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
02609058
Name of Company
Formula Business Forms Limited
|/We
Scott Christian Bevan, 45 Church Street, Birmingham, B3 2RT
Simon David Chandler, 45 Church Street, Birmingham, B3 2RT
the liquidator(s) of the above named company attach a statement of the company affairs
as at 13 May 2015
Signed Date 13 May 2015
ne
;
=a
Mazars LLP
45 Church Street For Official Use
HEATON
Birmingham In
Ref FORMULA/scb/SDC/EH/HZB/AZH
18/05/2015 #109
Software Supplied by Tumkey Computer Technology Limited Glasgow COMPANIES HOUSE
Rule 4 34-CVL Form 4 19
Statement of Affairs
Statement as to affairs of
Formula Business Forms Limited
on the 13 May 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 J hme Can nh
Signed S15
Dated \2,| OF | t s
Formula Business Forms Limited
Statement Of Affairs as at 13 May 2015
A- Summary of Assets
Estimated to
Assets Book Value Realise
£ £
Assets subject to fixed charge
Book Debts 401,888 93 304,011 61
Lloyds Bank Commercial Finance (331,474 16)
Deficiency c/d (27,462 55)
Plant & Machinery 185,102 00 70,000 00
Liberty Leasing Limited (71,621 00)
Deficiency c/d (1,621 00)
Assets subject to floating charge
Plant & Machinery 2,000 00 500 00
Furniture & Equipment 272 00 NIL
Uncharged assets’
Estimated total assets available for preferential creditors 500 00
f
Signature &—4, Date 12/ Osis
Formula Business Forms Limited
Statement Of Affairs as at 13 May 2015
A1 - Summary of Liabilities
Estimated to
Realise
£
Estimated total assets available for preferential creditors (Carried from Page A) 500 00
Liabilities
Preferential Creditors -
Employees Wage Arrears & Holiday Pay 23,302 02
23,302 02
Estimated deficiency/surplus as regards preferential creditors (22,802 02)
Debts secured by floating charge pre 15 September 2003
Other Pre 15 September 2003 Floating Charge Creditors
NIL
(22,802 02)
Estimated prescribed part of net property where applicable (to carry forward) NIL
Estimated total assets available for floating charge holders (22,802 02)
Debts secured by floating charges post 15 September 2003
NIL
Estimated deficiency/surplus of assets after floating charges (22,802 02)
Estimated prescribed part of net property where applicable (brought down) NIL
Total assets available to unsecured creditors (22,802 02)
Unsecured non-preferential claims (excluding any shortfall to floating charge holders)
Deficiency b/d 29,083 55
Trade & Expense Creditors 274,523 60
Employees Redundancy Pay & Lieu of Notic 88,787 92
HMRC re VAT 72,254 02
HMRC re PAYE/NI 32,482 71
497,131 80
Estimated deficiency/surpius as regards non-preferential creditors
(excluding any shortfall in respect of F.C’s post 14 September 2003) (519,933 82)
Estimated deficiency/surplus as regards creditors (519,933 82)
Issued and called up capital
Ordinary Shareholders 100 00
100 00
Estimated total deficiency/surplus as regards members (520,033 82)
Signature Date !S | os is
Mazars LLP
Formula Business Forms Limited
A2 - Secured Creditors Statement of Affairs Figures
Key Name £
CLO2 Liberty Leasing 71,621 00
Liberty House
Brook Avenue
Warsash
Southampton
SO31 9HP
CLO3 Lloyds Bank Commercial Finance Limited 331,474 16
No | Brookhill Way
Banbury
Oxon
OX16 3EL
2 Entries Totalling 403,095.16
Signature
Mazars LLP
Formula Business Forms Limited
A4 - Preferential Creditors Statement of Affairs Figures
Key Name £
CEO! Employees 23,302 02
1 Entries Totalling 23,302 02
Signature Sa: A
Mazars LLP
Formula Business Forms Limited
