5% VAT eForm | Nationwide Fuels

Name of Business or Organisation (if applicable)

Address of Registered Business or Organisation

Address of qualifying premises (if different from above)

VAT Reg. No (if applicable)

Amount of qualifying use expressed as a precise percentage

I certify that the information given above is accurate and complete to the best of my knowledge and I undertake to inform Nationwide Fuels and Lubricants Ltd if there is any significant change in circumstances. I understand that any incorrect statement may make me liable to a financial penalty under the Finance Act 1985 and also confirm that I have read and understood VAT notice 700/19.

Full Name (Block Letters) *

Position in Company

Telephone/Mobile *

Email *

Select a date *

Sign below *

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5% VAT Qualification Certificate