BEEJAY MOBILITY

126 PALL MALL

CHORLEY

LANCASHIRE

PR7 2LD

 

VAT EXEMPTION FORM:

 

NAME     .........................................................................................................

ADDRESS.....................................................................................................

               .........................................................................................................

               .........................................................................................................

POST CODE................................................................................................

 

I,THE ABOVE NAMED PERSON,DECLARE THAT I AM CHRONICALL SICK OR DISABLED AND THAT

I AM RECIEVING THE ABOVE GOODS

a)WHICH ARE BEING SUPPLIED TO ME FOR DOMESTIC OR MY PERSONAL USE  

b)THE SERVICES TO ADAPT GOODS TO SUIT MY CONDITION

c)THE SERVICES OR REPAIR OF MAINTENANCE OF GOODS

AND I CLAIM THAT THE SUPPLY OF THESE GOODS OR SERVICES ARE ELIGIBLE FOR RELIEF FROM

VALUE ADDED TAX UNDER GROUP 4 OF THE ZERO RATED SCHEDULE TO THE FINANCE ACT 1972.

 

 

                                     SIGNED........................................................................     DATE.................................................