Sub Total Any Other Assets & Liabilities (including Tax), in Which Borrower (or related entity (30)) Has Legal or Beneficial Interest Entity % of Asset or Liability Asset or Bank/ Value £ Valuation Valuation Debt Limit Debt Net Annual Annual Debt Servicing Annual Annual Debt Service Debt Expiry NAME OF ENTITY Ownership Location Liability Basis Date £ Drawn Value £ Income £ Holding Costs Surplus Cash Agreement Date To include Folio Description Tax Balance £ £ £ Interest £ Capital Total Number or details Repayment £ Commitment £ of predecessor /previous Owner (If applicable) Sub Total Other Income [All Other Income not Identified in Tables Above] NAME OF ENTITY Borrower % of Ownership Borrower Annual share of Borrower annual share of Borrowers Annual share of Income Source (31) Income Duration (35) Date of Last Return Tax Status Category (32) (33) (34) Income £ Holding costs £ Surplus Income £ (36) (37) Sub Total Overall Connection Net Worth and Liquidity Position Total Value (38) Total Liability (39) Net Value (40) Total Income (41) Total Repayment (42) Total Annual Holding Surplus Cash (44) Costs (43) £ £ £ £ £ £ £ Contingent Assets & (Liabilities) (including personal/corporate guarantees) nature of Contingent Asset or Liability (45) From (46) To (47) Amount £ (48) Due Date (49) Expiry Date Status (51) (50) (if any) Contractual Assets and Obligations Nature of Contract From To Amount £ Due Date Expiry Date Status (if any) Asset Transfers (52) To Third Parties since January 1st, 2006, including all transfers to Family and/or related in Good Faith to Independent, Unconnected Third Parties for Valuable Consideration at Full Open Market Value) parties (Other Than Arm’s Length Transactions Asset Location Asset Description From Entity % of To Value of Consideration for Date of Reason for Transfer (57) Ownership pre Asset £ Transfer (55) Transfer Transfer (53) (54) (56)
Sub Total Any Other Assets & Liabilities (including Tax), in Which Borrower (or related entity (30)) Has Legal or Beneficial Interest NAME OF ENTITY Entity % of Ownership Asset or Liability Location To include Folio Number or details of predecessor /previous Owner (If applicable) Asset or Liability Description Bank/ Value £ Valuation Basis Valuation Date Debt Limit £ Debt Drawn Balance £ Net Value £ Annual Income £ Annual Debt Servicing Annual Holding Costs £ Annual Surplus Cash £ Debt Service Agreement Debt Expiry Date Interest £ Capital Repayment £ Total Commitment £ Sub Total Other Income [All Other Income not Identified in Tables Above] NAME OF ENTITY Borrower % of Ownership Income Source (31) Borrower Annual share of Income £ (32) Borrower annual share of Holding costs £ (33) Borrowers Annual share of Surplus Income £ (34) Income Duration (35) Date of Last Tax Return (36) Tax Status Category (37) Sub Total Overall Connection Net Worth and Liquidity Position Total Value (38) Total Liability (39) Net Value (40) Total Income (41) Total Repayment (42) Total Annual Holding Costs (43) Surplus Cash (44) £ £ £ £ £ £ £ Contingent Assets & (Liabilities) (including personal/corporate guarantees) nature of Contingent Asset or Liability (45) From (46) To (47) Amount £ (48) Due Date (49) Expiry Date (if any) (50) Status (51) Contractual Assets and Obligations Nature of Contract From To Amount £ Due Date Expiry Date (if any) Status Asset Transfers (52) To Third Parties since January 1st, 2006, including all transfers to Family and/or related parties (Other Than Arm’s Length Transactions in Good Faith to Independent, Unconnected Third Parties for Valuable Consideration at Full Open Market Value) Asset Location Asset Description From Entity % of Ownership pre Transfer (53) To Value of Asset £ (54) Consideration for Transfer (55) Date of Transfer (56) Reason for Transfer (57)
120731_Statement_of_Affairs_Template__England_and_Wales_.docx