10.1 Eligibility declaration by a disabled person
Please note there
are penalties for making false declarations.
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 our National Advice Service
on 0845 010 9000 before signing the declaration.
I (full name) ..............................................................................
of (address) ..............................................................................
..................................................................................................
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: Healthy Bed, 32 Richmond Park Avenue, Charminster, Bournemouth.
BH8 9DP
- The following goods which are being supplied to me for
domestic or my personal use:
Astex "Pristine" Encasement covers (Class 1 Medical Device) and I claim
relief from value added tax.
................................................................................
(Signature)
........................................................................................
(Date)
Return by post to the address below or e-mail to sales@healthybed.co.uk
Supplier
I , Colin Grozier, of (address) Healthy Bed, 32 Richmond Park Avenue, Charminster,
Bournemouth. BH8 9DP
am supplying to the person named above:
the following goods:
Astex "Pristine" Encasements (Class 1 Medical device)
................................................................................ (Signature)
........................................................................................
(Date)
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.
