VAT exemption certicicate

	PLEASE COMPLETE THIS SECTION TO OBTAIN VAT RELIEF IF ELIGIBLE

	*VAT exemption certificate*
	Supply of goods to a disabled person
			I claim that the supply of these goods or services is eligible for relief from value added tax under group 14 of the Zero Rate Schedule to the Value Added Tax Act 1983.
	I (full name)


	of (address)		Signature


			Date




	I declare that i am an eligible person under paragraph 1 of VAT leaflet 701/7/86, that I have impaired hearing and that I am receiving from B & H Designs, 2 Pepys Way, Baldock, Hertfordshire. SG7 5AB, goods which are being supplied to me for domestic or my personal use.		There are penalties for making a false declaration. If you are in any doubt about your own eligibility or the goods or services you are buying, you should get advice from any local VAT office before signing this declaration.