Form for an Individual claiming VAT relief for products designed for people with disabilities:

Individuals with disabilities who are buying a product that has been designed for people with disabilities can avoid VAT. Please note: there is no relief for Post & Packaging, or for products not specifically designed for disabilities.

GOODS AND SERVICES FOR DISABLED PERSONS: ELIGIBILITY DECLARATION BY AN INDIVIDUAL.

I (full name)
A value is required.
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declare that I have *dyslexia/other disability which has a substantial long term adverse effect on my
ability to carry out certain normal day to day activities, and which has been assessed or certified by:

(give name and address of whoever has
diagnosed or certified this, and their
organisation)

and that I am receiving from

iANSYST Ltd
Fen House,
Fen Road,
CAMBRIDGE,
CB4 1UN

a copy of:

Minimum number of selections not met.Maximum number of selections exceeded.

And a computer to run it.

Please check the relevant product names. Except for the computer, the product must have been specifically designed for people with disabilities. This is being supplied to me for my personal use; and I claim relief from value added tax under Group 12 of Schedule 8 to the Value Added Tax Act 1994.

A value is required.
A value is required.

NOTE TO CUSTOMER:

If you are in any doubt as to whether you are eligible to receive goods or services zero rated for VAT you should consult VAT Notice 701/7 or seek advice from your local VAT office before signing the declaration.
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.

Fax this signed form to 01223 42 66 44, or post it to:
iANSYST Ltd;
Fen House;
Fen Road;
CAMBRIDGE CB4 1UN..

This declaration is supplied by and Copyright © 2007 iANSYST Ltd. You may freely use it if you leave the copyright notice intact.