AS - Unsecured Creditors Statement of Affairs Figures
Key Name £
C000 02 000
Correspondence Department, Houghton Regis
PO Box 202
LU6 9AG
CA00 Anca Industrial 209 46
Unit D4b Coombswood Business Park
Coombswood Way
Halesowen
CAOI AA Packaging 1,850 69
Liverpool Road
Walmer Bridge
Preston
Lancashire
CA02 Automail Envelopes 316 80
Unit 10
Saltbrook Trading Estate
Saltbrook Road
Cradley Heath
B63 2QJ
CA03 Autoguard Alarms 727 20
125 Bridgenorth Road
Wollaston
Stourbridge
West Mids
DY8 3NX
CA04 Active Carriers 6 258 60
46 Coneygre Ind Est
Tipton
DY4 8XF
CAQS Allmake Rollers 632 40
Unit B, Index House
Ty Coch Way
Cwmbran
Gwent
NP44 7HB
CA06 AmH Electronic Services 126 48
Unit 34b Dawley Trading Estate
Stallings Lane
Kingswinford
CA07 AR Byng 1,935 00
Casa Mia
Waresley Road
Hartlebury
Worcestershire
DY11 7XT
¢
Signature Kes
Mazars LLP
Formula Business Forms Limited
A5 - Unsecured Creditors Statement of Affairs Figures
Key Name £
CA08 Antalis Ltd 120,327 66
Gateway House
Interlink Way West
Coalville
Leics
LE67 1LE
CA09 ADT Fire Security 000
DD Administration , Security House The Summit
Hanworth Road
Sunbury-on-Thames
Middlesex
TW16 SDB
CBO00 BFS Pressroom Solutions 183 96
5 Pincents Kiln Ind Est
Pincents Lane
Calcot
Berks
RG31 78D
CBO1 Blue Mountain water 4074
PO Box 4104
Birmingham
B16 8DQ
CBO2 Britush Telecom 305 15
Insolvency Unit, Department W
Durham TE
Providence Row
Durham
DH! IRR
CBO03 Black Country Pallets 855 00
GONE AWAY
Ccco0 Charter Business Forms 2,202 37
Umit 12b Harris Ind Park
Hanbury Road
Stoke Pnor
Bromsgrove
B60 4AD
ccol Corrugated Box Supplies 2,884 05
Swaran House
Kelvin Way
West Bromwich
B70 7LG
CC02 CP Graphics 1,904 27
Unit 89 Leyland Ind Est
Irthlngborough Road
Wellingborough
Northampton
Signature { rs
Mazars LLP
Formula Business Forms Limited
AS - Unsecured Creditors Statement of Affairs Figures
Key Name
CC03 City Electrical Factors 115 78
Midland Division
1 Alpha House
Farmer Ward Road
Kenilworth
CV8 2 ED
CC04 Terry Cooper Services (1985) 50 50
85 Armold Road
Basford
Nottingham
NG6 0EE
CD00 DF Logistics Solutions Ltd 168 00
Crown Works
Anne Road
Smethwick
Birmingham
CD01 Devaneys Haulage Ltd 1,398 00
Ryders Green Road
West Bromwich
B70
CD02 Digital Copiers Direct Ltd 152 48
33 Durston Close
Amungton
Tamworth
B77 3QG
CD03 Dudley MBC 000
Revenue Services
PO Box 3
Dudley
DY! 1HG
CE0O E-On 1,966 50
Gniffin Court
Pheontx Bus Park
Nottingham
NG8 6AT
CEO1 Employees 88,787 92
CFO00 FRIP Finishing Ltd 1,216 43
Unit 6 Sterling Park
Jacknell Road
Dodwells Bridge Ind Est
Hinckley
Leics LE10 3BS
CFO1 Fellgrind Limited 403 20
14 Izons Ind Est
Oldbury Road
West Bromwich
B70 SBS
‘
Signature Ge
Mazars LLP
Formula Business Forms Limited
A5 - Unsecured Creditors Statement of Affairs Figures
Key Name
CFO02 First Found 000
St James Buildings
Oxford Street
Manchester
M1 6FQ
CG00 Green Street Bindery 1,800 72
Horspath Trading Centre
Pony Road
Oxford
OX4 2RD
CG01 Greenwood & Co 0 00
16 Birmingham Road
Walsall
WS12NA
CHO00 H M Revenue & Customs 72,254 02
National Insolvency Unit
Sth Floor Regian House
James Street
Liverpool
L75 1AD
CHO1 HM Revenue & Customs 32,482 71
Room BP3202, Warkworth House
Benton Park View
Longbenton
Newcastle upon Tyne
NE98 1Z2Z
C100 TIntuprint Ltd 816 11
Tame Valley Industrial Estate
Wilnecote
Tamworth
B77 5DQ
Cl01 Intuitrve Computer Management 2,142 04
Cradley Enterprise Centre
Maypole Fields
Halesowen
C102 ING Lease 000
60 High Street
Redhill
Surrey
RH1 INY
