Gift Aid form

(There is a link to a Word file at the bottom of this page.)

Wellsprings El Tular

Gift Aid declaration

Please treat as Gift Aid donations all qualifying gifts of money made from 1 January 2013 and until further notice.

I confirm I have paid or will pay an amount of UK Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify.

I understand the charity will reclaim 25p of tax on every £1 that I give.

Donor’s details

Title ------------- First name or initial(s) --------------------------------------------------------------------------

Surname --------------------------------------------------------------------------------------------------------------

Full home address -------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------------------------

Postcode ----------------------------------

Date ------------------------------------------------------------------------

Signature ----------------------------------------------------------------

Please notify Wellsprings El Tular if you: 

• • 1. Want to cancel this declaration

    2. Change your name or home address

    3. No longer pay sufficient tax on your income and/or capital gains.

    4. 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.

    5.  Return to Bethan Brogden, 18 Church Road, Uppermill, Oldham  OL3 6EL