Gift Aid Declaration

Your donation

I have made a donation of *

On this date *

In order to Gift Aid your donation, please confirm that: *

I want to Gift Aid the donation above, and any donation I make in the future or have made in the past 4 years to Grace Eyre. 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.

Please notify us if you want to cancel this declaration, change your name or home address, or 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.

Your details

Title *

e.g. Mr, Mrs, Dr etc

First Name *

Last Name *

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.

Address *

Address

Address Line 1

Town/City

County

Postcode

Telephone *

Email *

If you are human, leave this field blank.

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