Gift Aid Declaration

Gift Aid Declaration revised 230416

Gift Aid Declaration

 

Please complete this declaration in CAPITALS:

 

Name (title and full name)                      . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

Full Home Address                                . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

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

 

Home Telephone (optional)                    . . . . . . . . . . . . . . . . . . . .

 

Mobile Telephone (optional)                   . . . . . . . . . . . . . . . . . . . .

 

Email Address (optional)                       . . . . . . . . . . . . . . . . . . . .

 

I want to Gift Aid all my donations made in the last four years and all my future donations until further notice to St Columba’s Church of Scotland (Registered Charity Number: 236173).

 

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.

 

I also understand that, at current tax rates, St Columba’s will reclaim 25p on every £1 that I donate.

 

Signature of donor        . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

Date of signing             . . . . . . . . . . . . . . . . . . . .

 

Notes:

  • You can cancel this declaration at any time by notifying the Honorary Treasurer.
  • If, in the future, you no longer pay sufficient tax on your income and / or capital gains to cover
    the tax that St Columba’s and other charities which you support would reclaim, please notify the
    Honorary Treasurer.
  • If you pay tax at the higher or additional rate, you can claim further tax relief in your Self Assessment tax return.
  • Please notify the Honorary Treasurer if you change your name or home address.

 

If you wish to receive a unique St Columba’s registered donor number for your ongoing use with
Gift Aid donations, please tick here. You can then, for example, use your donor number, rather
than filling in your full name and address on the yellow Gift Aid envelopes, when giving through
the open plate during church services.

 

 

Please send your completed form to:

The Honorary Treasurer

St. Columba’s Church of Scotland

Pont Street

London

SW1X 0BD

 

 

 

 

 

St Columba’s Church of Scotland, Registered Charity Number: 236173