VAT Refund Claim Form VAT Refund Claim Form Please click here to download the VAT Refund Claim Form. Snug Mattress - Are pleased to offer a VAT rebate of 17.5% on the purchase of our Snug Ortho Memory Coolmax mattress to those customers who are chronically sick, handicapped or disabled, this applies to illnesses that are deemed long term. Simply print the form or request a pre printed version by post, complete and return. If you have any question please contact us on 0800 027 7017 or 0845 302 0203 option 3. Customer Eligibility: Customer Eligibility: Registered disabled, chronically sick (physical or mental impairment with a long term adverse effect on everyday activities or has been deemed chronic by a medical professional) PRINT THIS PAGE AND POST OR EMAIL TO OUR ADDRESS PO BOX 6434 EPPING ESSEX CM16 4EZ sales@snugmattress.co.uk 0800 027 7017 - free phone 01992 571165 - fax Notice 701/7 VAT Reliefs for disabled people August 2002 10.1 Eligibility declaration by a disabled person. Please note there are penalties for making false declarations 3.2 Supplies to handicapped people. You can only zero rate supplies to handicapped people when: The person is 'chronically sick or disabled' - see sub-paragraph 3.2.1, and the goods and services are purchased or acquired for their personal or domestic use - see paragraph 3.5. 3.2.1 What does 'chronically sick or disabled' mean? A person is 'chronically sick or disabled' if he/she is a person: with a physical or mental impairment which has a long-term and substantial adverse effect upon his/her ability to carry out everyday activities; with a condition which the medical profession treats as a chronic sickness, such as diabetes; or who is terminally ill. It does not include a frail elderly person who is otherwise able-bodied or any person who is only temporarily disabled or incapacitated, such as with a broken limb. If a parent, spouse or guardian acts on behalf of a 'chronically sick or disabled' person, your supply is treated as being made to that 'chronically sick or disabled' person. 3.2.2 Terminology The term 'disabled' is used throughout this notice and means 'handicapped' or 'disabled or chronically sick'. 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 Notice 701/7 VAT reliefs for disabled people or contact our National Advice Service on 0845 302 0203 (option 3) before signing the declaration. I (full name) ................................................................................................................................. of (address) ................................................................................................................................. .................................................................................................................................................... declare that: "I am chronically sick or have a disabling condition by reason of: (give full and specific description of your condition); ................................................................................................................................. ................................................................................................................................. ................................................................................................................................. and that "I am receiving ................................................................................................................................. from: (Snug Mattress P O BOX 6434 EPPING CM16 4EZ) * the following goods which are being supplied to me for domestic or my personal use: ................................................................................................................................." and I claim relief from value added tax. ................................................................................................................................. (Signature) ................................................................................................................................. (Date) Supplier I (full name) ................................................................................................................................. of (address) ................................................................................................................................. ...................................................................................................... am supplying to the person named above: * the following goods:...................................................................................................... for the personal use of the disabled person. ................................................................................................................................. (Signature) ................................................................................................................................. (Date) *Delete words not applicable Note You should keep this declaration for production to your VAT officer. The production of this declaration does not automatically justify the zero-rating of the supply. You must ensure that the goods and services you are supplying qualify for zero-rating.

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