Is this what you are looking for? You can substitute the name of the company named below by another one I'm sure. Hope this helps.
Marie
701/7/94 - ANNEX D
AIDS FOR PEOPLE WITH DISABILITIES: SUPPLY TO AN INDIVIDUAL
I ....................... (FULL NAME)
.......................
OF ....................... (ADDRESS)
.......................
.......................
DECLARE THAT I AM AN ELIGIBLE PERSON UNDER PARAGRAPH 1 OF VAT LEAFLET
701/7/94, THAT I SUFFER FROM THE FOLLOWING DISABILITY:-
....................... (DESCRIPTION
....................... OF DISABILITY)
AND THAT I AM RECEIVING FROM SIGHT AND SOUND TECHNOLOGY OF QANTEL HOUSE,
ANGLIA WAY, MOULTON PARK, NORTHAMPTON, NN3 6JA* THE FOLLOWING GOODS WHICH
ARE BEING SUPPLIED TO ME FOR DOMESTIC OR MY PERSONAL USE:-
....................... (DESCRIPTION
....................... OF GOODS)
* THE FOLLOWING SERVICES TO ADAPT GOODS TO SUIT MY CONDITION:-
....................... (DESCRIPTION OF
....................... GOODS AND SERVICES)
* THE FOLLOWING SERVICES OF REPAIR OR MAINTENANCE OF GOODS:-
....................... (DESCRIPTION OF
....................... GOODS AND SERVICES)
AND 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
SIGNATURE .................. DATE ....... * DELETE IF NOT APPLICABLENote to the supplier Note to customer
You must keep this declaration for If you are in any doubt as
production to your VAT office. The to whether you are eligible to
production of this certificate does receive goods or services zero-rated
not automatically authorise the zero- for VAT you should consult your local
rating of the supply. You must also VAT office before signing the declaration.
ensure that the goods and services you are supplying qualify for zero-rating.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 purposes of obtaining VAT relief.
----- Original Message ----- From: "Hussein Patwa " <access-uk@xxxxxxxxxxxxxx>
To: <access-uk@xxxxxxxxxxxxx> Sent: Saturday, December 19, 2009 10:35 AMSubject: [access-uk] Re: UK VAT reclaim form for items purchased for the blind
Hello,Good to see another early riser on the list 'smile'. It was getting lonely on here all by myself 'grin'.I can of course ask the company again, but this is not as easy as it sounds due to the somewhat bureaucratic nature of the way things are set up. I've also mislaid the form (although I know which drawer it should be in) so I can't scan it in right now. I thought this sort of thing would have a generic form rather than having a specific form allocated to each possible company selling eligible products, a bit like the R85 is generic. Hence my asking about the link.Thanks anyway. _______________________________________ Have a pleasant day, Kind Regards and Best Wishes, Hussein. Hussein Patwa Tel: 0789 47 595 62 (UK) Tel: +44 (0)122 4433 954 (SIP) Skype: patwaspotterfan2 GoogleTalk: thewanderingwriter Web: www.patwanet.co.uk My Blog: http://patwaspotterfan.livejournal.com Find me on Facebook: http://www.facebook.com/profile.php?id=510013486Please note: For security reasons calls from witheld numbers may not be connected. Please release your number so it can be viewed prior to calling. Contact your telephone service provider for advice on how to do this if required. All calls may be recorded for fact verification.DISCLAIMER:This e-mail and any attachments may contain confidential or sensitive information and are intended solely for the stated recipient(s). Copying or distribution in any form is not permitted without the prior consent of the sender. If you have received this message in error, please delete it and any attachments from your system and notify the sender immediately. Thank you for your co-operation.Protect our trees; Do not print unless absolutely necessary. Save paper by deleting sections of the message which are not relevant.-----Original Message----- From: access-uk@xxxxxxxxxxxxx [mailto:access-uk@xxxxxxxxxxxxx] On Behalf Of Eleanor Burke Sent: Saturday, December 19, 2009 9:24 AM To: access-uk@xxxxxxxxxxxxx Subject: [access-uk] Re: UK VAT reclaim form for items purchased for the blind You usually get this from the company as you did, have you tried scanning it in or asking them for another? -original message- Subject: [access-uk] UK VAT reclaim form for items purchased for the blind From: "Hussein Patwa " <access-uk@xxxxxxxxxxxxxx> Date: 19/12/2009 6:35 am Hello, I appreciate this isn't strictly technical, but I was wondering if anyone knew a link to download the form used to claim back VAT on items purchased which were manufactured for use by