GIFT AID DECLARATION

Name of Charity ................................................................................................................

Address of Charity .............................................................................................................

...........................................................................................................................................

...........................................................................................................................................

Name of Donor ..................................................................................................................

Address of Donor ...............................................................................................................

............................................................................................................................................

............................................................................................................................................

I, as the above named donor, wish the above named charity to treat

* the enclosed donation of £...............

* the donation of £............... I made on ........./........./.........

* all donations I make from the date of this declaration until further notice

* all donations that I have made since 6 April 2000, and all donations that I make from the date of this declaration, until further notice

 as Gift Aid donations.

* delete as appropriate

Signature ....................................................................................................

Date ........./........./.........

Notes -

• You can cancel this declaration at any time by notifying the charity.
• You must pay an amount of income tax and/or capital gains tax at least equal to the tax the charity reclaims on your donations in the tax year (currently 28p for each £1 you give).
• If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration.
• If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.
• If you are unsure whether your donations qualify for Gift Aid tax relief, ask the charity, or ask your local tax office for leaflet IR65.
• Please notify the charity if you change your name or address.