Recliner Warehouse

If you are eligible for VAT Exemption, please complete the following form and we will contact you to confirm your details and issue a refund for the VAT amount.  Please Note: VAT Exemption does not apply to everyone. If you have any queries regarding VAT exemption, please contact your local Tax Office or refer to our Help & Information pages.

ANNEX D (referred to in paragraphs 5-7, 9, 10, 17-20, 22 and 23) GOODS AND SERVICES FOR DISABLED PERSONS: ELIGIBILITY DECLARATION BY AN INDIVIDUAL

I (Full Name)

Of (Address)

Declare that I am chronically sick or disabled by reason of:

(give a full and specific description of your condition)

and that I am receiving from: CENTURION SHOWROOMS a power assisted lift recliner which is being supplied to me for domestic or my personal use and I claim relief from value added tax under Group 14 of schedule 5 to the Value Added Tax Act 1983

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 your local VAT office before continuing with this declaration.

By typing your full name in the following entry box, you agree to the terms contained within this document and understand that this declaration is legally binding.

I Agree

Date (DD/MM/YYYY):

Please enter your email address

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