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VAT FORM Disability declaration form for zero rated VAT. If you are in any doubt as to whether you are eligible to receive goods zero rated for VAT you should consult 701/7 VAT reliefs for disabled people or contact the national advice service before electronically signing this declaration. Full Name: E-Mail Address: Address: Declare That: I am chronically sick or have a disabling condition By reason of (give full and specific description of your condition) I am Receiving From Mobilityproducts4u.co.uk ltd 9 Lloyd Street, Llandudno LL30 2UU The following Goods which are being supplied to me for domestic Or my personal use. (description of goods) And I claim relief from Value Added Tax. Electronic Signature: Date Dd/mm/yyyy:

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