©
ClimaTech Safety
Updated 24 July 2006
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Note. This page is intended to print out a form with most common browser configurations. If it does not do so for you we can supply it in pdf or MS Word formats by email if requested. |
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Declaration by customer of ClimaTech Safety who wishes not to be charged VAT and satisfies the conditions of (1) having a disabling condition and (2) planning to use their HeatShield vest for their personal use in connection with this condition.
Please note that 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 purposes you should consult Notice 701/7 "VAT Reliefs for Disabled People" or contact the VAT National Advice Service on 0845 010 9000 before signing the declaration. |
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I
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(full name in capitals)
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of
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(address line 1)
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(address line 2)
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(address line 3)
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(postcode)
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| declare that (1) I am chronically sick or have a disabling condition by reason of: | ||
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(describe condition)
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| and (2) I am receiving from ClimaTech Safety (a division of Zernike (UK) Limited) the following goods which are being supplied to me for my personal use: (insert quantities) | ||
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HeatShield 2 cooling vest(s) |
extra cooling insert set(s) | briefcase cooler(s) |
| and I claim relief from Value Added Tax. | ||
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(signature)
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(date)
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