Charity Gift Aid Declaration

Boost your donation by 25p of Gift Aid

for every £1 you donate!

Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to:

Name of Charity

Date

Check box ONLY if you would like gift aid to be made for donations AFTER the date selected. If you do not check this box we will claim for any donations made up to 4 years prior.

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Title

Mrs

First Name

Last Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

I understand that if I want to cancel this declaration, change my name or home address, no longer pay sufficient tax on your income and/or capital gains - I must notify the charity in question.

I understand that if I pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to me, I must include all of my Gift Aid donations on my Self-Assessment tax return or ask HM Revenue and Customs to adjust my tax code.

Thanks for submitting!

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