C100 John Price Printers 2,485 20
Brook Street
Bilston
WV14 ONW
r
Signature (a ’
Mazars LLP
Formula Business Forms Limited
A5 - Unsecured Creditors Statement of Affairs Figures
Key Name £
CJOl JF Machines 1,099 20
Unit 4 Cross Court Ind Est
Cross St
Kettering
Northants
NN16 9BN
CK00 Kennedy Grinding Ltd 297 96
Unit 1 Shrewsbury Road
Craven Arms
Shropshire
SY7 9QH
CKOI Konica Minolta Business Solutions 4,145 05
Miles Gray Road
Basildon
Essex
SS14 3AR
CK02 KD Electrical Co Ltd 1,573 22
Lyde Green
Cradley
Halesowen
B63 2PG
CKO3 Phil Knights 129 00
2 The Croft
Old Road
Wittington
Worcestershire
CLOO Litho Supplies (UK) Ltd 1,182 92
Units 1-2 Ashbourne Court, Manners Avenue
Manners Ind Est
Ilkeston
Derbyshire
De? 8EF
CLO1 Lowes Transport (B'ham) Ltd 1,234 80
Powke Lane
Rowley Regis
Warley
B65 OAL
CM00 Midwest Fork Lift Services 2,604 00
Blackheath Trading Est
Cakemore Road
Rowley Regis
Warley
CM01 AJ Mucklow & Co Ltd 9,405 00
60 Whitehall Road
Halesowen
B63 3JS
Signature c ‘ tH
Mazars LLP
Formula Business Forms Limited
AS - Unsecured Creditors Statement of Affairs Figures
Key Name £
CM02 Masart Print & Design 13,869 84
24 Sunbury Road
Halesowen
B63 4DH
CM03 MNB Mould Services Ltd 6,648 00
Unit 2B, Tamebridge Ind Est
Aldndge Road
Perry Barr
Birmingham
B42 2TX
CM04 Mercedes Benz Finance 000
Tongwell
Milton Keynes
MKI15 8BA
CM05 Marlowe Digital 000
20 Abbotts Business Park
Primrose Hill
Kings Langley
Hertfordshire
WS4 8FR
co00 Johnson Oils 770 96
Suite 12 Vision Point
Vaughan Trading Estate
Sedgley Road East
Tipton
CP00 Premmer Paper Group 50,298 S56
Midpoint Park
Kingsbury Road
Minworth
Birmingham
B76 1AF
CPOl PTS Castleford 1,442 97
Gilcar Way
Wakefield Europort
Castleford
WF10 5QS
CROO Rentokil 106 59
GONE AWAY
CROI Red Hot Vending 400 60
31/33 Reform Street
Freetown Way
Hull
E Yorks
CRO2 RM (Rotary Services) Ltd 1,287 08
New Lane
Havant
Hampshire
POS 2LT
Signature Ly
Mazars LLP
Formula Business Forms Limited
AS - Unsecured Creditors Statement of Affairs Figures
Key Name £
CRO3 Reel Print (Register Sets) Ltd 2,734 80
Unit 13 Lanesfield Drive
Off Spring Road
Wolverhampton
WV4 6UA
CS00 SITA uk Ltd 329 45
301-303 Parkway
Worle
Weston-Super-Mare
BS22 6WA
CSOl South Staffs Water (49 21)
Green Lane
Walsall
WS2 7PD
CS02 Service Offset Supplies Ltd 4,667 58
Oakwood Hill Ind Est
Oakwood Hill
Loughton
Essex
1G10 3TZ
CS03 Solas uk Ltd 139 75
GONE AWAY
CS04 Springpack 274 75
Racecourse Road
Pershore
Worcestershire
WRIO 2EY
CSOs Sovereign Office Equipment 1,402 23
Unit 14
Mucklow Hill Trading Est
Halesowen
B62 8DR
CS06 Servaheat 682 25
Bagnall St Ind Est
George Henry Road
Great Bridge
Tipton
CS07 Screamers Ltd 916 20
Globe House
Park Lane
Halesowen
B63 2RA
CS08 Savory Paper Ltd 12,958 05
Soverign House
Brackmills
Northampton
NN4 7JE
Signature ff. ,
Mazars LLP
Formula Business Forms Limited
A5 - Unsecured Creditors Statement of Affairs Figures
Key Name
C809 Sage (UK) Limited
North Park
Newcastle Upon Tyne
NE13 9AA
CT0O Tooles Transport (2 00)
Rushock Trading Est
Droitwich Road
Rushock
Worcestershire
cuoo United Eco Services Ltd 404 84
United House
Spring Copse Business Park
Shnfold
Horsham
West Sussex
Cu0l UPS (94 03)
UPS House Forest Road
Feltham
Middlesex
TW13 7DY
Cwo00 Warley Carriers 174 00
Oldbury Road
West Bromwich
B70 9DP
cwol Whitethorne Graphics 14 40
41 Chadwell Heights
Lichfield
WS13 6BH
72 Entries Totaling 468,048.25
@ - Denotes associate creditor
Signature
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