Online gift aid declaration form

If you intend to make a donation to the Harlington Hospice we invite you to make a gift aide declaration to increase its value
Just enter your details and press submit.
We will do the rest.

Title

Surname

Forename(s)

Address

 

 

 

 

 

 

 

Post code

Phone No

Email

 

Option 1:
I want the charity to treat all donations I have made since 6 April 2000, and all
donations I make from the date of this declaration until I notify you otherwise
as Gift Aid donations.


Option 2:
All donations I make from the date of this declaration until I notify you otherwise
[Date dd/mm/yy]

Option 3:
I wish to cancel my previous declartion from: [Date dd/mm/yy]

     

 

 

Notes

 

1.       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 tax year (currently 28p for each £1 you give).

2.       You can cancel this declaration at any time by notifying the charity.

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 ask your local tax office for leaflet IR 65.

  1. Please notify the charity if you change your name or address.


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Harlington Hospice Association, Company Limited by Guarantee No 4199504, Charity No 1099332