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VAT Declaration (Mark)

If you’re disabled or have a long-term illness, you won’t be charged VAT on products designed or adapted for your own personal or domestic use.

Also, you won’t be charged VAT on:

To get the product VAT free your disability has to qualify. For VAT purposes, you’re disabled or have a long-term illness if:

You have a physical or mental impairment that affects your ability to carry out everyday activities, eg blindness.
You have a condition that’s treated as chronic sickness, like diabetes.
You’re terminally ill.

You don’t qualify if you’re elderly but able-bodied, or if you’re temporarily disabled.

I declare that I have the following disability or chronic sickness:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Signed by Bailey Porter Western
Signed On: 13/02/2017

Timestamp

Audit

2017-02-13 12:43:36 BST

VAT Declaration (Mark) Uploaded by Mark Western - mark@motusmedical.co.uk IP 31.121.239.135, 31.121.239.135