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TO BE INSERTED INTO A PART 8 CLAIM FORM (FORM N208)

IN THE HIGH COURT OF JUSTICE

BUSINESS AND PROPERTY COURTS [OF ENGLAND AND WALES OR in [BIRMINGHAM/BRISTOL/LEEDS/LIVERPOOL/MANCHESTER/NEWCASTLE/WALES]

INSOLVENCY AND COMPANIES LIST (ChD)

COMPANIES COURT

In the matter of [INSERT NAME of company] [PLC OR LIMITED OR LTD]

and

IN THE MATTER OF THE COMPANIES ACT 2006

Claim no. [insert claim number]

Fee Account no. [insert fee account no.]

Help with Fees — Ref no. (if applicable) HWF-[insert rest of number]

Claimant

[insert name and address of company]

Defendant(s)

None

The claim does [not] include [any] issues under the Human Rights Act 1998.

Details of claim

1. 1. 1

      The Claimant was incorporated on [insert date] under the Companies Act [1985 OR 2006 OR [insert other]] as a [private OR public] company [limited by shares OR [insert other]] under the name [insert company name on incorporation]. [Insert dates and details of any name changes or re-registrations including the type of resolution passed and the date that it was passed].

   1. 2

      The registered office of the Claimant is [insert address].