Charity Gift Aid Declaration – single donation

Instructions Charity Gift Aid Declaration – single donation 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.
Your Email Address *
Your Contact Number *
Checkbox *
I want to Gift Aid my donation.I want to Gift Aid my donation.
Donation Amount *
Name of chaiity *
Your Address
I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Please Enter the Date *
Please note Please notify the charity if you:  want to cancel this declaration  change your name or home address  no longer pay sufficient tax on your income and/or capital gains If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
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Tenby Civic Society