GIFT AID DECLARATION

Certificate of a single payment by an individual

 


CANCER RESEARCH WALES

YMCHWIL CANCR CYMRU  

 

Velindre Hospital, Whitchurch, Cardiff CF14 2TL

Registered Charity No. 248767

Tel/Fax 029 20 521609

 

 

Tel/Fax 029 20 521609

           

DETAILS OF DONOR    
*Mr/Mrs/Ms/Miss    Forename(s):.........................   Surname:................................
     

 

 

Address:..................................................................................................................            ................................................................................................................................            ................................................................................................................................            .............................................................................. Post Code:  ..............................

            * Please delete as necessary

 

 

I want the charity to treat

 

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

  * the donation (s) of £ ......................................... I made on ....../....../ .....

  * all donations I make from the date of this declaration until I notify you

     otherwise

  * all donations I have made since 6th April 2000, and all donations I make

     from the date of this declaration until I notify you otherwise

 

as Gift Aid donations

 

                                                            Date:  ........./......../...........

 

GIFT AID DECLARATION

Certificate of a single payment by an individual

Notes

1.             If your declaration covers donations you may make in the future:

 

·                     Please notify the charity if you change your name or address while the declaration is still in force.

 

·                     You can cancel the declaration at any time by notifying the charity – it will then not apply to donations you make on or after the date of cancellation or such later date as you specify.

 

2.             You must pay an amount of income tax and / or capital gains tax at least equal to the tax that the charity claims on your donation in the tax year (currently 28p for each £1 that you give).

 

3.             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 (see note 1).

 

4.             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 you can ask your local tax office for leaflet IR 113 Gift Aid

 

 

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