willenhall
                 West Midlands
                 WV13 1RZ


C0013,           Bnggs Equipment UK Limited                              £439 05
                 Po Box 3777
                 Orbital 7
                 Orbital Way
                 Cannock
                 WS11 BXW
C0014            Travis Perkins                                           £54 94
                 PO Box 5227
                 Northampton
                 NN5 7ZE



 C0015           Vindor Limited                                           £72 42
                 Trafford Park
                 Trafford Wharf Road
                  Manchester
                  M17 1BS


 C0016            Gary Pulley                                      £11,510 00
                  5 Meadway
                  Sale
                  M33 4PG




                  Signature                     Date   talaliors

 $875Q
B - Company Creditors                      Page          3


Code             Name & Address                   Amount of Debt

C0017            HM Revenue & Customs                 £20,000 00
                 Durrington Bridge House
                 Barrington Road
                 Worthing
                 West Sussex


C0018            HM Revenue & Customs                 £24,000 00
                 Durrington Bndge House
                 Barrington Road
                 Worthing
                 West Sussex


C0019            Redundancy Payments                  £21,000 00




                 TOTAL CREDITORS’ CLAIM               £86,903 85




                 Signature
 $875Q