Gift Aid Declaration

The Charity
Name UNITED REFORMED CHURCH
Address Lee Road, Lynton, Devon, EX35 6BS

You The Donor
Title   
Forename(s)   
Surname   
Home Address   
  
  
Post Code   

I want the charity to treat

• delete as appropriate

You must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the appropriate tax year. (currently 28p for each £1 you give).

Signature  
Dated  

NOTES

  1. You can cancel this Declaration at any time by notifying the charity.
  2. 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.
  3. If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.
  4. Please notify the charity if you change your name or address.