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Form VAT 58 - Claim by Unregistered Farmer for …

Claim by Unregistered Farmer for Refund of Value Added Tax (VAT) under the VALUE-ADDED TAX (REFUND OF TAX) (FLAT-RATE FARMERS) ORDER - Refer to notes before completion of the Details of Claimant - Complete all sections in BLOCK CAPITALS Name: Address: Personal Public Service (PPS) Number or Tax Reference Number: If the Claim relates to: l An Individual - insert the PPS Number. l A Partnership or a Limited Company - insert the Tax reference number of the Partnership or the Limited Company. Telephone Number: E-mail Address: Total Amount of Claim : The total amount claimed must be more than Account Holder s Name: Name of Bank: Address of Bank: 2.

Claim by Unregistered Farmer for Refund of Value Added Tax (VAT) under the VALUE-ADDED TAX (REFUND OF TAX) (FLAT-RATE FARMERS) ORDER 2012. IMPORTANT - Refer to notes before completion of the application.

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