Orange Genie Pre-liquidation Questionnaire

1
1.1 Business name and former names (if any) of the company* This field is required.
2
1.2 Company Number* This field is required.
3
1.3 Your Full Name* This field is required.
First Name(s)
Last Name
4
1.4 Your Phone Number* This field is required.
Area Code
Phone Number
5
1.5 Your Email Address* This field is required.
example@example.com
6
1.6 Registered Office Address* This field is required.
Street Address
Street Address Line 2
Town/City
County
Post Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
1.7 Principal Place of BusinessPlease leave blank if this is the same as your Registered Office Address.
Street Address
Street Address Line 2
Town/City
County
Post Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
1.8 Proposed address where paperwork will be signedPlease leave blank if this is the same as your Registered Office Address.
Street Address
Street Address Line 2
Town/City
County
Post Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
1.9 Names, residential addresses and Date Of Birth for ALL directors of the company* This field is required.
Name
DOB
Address 1
Address 2
Town
County
Postcode
Dir 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Dir 2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Dir 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Dir 4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Dir 1
Dir 2
Dir 3
Dir 4
Name
Row 0, Column 0
DOB
Row 0, Column 1
Address 1
Row 0, Column 2
Address 2
Row 0, Column 3
Town
Row 0, Column 4
County
Row 0, Column 5
Postcode
Row 0, Column 6
Name
Row 1, Column 0
DOB
Row 1, Column 1
Address 1
Row 1, Column 2
Address 2
Row 1, Column 3
Town
Row 1, Column 4
County
Row 1, Column 5
Postcode
Row 1, Column 6
Name
Row 2, Column 0
DOB
Row 2, Column 1
Address 1
Row 2, Column 2
Address 2
Row 2, Column 3
Town
Row 2, Column 4
County
Row 2, Column 5
Postcode
Row 2, Column 6
Name
Row 3, Column 0
DOB
Row 3, Column 1
Address 1
Row 3, Column 2
Address 2
Row 3, Column 3
Town
Row 3, Column 4
County
Row 3, Column 5
Postcode
Row 3, Column 6
1 of 4
10
1.10 Detail a list of names, addresses and shareholdings of each shareholder of the company* This field is required.
Name
Date Of Birth
No & Class of Shares
Address 1
Address 2
Town
County
Postcode
Shareholder 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Shareholder 2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Shareholder 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Shareholder 4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Shareholder 1
Shareholder 2
Shareholder 3
Shareholder 4
Name
Row 0, Column 0
Date Of Birth
Row 0, Column 1
No & Class of Shares
Row 0, Column 2
Address 1
Row 0, Column 3
Address 2
Row 0, Column 4
Town
Row 0, Column 5
County
Row 0, Column 6
Postcode
Row 0, Column 7
Name
Row 1, Column 0
Date Of Birth
Row 1, Column 1
No & Class of Shares
Row 1, Column 2
Address 1
Row 1, Column 3
Address 2
Row 1, Column 4
Town
Row 1, Column 5
County
Row 1, Column 6
Postcode
Row 1, Column 7
Name
Row 2, Column 0
Date Of Birth
Row 2, Column 1
No & Class of Shares
Row 2, Column 2
Address 1
Row 2, Column 3
Address 2
Row 2, Column 4
Town
Row 2, Column 5
County
Row 2, Column 6
Postcode
Row 2, Column 7
Name
Row 3, Column 0
Date Of Birth
Row 3, Column 1
No & Class of Shares
Row 3, Column 2
Address 1
Row 3, Column 3
Address 2
Row 3, Column 4
Town
Row 3, Column 5
County
Row 3, Column 6
Postcode
Row 3, Column 7
1 of 4
11
2.1 Do Company’s Memorandum and Articles of Association differ from those on Companies House* This field is required.
Yes
No
Don't Know
12
2.1b Please attach a copy of your Company's Memorandum and Articles of Association
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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13
2.2 Are there any outstanding charges or other security granted by the company?* This field is required.
Yes
No
Don't Know
14
2.2b Please provide details
15
2.3 Has the Company provided any guarantees or warrantees for products/services provided, or third-party lending?* This field is required.
Yes
No
Don't Know
16
2.3b Please provide details
17
2.4 Has the company issued differing categories of share or entered into any share option agreements?* This field is required.
Yes
No
Don't Know
18
2.4b Please provide details
19
3.1 Does the Company have an open bank account?* This field is required.
Yes
No
Don't Know
20
3.1b Please provide details of the balance, account number and sort code
21
3.2 Does the Company own any office equipment, fixtures and fittings or other physical assets?* This field is required.
Yes
No
Don't Know
22
3.2b Please provide details of the physical assets
23
3.3 Is there a director’s loan account currently outstanding?* This field is required.
Yes
No
Don't Know
24
3.3b Please provide details of the amount due and the period(s) in which the loan was granted
25
3.4 Is the company owed any debts (including trade debts or tax refunds)?* This field is required.
Yes
No
Don't Know
26
3.4b Please provide details on any debt
27
3.5 Does the company hold any intellectual property rights, registered trademarks or patents?* This field is required.
Yes
No
Don't Know
28
3.5b Please provide details about intellectual property rights, registered trademarks or patents
29
3.6 Does the company own any freehold property or leasehold interests?* This field is required.
Yes
No
Don't Know
30
3.6b Please provide full details, including whether an Option to Charge VAT was made.
31
3.7 Has the Company disposed or sold off all or part of its business, or any property interests?* This field is required.
