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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

                                                                                                      03840778


                            Name of Company


                              Corrugated Beam      Form Limited


                            |/We

                            Catherine Lee-Baggaley, 1st Floor, Consort House, Waterdale, Doncaster, DN1         3HR

                            lan Michael Rose, 1st Floor, Consort House, Waterdale, Doncaster, DN1        3HR




                            the liquidator(s) of the above named company attach a statement of the company affairs
                            as at 02 April 2015




                            Signed                                              Date           02 April 2015


                            Silke & Co Limited
                            1st Floor
                                                                                       For a       Use
                            Consort House                              Insolvency Section             Post Room




                                                                             fi cu
                            Waterdale
                            Doncaster
                            DN1 3HR

                            Ref      CJ5NC/CLB/MR/JCE
Software Supplied by Turnkey Computer Technology Limited   Glasgow                              voroarot 5            #104
                                                                                            COMPANIES HOUSE
Rule 4 34-CVL                                                                           Form 419

                Statement of Affairs’

                Statement as to affairs of

                Corrugated Beam Form Limited

                on the 2 April 2015 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                Da we           Sorta

                oc                           LP Sie
                Dated                        Lf 4 /; 5
Corrugated Beam Form Limited
Statement Of Affairs as at 2 April.2015

A - Summary of Assets
                                                                               Estimated to
Assets                                                          Book Value        Realise
                                                                      £             £

Assets subject to fixed charge.

Assets subject to floating charge’

Uncharged assets.
Plant & Machinery                                                   4,006 03                     450 00
Office Furniture & Equipment                                          731 53                       80 00
Motor Vehicle                                                      12,627 71                   4,400 00
Cash at Bank                                                       12,618 22                  12,618 22
Overdrawn Director's Loan Account                                 28,203 00                   Uncertain
Overdrawn Shareholder Loan Account                                42,547 00                   Uncertain

Estimated total assets available for preferential creditors                                   14,548 22




Signature     Uf    Sed                             Date      2h, Ly 135
Corrugated Beam Form Limited
Statement Of Affairs as at 2 April 2015,

A1 - Summary of Liabilities
                                                                                                      Estimated to
                                                                                                           Realise
                                                                                                                   £

Estimated total assets available for preferential creditors (Carried from Page A)                         14,548 22

Liabilities
     Preferential Creditors -
                                                                                                                 NIL
Estimated deficiency/surplus as regards preferential creditors                                            14,548 22

Debts secured by floating charge pre 15 September 2003
Other Pre 15 September 2003 Floating Charge Creditors
                                                                                                                NIL
                                                                                                          14,548 22

Estimated prescribed part of net property where applicable (to carry forward)                                   NIL
Estimated total assets available for floating charge holders                                              14,548 22

Debts secured by floating charges post 15 September 2003
                                                                                                                 NIL
Estimated deficiency/surplus of assets after floating charges                                             14,548 22

Estimated prescribed part of net property where applicable (brought down)                                       NIL
Total assets available to unsecured creditors                                                             14,548 22

Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
        Trade & Expense                                                                    7,500 00
         Natwest Bank Pic (Credit Card)                                                      850 00
         HM Revenue & Customs                                                            103,005 31
                                                                                                         111,355 31
Estimated deficiency/surplus as regards non-preferential creditors
(excluding any shortfall in respect of F C's post 14 September 2003)                                     (96,807 09)

Estimated deficiency/surplus as regards creditors                                                        (96,807 09)

Issued and called up capital
        Ordinary Shareholders                                                              4,000 00
                                                                                                            1,000 00
Estimated total deficiency/surplus as regards members                                                    (97,807 09)




Signature JVA bt                                      Date    2/ 4h; a
    Silke & Co Limited
    Corrugated Beam Form Limited     |.
    A5 - Unsecured Creditors Statement of Affairs Figures


    Key           Name                                                                      £

    Ccl00         Inspired Accountants Ltd                                         2,140 00
                  4, Parkside Court
                  Greenhough Road
                  Lichfield
                  Staffordshire
                  WS13 7AU
    CNOO          Natwest Bank Ple (Credit card)                                     850 00
                  1st Floor
                  10 Brindley Place
                  Birmingham
                  B1 2TZ
    CNO1          NGR Transport                                                    4,160 00
                  16 Norton Grange
                  Norton Canes
                  Cannock
                  Staffordshire
                  WS11 9QZ
    cvoo          HM Revenue & Customs                                          103,005 34
                  Debt Enforcement, Durrington Bridge House
                  Barrington Road
                  Worthing
                  West Sussex
                  BN12 4SE
    Ccwoo0        Walsall Council                                                  1,200 00
                  Business Rates Service
                  Walsall Council
                  PO Box 23
                  Walsall
                  WS1    1TW


    5 Entries Totalling                                                         111,355 31

    @ - Denotes associate creditor




|   Signature        JL.            abr               >/4       / y
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