Vat declaration to Opus Energy Limited regarding premises for Full or partial Qualifying Use



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tarix19.11.2017
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VAT Declaration to Opus Energy Limited regarding premises for

Full or partial Qualifying Use

Business/Company Name

VAT Registration Number

(If applicable)


Opus Energy Limited

Royal Pavilion

2 Summerhouse Road

Northampton

NN3 6BJ

FOR OFFICE USE

Date Received

Site Reference Number

D

D



M

M

Y



Y

Y

Y





Premises Address


Postcode



Percentage of Supply on which Qualifying Use is claimed

(Please give whole numbers only)

Description of claim

(Please tick as applicable)

%

Domestic Use

Charitable non-business






Full name and job title of authorised signatory

Name: Job Title:

Signature: Date:





Declaration

I am authorised to sign this declaration. I certify that the information given above is correct and complete. I agree to notify Opus Energy Limited if there is any change to these circumstances. I understand that any incorrect information given may make me liable to a financial penalty under the terms of The Finance Act 1989.



NOTE

If the percentage for Qualifying Use changes, a new declaration form must be completed and submitted to Opus Energy Limited.






Opus Energy (Corporate) Limited · Company Reg No 5199937 ·

Registered Address · Lambourne House · 311-321 Banbury Road · Oxford · OX2 7JH

VAT No.: 818 2900 29



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