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                                                                                                             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
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"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)




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