Electricity Vat Declaration Form - Engie

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VAT Declaration Form
(Electricity)
What you need to do
A VAT declaration form must be submitted for each site/premises that qualifies for VAT relief.
This declaration should be completed in full and returned no later than 10 working days after your site start
date. If we are not informed of any VAT relief, then sites will be charged at the full rate. If you are a
registered charity, please ensure you include your registered charity number.
Please either return the completed form by post to the address, or fax it to the number, shown at the
bottom of this declaration or alternatively you can email
.
*Please note these are mandatory fields
*Company Name
*Nature of Business
(including registered charity number)
*Please confirm the reason for the exemption
Site Name
* Date VAT relief applicable from
*Address of
Please note this cannot be any earlier than
Qualifying Premises
your supply start date
dd/mm/yyyy
Postcode
* Percentage of consumption that qualifies for
*Please detail all MPAN(s) within this site
VAT relief (qualifying use) to nearest 1%
I have read and understood the relative guidance, and I certify that the above information given is
accurate and complete. I understand that any incorrect statement may make me liable to financial
penalties. I undertake to inform ENGIE if there is any significant change in circumstances.
Signed
Name
Position
Company
Address
Contact Number
Date
VAT Number**
“Please note HMRC rules govern that we cannot retrospectively adjust VAT relief beyond 4 years from the date this
declaration is signed”
**Please indicate here if your business is not VAT registered.
ENGIE Power Limited
No1 Leeds, 26 Whitehall Road, Leeds, LS12 1BE
Tel: +44 (0) 113 306 2000
Fax: +44 (0) 113 245 1515
Registered No: 4236804

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