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Rule 4 34-CVL                                                                                               Form 4 20

   The Insolvency Act 1986

   Statement of Company’s                                                   S             9       5/9          9
   Affairs                                                                            .
   Pursuant to Section 95/99 of the
   Insolvency Act 1986




   To the Registrar of Companies


                                                                                              Company Number

                                                                                              i     01495876



   Name of Company

             HARRIS CLAIMS GROUP               LIMITED



   I/We
             David Rubin
    of       David Rubin & Partners   ~*
             Pearl Assurance House
             319 Ballards Lane
             London N12 8LY

   the Liquidator of the above named company hereby attaches a statement of the Company’s affairs as
   at 13 March 2015           ra




    Signed                                                                 Date
                           \               .                                        Ae 5



   Presenter’s name address and                                            For official use




     =                                                             wi
   Reference (if any)                                Liquidation Section                 Post Room
     David Rubin & Partners
     Pearl Assurance House



   DX 57368      Finchley |
                                                                                  19/03/2015         #141
                                                                                   ANIES HOUSE
    Ref      DAR/EM/SHS/H957                                                come          I
Rule 4 34-CVL                                                                                                Form 4 19



                Statement of Affairs


                                   IN THE MATTER       OF THE INSOLVENCY ACT 1986



                 Name of Company                                                      Company Number
                                                                  7
                 HARRIS CLAIMS GROUP            LIMITED                                        01495876




                 Statement as to the affairs of ® Harris Claims Group Limited    of Assessor House, Daws Lane,
                 London, NW7 4ST




                Statement of Truth


                I believe that the facts stated in this statement of affairs and any continuation sheets are to the
                best of my knowledge a true statement of the affairs of the above named Company            as at 13
                March 2015, being a date not more than 14 days before the date of the resolution for winding-up
                         a




                Full Name    Mr Jonathan Samuelson




                Signed             *—       4



                om (2 [3's
                                HARRIS CLAIMS GROUP              LIMITED
                ESTIMATED       STATEMENT      OF AFFAIRS AS AT 13 MARCH              2015


                                                                           Book          Estimated
                                                                   Notes   Value         To Realise
                                                                             £               £
     ASSETS (SUBJECT TO FLOATING CHARGE)
     Cash at bank                                                           20,516             20,516
     Intercompany debt                                                      39,373             39,373
     $455 tax                                                        1     173,902            173,902
                                                                                              233,791


     UNSECURED       CREDITORS - as per list B attached
     FSPG Chartered Accountants                                              16,800
     HM     Revenue & Customs                                        1     185,848
                                                                                             (202,648)
     SURPLUS AVAILABLE TO CONTRIBUTORIES                                                       31,143




     SHARE CAPITAL
     Ordinary shares of £1 each fully paid                                                    (50,000)
     DEFICIENCY AS REGARDS            CONTRIBUTORIES                                          (18,857)




     NOTES
     | The Company ts insolvent on the basts that it cannot pay the S455 tax lability to HMRC
     which 1s overdue However, if any S455 tax 1s paid to HMRC tt will be repayable in view of
     the fact that the overdrawn Directors Loan Accounts have been repaid


     There are no known employee claims
     The costs of the Liquidation have not yet been calculated




Signature   TA                                                                        cae U2 [ is
                                  HARRIS CLAIMS GROUP LIMITED
                        ESTIMATED STATEMENT OF AFFAIRS AS AT 13 MARCH                2015


                                         A - SECURED CREDITORS


NAME                          ADDRESS.                                                         AMOUNT
                                                                                                  £
HSBC Bank Plc                 8 Canada Square, London, E14 SHQ
                              Created 29/06/2004, Registered at Compantes House   06/07/2004           Nil




                                        B - UNSECURED    CREDITORS


NAME                          ADDRESS                                                          AMOUNT
Trade and Expense Creditors                                                                       £
FSPG Chartered Accountants    21 Bedford Square   London WC1B 3HH                               16,800 00

Crown
HM Revenue & Customs          DMB 310, BX5 5AB                                                 185,848 11


Total Unsecured Liability                                                                      202,648.11




  eo I PJ,                                                                        a BRIS