| GOODS AND SERVICES FOR DISABLED PERSONS: ELIGIBILITY DECLARATION BY AN INDIVIDUAL |
|
I (full name):
|
of (address):
declare that I am chronically sick or disabled by reason of:
(give a full and specific description of your condition)
and that I am receiving from (equipment supplier) of (address of supplier):
Vat ref (suppliers VAT number), the following Goods which are being supplied to me for domestic or my personal use (list of products bought):
and I claim VAT relief from the value added tax under group 14 of schedule 5 to the Value Added Tax Act 1983.
(Signature):
(Date):
Note to customer: If you are in ANY doubt as to whether you are eligeable to receive Goods or Services zero-rated for VAT, you should consult VAT notice 701/7 or seek advice from your local VAT office BEFORE signing this declaration. Please complete this form and return to your VAT registered supplier for your order to be processed.
Form VAT2.php