Riigi Kaitseinvesteeringute Keskus · 18. jaanuar 2021
Sisu (failidest)
EUROPEAN UNION VAT AND/OR EXCISE DUTY EXEMPTION CERTIFICATE (*)
(Directive 2006/112/EC Article 151 and Directive 2008/118/EC Article 13)
Serial No (optional)
1. ELIGLIBLE BODY/INDIVIDUAL
Designation/Name: NATO Supreme Allied Commander Transformation (SACT)
Street and No: 7857 Blandy Road, Suite 100 Norfolk, VA, USA
Postcode, place: 23551-2490
(Host) Member State: Estonia, Järve 34a, Tallinn 11314
2. COMPETENT AUTHORITY RESPONSIBLE FOR STAMPING (name, address and telephone number)
Eesti Vabariigi Kaitseministeerium (Ministry of Defence of the Republic of Estonia) , Sakala 1, 15094 Tallinn
3. DECLARATION BY THE ELIGIBLE BODY OR INDIVIDUAL
The eligible body or individual¹, hereby declares
a) that the goods and/or services set out in box 5 are intended²
✔ For the official use of For the personal use of
foreign diplomatic mission a member of a foreign diplomatic mission
foreign consular representation a member of a foreign consular Representation
a European body to which the Protocol on the privileges
and immunities of the European Union applies
an international organisation a staff member of an international organisation
the armed forces of a State being a party to the North
✔ Atlantic Treaty (NATO force)
the armed forces of the United Kingdom Stationed in
the island of Cyprus
___________________________________________________
(designation of the institution) (see box 4)
b) that the goods and/or services described at box 5 comply with the conditions and limitations applicable to the exemption in the host
Member State mentioned in box 1, and
c) that the information above is furnished in good faith.
The eligible body or individual hereby undertakes to pay the Member State from which the goods were dispatched or from which the
goods and/or services were supplied, the VAT and/or excise duty which would be due if the goods and/or services did not comply with
the conditions of exemption, or if the goods and/or services were not used in the manner intended.
Tallinn
_____________________________________________
Kusti Salm, Director of Estonian Centre for Defence Investment
_________________________________________________________
Place, date Name and status of signatory
__
/Signed digitally/
_________________________________________________________
NATO capability package: 9C0121 Signature
4. STAMP OF THE BODY (in case of exemption for personal use)
__ _____________________________________________ _________________________________________________________
Place, date Name and status of signatory
stamp
_________________________________________________________
Signature
5. DESCRIPTION OF THE GOODS AND/OR SERVICES, FOR WHICH THE EXEMPTION FROM VAT AND/OR EXCISE DUTY IS REQUESTED
A. Information concerning the supplier/authorised warehouse keeper
1) Name and address GuardTime OÜ, A. H. Tammsaare tee 60, 11316 Tallinn
2) Member State Estonia
3) VAT/excise number or tax reference number EE101114112
B. Information concerning the goods and/or services
No Detailed description of the goods and/or Quantity Value excluding VAT and Currency
services (³) or excise duty
(or reference to the attached order form) number Value per unit Total value
Framework Agreement No 2-2/20/222-1, Instrument of Delivery and
1 Receipt 31.12.2020 1 225 000,00 225 000,00 EUR
2
3
4
Total amount
225 000,00
6. CERTIFICATION BY THE COMPETENT AUTHORITIES OF THE HOST MEMBER STATE
The consignment/supply of goods and/or services described in box 5 meets the conditions for exemption from VAT and/or excise duty:
✔ totally up to a quantity of ……………………………………………..…..4
(number)
__ ___________________________________________ _________________________________________________________
Place, date Name and status of signatory
stamp
_________________________________________________________
Signature
7. PREMISSION TO DISPENSE WITH THE STAMP UNDER BOX 6 (only in case of exemption for official use)
7.2-1/20/4035
By letter No ......................................................................................... 09.12.2020
dated ....................................................................................................
NATO Supreme Allied Commander Transformation (SACT)
..................................................................................................................................................................................................................... is by
(designation of eligible institution)
Ministry of Defence of Estonia
........................................................................................................................ dispensed from the obligation under box 6 to obtain the stamp.
(competent authority in host Member State)
__
Tallinn,
___________________________________________
Kusti Salm, Director General of Estonian Centre for Defence Investment
_________________________________________________________
__
Place, date Name and status of signatory
stamp
/Signed digitally/
_________________________________________________________
Signature
(*) Delete as appropriate
(¹) Delete as appropriate
(²) Place a cross in the appropriate box
(³) Delete space not used. This obligation also applies if order forms are attached.
(4) Goods and/or services not eligible should be deleted in box 5 or on the attached order form.