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Please note there are
penalties for making false declarations
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 our National Advice Service on 0845 010 9000
before signing the declaration.
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ELIGIBILITY DECLARATION
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1. Customer
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I (full name of disabled person) .................................................
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of (address) ..............................................................................
..................................................................................................
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declare that I am chronically sick or have a disabling condition
by reason of:
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(give full and specific description of your
condition)..................
.........................................................................................……..
………………………………………………………………………
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and that I am receiving from Bathroom Technology Ltd, 5 Margaret
Road,
Romford, Essex RM2 5SH the following goods which are being supplied to me
for domestic or my personal use
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(description of
goods)..........................................………………
..................................................................................................
..................................................................................................
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and I claim relief from value added tax
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.......................................... (Signature or Purchaser 'on behalf of' )
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.........................................
(Date)
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2. Supplier
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Bathroom Technology Ltd of 5 Margaret Road, Romford, Essex RM2
5SH
are supplying to the person named above the goods described in the attached
order number ………………..
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........................................ (Signature)
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.........................................(Date)
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Note
You should keep this declaration for production to your VAT officer. The
production of this declaration does not automatically justify the zero-rating
of the supply. You must ensure that the goods and services you are supplying
qualify for zero-rating.
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