If you are eligible for VAT Exemption please fill out this form and post, fax or email it to us.
I (full name)
Of (address)
Declare that I am chronically sick or disabled by reason of (give full description of your condition)
And that I am receiving from EZL MARKETING the following goods which are being supplied to me for my personal or my domestic use: OBUSFORME back and seat supports and or pillows, mattresses, mattress toppers or overlays, hot and cold compress and/or office chairs.
And I claim relief from VAT under Group 14 of Schedule 5 of the VAT Act 1983.
Signature:
Date:
Please Note: If you are in doubt as to whether you are eligible to receive goods zero rated for VAT you should consult your local VAT Office before signing any decleration.
Warning: Section 39.2 of the VAT Act 1983 provides for severe penalties for anyone who makes use of a document which they know to be false for the purpose of obtaining VAT relief.