In accordance with Rules 6.2, 6.3 & 6.5 of the Insolvency (England [ | Q ¢ ? xa it Sectione95 & Wales) Rules & 992016of the. and NOtice HM of statement of affairs t Companies House Insolvency Act 1986. Mil sun on o/2oes COMPANIES HOUSE , 1 | Company details 2[e Company number [4 fofe[z2{1|2|2 > Filling in this form Please complete in typescript or in Company name in full | Nuform Limited bold black capitals. Liquidator’s name Full forename(s) Andrew Surname Dix 3 | Liquidator’s address Building name/number | 2nd Floor. Street | Milstrete House | 29 New Street Post town | Chelmsford County/Region | Essex Postcode c{[m{1]{ [a[nit Country | England 4 | Liquidator’s name o Use this section to tell us about Surname | another liquidator. 5 | Liquidator's address @ Building name/number | @ Other liquidator Use this section to tell us about Street | another liquidator. Post town | County/Region | Postcode rTP Prpppr Country | 04/17 Version 1.0 LIQO2 Notice of statement of affairs Date of statement of affairs = Fife fol [afofaps Statement of affairs ~ | attach: DO Statement of affairs by the liquidator under section 95(1A) of the Insolvency Act 1986 { Statement of affairs by a director under section 99(1) of the Insolvency Act 1986 C Statement of concurrence is I Sign and date Liquidator’s signature | Sisnamre X Signature date ['o [o1 Va 04/17 Version 1.0 LIQO2 Notice of statement of affairs | Presenter information BE important information You do not have to give any contact information, but if All information on this form will appear on the you do it will help Companies House if there is a query public record. on the form. The contact information you give will be visible to searchers of the public record. Contact name EJ Where to send ~~] Andrew Dix - Company name AD Business Recovery Limited You may return this form to any Companies House address, however for expediency we advise you to return it to the address below: | Address 2nd Floor The Registrar of Companies, Companies House, | Milstrete House Crown Way, Cardiff, Wales, CF14 3UZ. DX 33050 Cardiff. | 29 New Street | Post town Chelmsford County/Region Essex a a Country i | Further information England For further information please see the guidance notes |™ on the website at www.gov.uk/companieshouse Telephone or email enquiries@companieshouse.gov.uk [ 01245 673420 Checklist This form is available in an We may return forms completed incorrectly or alternative format. Please visit the with information missing. forms page on the website at Please make sure you have remembered the www.gov.uk/companieshouse following: (1 The company name and number match the information held on the public Register. O You have attached the required documents. 1 You have signed the form. This form has been provided free of charge by Companies House. 04/17 Version 1.0 Docusign Envelope ID: 55A73712-E3B2-4203-807B-84700CB803AF Statement of Affairs Statement as to affairs of Nuform Limited Company Registered Number: 10621228 on the 16 September 2025, 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. | understand that proceedings for contempt of court may be brought against anyone who makes, or causes to be made, a false statement in a document verified by a statement of truth without an honest belief in its truth. Full Name Rodney Green DocuSigned by: Signed Rody Grn Dated 16 September 2025 Dogusign Envelope ID: 55A73712-E3B2-4203-807B-8470DCB803AF Nuform Limited Company Registered Number: 10621228 Statement Of Affairs as at 16 September 2025 A - Summary of Assets Estimated to Assets Book Value Realise £ £ Assets subject to fixed charge: Assets subject to floating charge: Uncharged assets: Cash in Hand of Liquidator 6,000.00 6,000.00 Estimated total assets