VAT DECLARATION

GOODS AND SERVICES FOR DISABLED PERSONS

ELIGIBILITY DECLARATION BY A CHARITY

I, ................................................................................................................(full name)

of ...............................................................................................................(charity inc. charity no.)

.........................................................................................................................................(address)

..........................................................................................................................................(address)

declare that the charity named above is receiving from:

Abacus Healthcare Services Ltd

1 Millennium Way

High Carr Business Park

Newcastle under Lyme

Staffordshire

ST5 7XE

Tel: 01782 569330 Fax: 01782 569349

the following:

............................................................................................................................................

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 Rated Schedule to the Value Added Tax Act 1983.

Signature: ...........................................................................

Date: ..............................................................................