Registered Charity No 1133354

A charitable company limited by guarantee Registered in England and Wales No 7086155

Dear Supporter,

All donations made by individuals who pay either UK income tax and/or UK capital gains tax are eligible for GIFT AID at the rate of 25p for every £1 donated. This means that every £1 donated to our Charity by a UK tax payer will be worth £1.25 once we have reclaimed the tax from the HM Revenue and Customs.

Please help us by completing the declaration form below and returning it to the Fundraising Office so that a record may be held of all donors who wish us to reclaim the tax element of their donations.

Thank you for your help.

Lynn Morgan-Chief Executive

Arthur Rank Hospice Charity, Cherry Hinton Road, Shelford Bottom, Cambridge CB22 3FB

Tel: 01223 723888 / e-mail

------

Arthur Rank Hospice Charity Gift Aid Declaration Form

Registered Charity No 1133354

A charitable company limited by guarantee Registered in England and Wales No 7086155

I am a current UK tax payer, and want Arthur Rank Hospice Charity to treat this donation, any previous donations in the past 4 years, and any future donations I make as Gift Aid donations - until I notify Arthur Rank Hospice Charity otherwise. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all of my donations in that tax year it is my responsibility to pay any difference.

Title...... Forename[s]...... Surname......

Address......

......

...... Postcode......

Signature...... Date…………......

Please notify Arthur Rank Hospice 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.

Please complete and return this form to: Fundraising Office,

Arthur Rank Hospice Charity, Cherry Hinton Road, Shelford Bottom,

Cambridge, CB22 3FB