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Namibia VAT Refund Form

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Republic of

Namibia

Namibia National Crest

Ministry of Finance

Inland Revenue

 

VAT Refunds to Foreign Tourists

Claim Form

 
Particulars of claimant:
Name:
 
Nationality:
Passport number:
Bank Branch address and code number:
Bank account number:
Particulars of goods:
Supplier name and address:
Tax invoice no. and date:
Description of goods:
 

Total value of goods (including VAT): N$
Amount of VAT clamed: N$
Declaration and claim:

I                                                                                (Name of claimant) declare that I am the purchaser of the goods

described above which I am exporting from Namibia and that I do not hold a Namibian passport. I wish to claim a refund of:
N$                                       VAT in the following currency: S.A. Rand/US$/Euro/Pounds stg. (delete as appropriate)
 
 
Signed                                                                                     Date:

For official use only
Certified that the goods have been exported
 
                                                                                     Customs Officer                             Date Stamp
 
Claim received by Inland Revenue:
 
Checked and approved:
 

Refund authorisation N$                                                         sent to Treasury:                                              (date)

 

 
 

 


 

 

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