AIDS FOR DISABLED PERSONS SUPPLY TO AN INDIVIDUAL Dear 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 National Advice Service on 0845 010 9000 before signing this declaration.
I, .....................................................................................................................................(full name)
of.......................................................................................................................................(address)
..........................................................................................................................................(address)
declare that I am chronically sick or have a disabling condition by reason of:
......................................................................................................................................................... and that the following goods / services:
......................................................................................................................................................... are being received from:
Abacus Healthcare Services Ltd 1 Millennium Way High Carr Business Park Newcastle under Lyme Staffordshire ST5 7XE Tel: 01782 569330 Fax: 01782 569349 and I claim relief from value added tax.
Signature: ...........................................................................
Date:
..............................................................................