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Rule 4 34                                                                                                             Form 4 20




                                                                                           S.95/99
                     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
                                                                                                      |         08611139          |
                                Name     of Company
(a) Insert full name of         (a) The Lazy Cow Midlands Limited
company


(b) Insert full name and        We     (b)
 addresses                      Andrew Fender
                                1071 Warwick Road
                                Acocks Green
                                Birmingham
                                B27 6QT

(c) Insert date                 the liquidator of the above-named company       attaches a statement of the company’s
                                affairs as at (c) 22 January 2015




                                Signed                                              Date   (26 January 2015



                                                                                           For Official Use
Presenter's name




                                                                                     wd
                                1071 Warwick Road                           Liquidation Section             Post Room
address and reference
Of any)                         Acocks Green
                                Birmingham
                                B27 6QT
                                                                        WEDNESDAY




                                                                                               28/01/2015          #277
                                                                                           COMPANIES HOUSE
Rule 4 34-CVL                                                                     Form 4 19


                Statement of Affairs


                Statement as to affairs of The Lazy Cow Midlands Limited


                on 22 January 2015 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     (bass          SKPAS.

                       Signed            Cee

                       Dated           22     Jamnrc        ~     210        —~




Signature                                                       Date
The Lazy Cow Midlands Limited

A- Summary    of Assets

Assets                                                        Book Value                 Estimated to Realise

Assets subject to fixed charge.
None                                                                       Nil                                     Nil

Assets.
Inter Company Accounts                                                  6,000                                   6,000

Estimated total assets avatlable for preferential creditors                                                     6,000




Signature                                                        pate    C2      ‘ Ol,   CS
A1 - Summary of liabilities


                                                                                               Estimated to Realise


Estimated total assets available for preferential creditors
(carried from page A)
                                                                                                                      6,000

Preferential creditors
None                                                                                                  Nil
Total Preferential Claim                                                                                                 Nil
Estimated deficiency / surplus as regards preferential creditors                                                      6,000



Estimated total assets available for floating charge holders


Debts secured by floating charges
None                                                                                                  Nil


Estimated deficiency/surplus of assets after floating charges

Total assets available to unsecured creditors

Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
 Trade Creditors                                                                                (17,588)
 HM Revenue & Customs (PAYE)                                                                    (15,351)
 HM Revenue & Customs (VAT)                                                                     (34,812)
                                                                                                                 (67,751)

Estimated surplus / deficiency as regards non-preferential creditors     £                                       (61,751)
Issued and called up capital
Ordinary
                                                                                                                         (2)
Estimated total deficiency / surplus as regards members                                                         (61,753)




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