VAT Reduced Rate Certificate Certificate to Corona Energy in respect of premises qualifying (or part qualifying) for a reduced rate of VAT CUSTOMER DETAILS Name Address of qualifying premises VAT reg No. Fuel type Gas Electricity Gas MPR Number Electricity MPAN Number For additional MPRs/MPANs, please attach a separate sheet. Please sign and date all attachments. Please enter details of the basis of your claim here. Please tick the appropriate box. Domestic use Please provide further information on the type of domestic use: Charitable non-business use Please ensure that your Charity Registration Number has been entered below. QUALIFYING DETAILS Solely for my own personal domestic use. Solely for domestic use by a third party, such as: - landlord’s domestic supplies, either single or multiple occupancy, or communal areas - job-related accommodation - self-catering holiday accommodation Under HMRC guidelines, without this supporting information, we may have to return the certificate to you for further clarification. Charity reference number (if applicable) Residential home or hospice care Combined business and domestic use What % of your consumption qualifies for a reduced rate of VAT? % When is the claim effective from? (dd/mm/yy) CUSTOMER DECLARATION (Please note that we can only apply VAT relief to bills issued by Corona Energy Ltd within the past 4 years) I certify that the information given above is correct and complete and will inform Corona Energy Limited if there is any significant change in circumstance. I understand that any incorrect statement may make me liable to a financial penalty under the VAT Act 1994. Signed Full Name Date (dd/mm/yy) Position Contact Phone or Email Once completed please print, sign, date and fax this form to 0870 242 9661 or email to [email protected] For more information on VAT applicable to energy supplies, please contact the HMRC VAT helpline on 0845 010 9000 or visit hmrc.gov.uk Edward Hyde Building, 38 Clarendon Road, Watford, WD17 1JW T 08442 64 64 64 F 0870 24 29 665 E [email protected] W www.coronaenergy.co.uk
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