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In accordance with Section 859L of the Companies Act 2006. MR04 Statement of satisfaction in full or in part of a charge What this form is for You may use this form to register or in part of a mortgage or charge against a company. You may not use this form to register a statement of satisfaction in full or in part of a mortgage or charge against an LLP. Use form LL MR04. Company details Filling in this form Please complete in typescript or in bold black capitals. Use form LL MR04. Company details Filling in this form Please complete in typescript or in bold black capitals. Company number Company name in full All elds are mandatory unless speci ed or indicated by Charge creation When was the charge created Before 06/04/2013. You may not use this form to register a statement of satisfaction in full or in part of a mortgage or charge against an LLP. Use form LL MR04. Company details Filling in this form Please complete in typescript or in bold black capitals. Company number Company name in full All elds are mandatory unless speci ed or indicated by Charge creation When was the charge created Before 06/04/2013. Complete Part A and Part C On or after 06/04/2013. Complete Part B and Part C Part A Charges created before 06/04/2013 A1 Please give the date of creation of the charge. A2 d m y Description of instrument if any Please give a description of the instrument if any by which the charge is created or evidenced* Continuation page Please use a continuation page if you need to enter more details. Instrument description Version 1 A3 Short particulars of the property or undertaking charged Part B B1 Charge code Part C To be completed for all charges C1 Satisfaction I con rm that the debt for the charge as described has been paid or satis ed* Please tick the appropriate box. In full In part C2 Details of the person delivering this statement and their interest in the charge Forename s Surname Building name/number Street Post town County/Region Postcode Person s interest in the charge C3 Signature Please sign the form here. Where to send You may return this form to any Companies House address. However for expediency we advise you to return it to the appropriate address below For companies registered in England and Wales The Registrar of Companies Companies House Crown Way Cardiff Wales CF14 3UZ. DX 33050 Cardiff* Fourth oor Edinburgh Quay 2 139 Fountainbridge Edinburgh Scotland EH3 9FF* DX ED235 Edinburgh 1 or LP - 4 Edinburgh 2 Legal Post. Second Floor The Linenhall 32-38 Linenhall Street Belfast Northern Ireland BT2 8BG* DX 481 N*R* Belfast 1. Company number Company name in full All elds are mandatory unless speci ed or indicated by Charge creation When was the charge created Before 06/04/2013. Complete Part A and Part C On or after 06/04/2013. Complete Part B and Part C Part A Charges created before 06/04/2013 A1 Please give the date of creation of the charge. Complete Part A and Part C On or after 06/04/2013. Complete Part B and Part C Part A Charges created before 06/04/2013 A1 Please give the date of creation of the charge. A2 d m y Description of instrument if any Please give a description of the instrument if any by which the charge is created or evidenced* Continuation page Please use a continuation page if you need to enter more details. .

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