Yes
No
Don't Know
32
3.7b Please provide full details
33
4.1 Does the company owe any money to creditors?* This field is required.Including suppliers, accountants, directors, connected parties, HM Revenue & Customs
Yes
No
Don't Know
34
4.1b Please provide details including amounts owing the creditors name, address and value of what is owed
35
4.2 Does the company have any hire purchase, lease or other credit liabilities?* This field is required.
Yes
No
Don't Know
36
4.2b Please provide detailsIncluding type of agreement e.g. hire, lease and liability
37
4.3 Has the company ever operated a pension scheme for employees?* This field is required.
Yes
No
Don't Know
38
4.3b Please provide name of provider and contact details
Name of provider
Contact number
Contact email
39
4.4 Is the Company party to or subject to any open or uncompleted litigation proceedings?* This field is required.
Yes
No
Don't Know
40
4.4b Please provide details
41
4.5 Has the company declared any dividends which have not been paid to shareholders?* This field is required.
Yes
No
Don't Know
42
4.5b Please provide details
43
4.6 Has the company received or settled any Industrial Injury claims?* This field is required.
Yes
No
Don't Know
44
4.6b Please provide details
45
5.1 Please provide details of the Company’s Corporation Tax Registration Number and UTR* This field is required.
Corporation Tax Registration Number
UTR
46
5.2 Is the Company dormant for tax purposes and exempt from making Corporation Tax returns?* This field is required.
Yes
No
Don't Know
47
5.3 On what date did the company cease to trade?* This field is required.Please type in date below
48
5.4 Has a Corporation Tax period for the period to the cessation date shown previous been submitted?* This field is required.
Yes
No
49
5.4b Please attach a copy of your submission
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Max. file size: 10.6MB
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50
5.5 Has there been any profit, interest or other receipt since the cessation of trade which would prevent a nil liability return being submitted from date of cessation to liquidation?* This field is required.
Yes
No
Don't Know
51
5.5b Please provide details
52
5.6 Are any amounts of Corporation Tax remaining due for payment?* This field is required.
Yes
No
Don't Know
53
5.6b Please provide details
54
5.7 Is the Company due a refund for Corporation Tax already paid? (including any rebate of s.455 tax paid on director’s loans)* This field is required.
Yes
No
Don't Know
55
5.7b Please provide details
56
5.8 Please provide details of the Company’s VAT registration number (if applicable)* This field is required.
57
5.9 Was the Company a member of a VAT Group?* This field is required.
Yes
No
58
5.9b Please confirm the name of the representative member
59
5.10 Has the Company been de-registered for VAT, and all returns submitted up to de-registration?* This field is required.
Yes
No
Don't Know
60
5.10a What is the date of de-registration
61
5.10b Please provide details of outstanding returns
62
5.11 Have any VAT invoices been paid in the period post de-registration?* This field is required.
Yes
No
Don't Know
63
5.11b Please attach copies of all VAT invoices that have been paid post de-registration
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Max. file size: 10.6MB
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64
5.12 Please provide details of the Company’s PAYE Registration Number and Accounts Office Reference Number* This field is required.
PAYE Registration Number
Accounts Office Reference Number
65
5.13 Is the Company’s PAYE filing up to date, and has the PAYE scheme been closed?* This field is required.
Yes
No
Don't Know
66
5.13b Please provide details of all return that require submission
67
5.14 Is there any outstanding liability owing for PAYE, or any rebate due to the Company?* This field is required.
Yes
No
Don't Know
68
5.14b Please provide full details
69
5.15 Is the Company registered for tax purposes in any other Country or jurisdiction?* This field is required.
Yes
No
Don't Know
70
5.15b Please provide full details of the type of registration together with details of returns that require submission
71
5.16 Is the Company subject to an Advanced Payment Notice (APN) or any other tax enquiries that have not been completed?* This field is required.
Yes
No
Don't Know
72
5.16b Please provide details
73
5.17 Has the company ever been involved in an EBT (Employee Benefit Trust) Scheme, EFRBS (Employer-Financed Retirement Benefits Scheme) or similar?* This field is required.
Yes
No
Don't Know
74
5.17b Please provide details
75
6.1 Does the company have a registered domain name?* This field is required.
Yes
No
76
6.1b Please provide domain name
77
6.2 Is the website hosted?* This field is required.
Yes
No
78
6.2b Please provide details of hosting provider
79
6.3 Please attach a copy of the Company’s latest 3rd party liability Insurance policy
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80
6.4 Is the Company FSA registered?* This field is required.
Yes
No
81
6.4b Please provide full details of the nature of the registration and relevant references
82
7.1 Is the company registered under the Data Protection Act 1998?* This field is required.
Yes
No
Don't Know
83
7.1b Please provide details of the Company's login identification and password
84
7.2 Does the company hold any personal data?* This field is required.
Yes
No
Don't Know
85
7.2b Please provide details of the type, location and nature of data held and who is responsible for the Company’s GDPR compliance
86
7.3 Does the company have a GDPR policy?* This field is required.
Yes
No
Don't Know
87
7.3b Please attach a copy of your GDPR policy
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Max. file size: 10.6MB
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88
7.4 Has any personal data held by the company been destroyed?* This field is required.
Yes
No
Don't know
89
7.4b Please detail the nature of the destruction
90
7.5 Does the company have a Bring Your Own Device policy?* This field is required.
Yes
No
Don't know
91
7.5b Please attach a copy of your BYOD policy
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92
7.6 Do you have any specific data retention requirements?* This field is required.
Yes
No
93
7.6b Please provide details of the requirements and steps taken to meet them
94
I have reviewed the above information and confirm that it is true to the best of my belief and knowledge.Please sign below to complete this form.
Clear
95
Form completed by* This field is required.Please add email address
example@example.com
Should be Empty: