VAT Exemption Declaration Form

Customer
If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT you should consult Notice 701/7 VAT reliefs for disabled people or contact the National Advice Service on 0845 010 9000 before submitted the declaration.

Eligibility declaration for the use of goods by an individual.

I (Claimant's name):

Of (Claimant's address):

Daytime Telephone Number:

Email Address:

Declare that I am chronically sick or have a disabling condition by reason of (give full and specific description of your condition):

I am receiving goods from Solent Mobility Centre, 107 High Street, Lee-on-the-Solent, Hampshire, PO13 9BU for my own personal or domestic use.
And I hereby claim exemption from Value Added Tax (VAT) under group 14 of schedule 5 to the Value Added Tax Act 1983.

http://www.thediscdirectory.co.uk/se/po/leeonthesolent/healthcare/mobility-and-getting-around/solent-mobility-centre-4956384.xml

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