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...


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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
