VAT Exemption form

Mobility Audio Vision Ent Ltd
VAT Exemption Declaration Form

We Cannot exclude you from VAT unless we receive signed confirmation from you.

Note to customer:
You should complete this declaration if you are ‘chronically sick or disabled’ and the goods or services are for your own personal or domestic use. A family member or carer can complete this on your behalf if you wish. You can find out more from the Helpsheets on the GOV.UK website or by telephoning the VAT Disabled Reliefs Helpline on Telephone: 0300 123 1073. HMRC staff cannot advise whether or not an individual is chronically sick or disabled.

A person is ‘chronically sick or disabled’ if he or she is a person:
with a physical or mental impairment which has a long term and substantial adverse effect upon his or her ability to carry out everyday activities
with a condition which the medical profession treats as a chronic sickness It does not include an elderly person who is not disabled or chronically sick or any person who is only temporarily disabled or incapacitated, such as with a broken limb.

If you are unsure, you should seek guidance from your GP or other medical professional. Please give this completed form back to the supplier. They will keep it with their VAT records. Please do not send it to HMRC.

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VAT Exemption Form

VAT Exemption Form

Mobility Audio Vision Ent Ltd
VAT Exemption Declaration Form

We Cannot exclude you from VAT unless we receive signed confirmation from you.

Are you exempt from VAT?

Yes

Important

Please choose from one of the two options above before continuing.

I (Full Name)

First Name

Last Name

Of (Full Address)

Address

Address Line 1

Address Line 2

City/Town

County

PostCode

Declare that I have the following disability or chronic sickness

I am receiving the goods and/or services detailed below, which are being supplied to me for domestic or my personal use and I claim relief from VAT.

If you wish to save your progress and return to this form later please click the 'Save and Resume' button below.

Signed

The Customer

The Customer's Representative

Customer's Representative' First Name

Customer's Representative's Last Name

Customer's Representative's Address

Address Line 1

Address Line 2

City/Town

County

PostCode

Your Name

Date

You have selected that you are not exempt from VAT. Please click on the button below to be taken to the checkout. Thank you.

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Mobility Audio Vision