DISENGAGEMENT FORM

DISENGAGEMENT FORM

Please fully complete this form electronically

Please complete this questionnaire to help us understand the reason(s) you wish to leave AVASK and disengage from our
services. This will also assist with the transition process from AVASK to a new Agent, before we remove our authorisation
letters with the relevant tax authorities.

Reason(s) for wishing to disengage from AVASK (Please tick all applicable answers):

Price Level of service Level of communication

Other

Date of intended disengagement:

If you were to consider maintaining your account with AVASK, what service aspects you would like to see
improvement on?

In which countries you are considering to proceed with Dis-engagement?

UK Germany France Spain Czech Republic Sweden UAE

Italy Belgium Austria Poland Netherlands Australia

Please specify the contact details of the VAT Agent/Accountant taking over your accounts:
Company Name:

Email address:

Please note: We require a Professional Clearance Letter (PCL) from your new agent. Please let
us know if your new agent cannot provide a PCL. Please ensure all our fees are paid to ensure
a smooth transition to your new agent.

Company Name

Signed Date

General note: After successfully disengaging your services from AVASK the following will be applicable:
1) you will no longer be permitted to use the address that was linked to an AVASK address;
2) you will no longer be able to use the AVASK registered address for importing goods under your company’s name;
3) AVASK will no longer be acting as your VAT Agent (and as per the engagement letter);
4) AVASK will not be held responsible for any goods or mail that arrive at any of our addresses.

Version: 10/21/003EN