available for preferential creditors 6,000.00 DocuSigned by: Signature Rodney CUM [r Date 16 September 2025 Docusign Envelope ID: 554737 12-E3B2-4203-807B-8470DCB803AF Nuform Limited . Company Registered Number: 10621228 Statement Of Affairs as at 16 September 2025 Ai - Summary of Liabilities Estimated to Realise £ Estimated total assets available for preferential creditors (Carried from Page A) 6,000.00 Liabilities Preferential Creditors:- NIL Estimated deficiency/surplus as regards preferential creditors 6,000.00 2nd Preferential Creditors:- HM Revenue & Customs (VAT) 22,641.00 HM Revenue & Customs (PAYE) 26,475.00 49,116.00 Estimated deficiency/surplus as regards 2nd preferential creditors (43,116.00) Debts secured by floating charges pre 15 September 2003 Other Pre 15 September 2003 Floating Charge Creditors NIL (43,116.00) Estimated prescribed part of net property where applicable (to carry forward) NIL Estimated total assets available for floating charge holders (43,116.00) Debts secured by floating charges post 14 September 2003 NIL Estimated deficiency/surplus of assets after floating charges (43,116.00) Estimated prescribed part of net property where applicable (brought down) NIL Total assets available to unsecured creditors (43,116.00) DocuSigned by: Ko Gru 16 September 2025 Signature 5EB9B2277400458... Date Docusign Envelope !D: 55A73712-E3B2-4203-807B-8470DCB803AF Nuform Limited Company Registered Number: 10621228 Statement Of Affairs as at 16 September 2025 Ai - Summary of Liabilities Estimated to Realise £ Unsecured non-preferential claims (excluding any shortfall to floating charge holders) Trade & Expense Creditors 32,340.04 Banks/Institutions 111,859.03 Business-Rates 5,709.05 149,908.12 Estimated deficiency/surplus as regards non-preferential creditors (excluding any shortfall in respect of F.C’s post 14 September 2003) (193,024.12) Estimated deficiency/surplus as regards creditors (193,024.12) Issued and called up capital Share Capital 100.00 100.00 Estimated total deficiency/surplus as regards members (193,124.12) DocuSigned by: Signature [r Poduy Gren Date 16 September 2025 Docusign Envelope ID: 55A73712-E3B2-4203-807B-8470DCB803AF AD Business Recovery Limited Nuform Limited Company Registered Number: 10621228 B - Company Creditors Key Name Address £ CBOO British Gas Millstream, Maidenhead Road, Windsor, Berkshire, SL4 5GD 1,535.13 © CB02 Boxpark Limited BOXPARK HEAD OFFICE, 3RD FLOOR, 60 WORSHIP STREET, LONDON, EC2A 2EZ 5,213.93 CBO3 Barclaycard Barclays Bank, 6 Market Place, Bexleyheath, DA6 7DY 812.00 CB04 Barclays- Bounce Back Loan Barclays Bank, 6 Market Place, Bexleyheath, DA6 7DY 37,845.00 CFOO Funding Circle Moorcroft Debt, PO Box 172 Spring Gardens, Stockport, SK1 4AJ 24,760.00 CHOO HMRC-VAT VAT Controller, VAT Central Unit, BX5 5AT 22,641.00 CHO01 HMRC- PAYE HMRC, Centre 1, East Kilbride, Glasgow, G74 SHA 26,475.00 CPO0O Paypal Loan Account 5 Fleet Place, London, United Kingdom, EC4M 7RD 48 442.03 CROO Ralawise Ltd Zone 3, Deeside Industrial Park, Unit 112 Tenth Ave, Deeside, CH5 2UA 7,226.44 CRO1 Royal Mail Credit Management Centre, Stone Hill Road, Farnworth, BOLTON, BL4 9XX 18,364.54 CRO2 Royal Borough of Greenwich Business Rates, The Woolwich Centre, 35 Wellington Street, Woolwich, SE18 6HQ 5,709.05 11 Entries Totalling 199,024.12 DocuSigned by: Ko Grew Signature SE89B2277400458... Page 1 of 3 IPS SQL Ver. 2015.09 15 September 2025 15:18 Docusign Envelope ID: 55A73712-E3B2-4203-807B-8470DCB803AF AD Business Recovery Limited Nuform Limited B1 - Company Creditors - Employees & Directors Key Name Address Preff£ Unsec £ Total £ 0 Entries Totalling 0.00 0.00 0.00 DocuSigned by: Signature Rodney Chun Page 2 of 3 IPS SQL Ver. 2015.09 15 September 2025 15:18