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VAT EXEMPTION FORM
Eligibility declaration by a disabled person
Prior to the despatch of goods, you will need to complete and return this VAT Exemption Form.
Important!  Goods will not be despatched until this form is received.
MobilityWarehouse.co.uk must receive this form before any VAT exemption can be applied

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 - relief’s for disabled people or contact the Customs & Excise National Advice Service on 0845 010 9000 before signing the declaration.

I: (full name)
....................................................................................................................
Of: (full address and postcode)
.................................................................................................................
.................................................................................................................
Tel.No:. ....................................................................................................
declare that I am chronically sick or have a disabling condition by reason of: (give full and specific description of your condition)*;
...........................................................................................................................................................
...........................................................................................................................................................
and that I am receiving from MobilityWarehouse.co.uk the following goods which are being supplied to me for domestic or my personal use
...........................................................................................................................................................
...........................................................................................................................................................
and I claim relief from Value Added Tax.


(Signature)........................................................................ (Date)..................................


* There are penalties for making a false declaration.
If you are in doubt you can obtain advice from any local VAT office or the above telephone number.


Please post or fax this completed form.

Mobility Warehouse
31 Biggin Street
Loughborough
Leicestershire
LE11 1UA                          Fax: 01509 216677