the blind? I have an eligible purchase and receipt, but the form I was sent is of such poor quality I'm struggling to read it even under a CCTV. Please note the form is for use with UK authorities for a purchase made wholly within the United Kingdom. Thanks for your help. It's the first time I've done this so I'm a little unsure at this point. _______________________________________ Have a pleasant day, Kind Regards and Best Wishes, Hussein. I am participating in the 2009 National Novel Writing Month Challenge. Follow my progress at http://www.nanowrimo.org/eng/user/498747 Hussein Patwa Tel: 0789 47 595 62 (UK) Tel: +44 (0)122 4433 954 (SIP) Skype: patwaspotterfan2 GoogleTalk: thewanderingwriter Web: www.patwanet.co.uk My Blog: http://patwaspotterfan.livejournal.com Find me on Facebook: http://www.facebook.com/profile.php?id=510013486 Please note: For security reasons calls from witheld numbers may not be connected. Please release your number so it can be viewed prior to calling. Contact your telephone service provider for advice on how to do this if required. All calls may be recorded for fact verification. DISCLAIMER: This e-mail and any attachments may contain confidential or sensitive information and are intended solely for the stated recipient(s). Copying or distribution in any form is not permitted without the prior consent of the sender. If you have received this message in error, please delete it and any attachments from your system and notify the sender immediately. Thank you for your co-operation. Protect our trees; Do not print unless absolutely necessary. Save paper by deleting sections of the message which are not relevant. __________ Information from ESET Smart Security, version of virus signature database 4700 (20091218) __________ The message was checked by ESET Smart Security. http://www.eset.com ** To leave the list, click on the immediately-following link:- ** [mailto:access-uk-request@xxxxxxxxxxxxx?subject=unsubscribe] ** If this link doesn't work then send a message to: ** access-uk-request@xxxxxxxxxxxxx ** and in the Subject line type ** unsubscribe ** For other list commands such as vacation mode, click on the ** immediately-following link:- ** [mailto:access-uk-request@xxxxxxxxxxxxx?subject=faq] ** or send a message, to ** access-uk-request@xxxxxxxxxxxxx with the Subject:- faq ** To leave the list, click on the immediately-following link:- ** [mailto:access-uk-request@xxxxxxxxxxxxx?subject=unsubscribe] ** If this link doesn't work then send a message to: ** access-uk-request@xxxxxxxxxxxxx ** and in the Subject line type ** unsubscribe ** For other list commands such as vacation mode, click on the ** immediately-following link:- ** [mailto:access-uk-request@xxxxxxxxxxxxx?subject=faq] ** or send a message, to ** access-uk-request@xxxxxxxxxxxxx with the Subject:- faq __________ Information from ESET Smart Security, version of virus signature database 4700 (20091218) __________ The message was checked by ESET Smart Security. http://www.eset.com__________ Information from ESET Smart Security, version of virus signature database 4700 (20091218) __________The message was checked by ESET Smart Security. http://www.eset.com ** To leave the list, click on the immediately-following link:- ** [mailto:access-uk-request@xxxxxxxxxxxxx?subject=unsubscribe] ** If this link doesn't work then send a message to: ** access-uk-request@xxxxxxxxxxxxx ** and in the Subject line type ** unsubscribe ** For other list commands such as vacation mode, click on the ** immediately-following link:- ** [mailto:access-uk-request@xxxxxxxxxxxxx?subject=faq] ** or send a message, to ** access-uk-request@xxxxxxxxxxxxx with the Subject:- faq__________ Information from ESET NOD32 Antivirus, version of virus signature database 4700 (20091218) __________The message was checked by ESET NOD32 Antivirus. http://www.eset.com
__________ Information from ESET NOD32 Antivirus, version of virus signature database 4700 (20091218) __________ The message was checked by ESET NOD32 Antivirus. http://www.eset.com ** To leave the list, click on the immediately-following link:- ** [mailto:access-uk-request@xxxxxxxxxxxxx?subject=unsubscribe] ** If this link doesn't work then send a message to: ** access-uk-request@xxxxxxxxxxxxx ** and in the Subject line type ** unsubscribe ** For other list commands such as vacation mode, click on the ** immediately-following link:- ** [mailto:access-uk-request@xxxxxxxxxxxxx?subject=faq] ** or send a message, to ** access-uk-request@xxxxxxxxxxxxx with the Subject:- faq