| Please print this page, complete in BLOCK CAPITALS and
post to us. |
The Kambia Appeal Gift Aid Declaration
Registered Charity No. 1014034
Title
Forenames
Surname
..
Address
...
.Post Code
...
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I want the Kambia Community Appeal to treat:
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| * this
donation of £......................., and any future donations, as Gift Aid Donations.
This will apply until I notify you otherwise.
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| * the donation(s) of £
which I made on
....../....../..... , and any future donations, as a Gift Aid
donation(s). This will apply until I notify you otherwise.
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* delete as appropriate |
Signature...............................................................
Date ............/............./.............
Notes
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If your donation covers donations you make in the future:
Please notify The Kambia Appeal if you change your name or address
while the declaration is still in force.
You can cancel the declaration at any time by notifying The Kambia Appeal - it will then not apply to any donations you may make on or after
the date of cancellation or such date as you specify.
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You must pay an amount of income tax and/or capital gains
tax at least equal to the tax that the Kambia Hospital Appeal reclaims on
your donation in the year (currently 28p for each £1 you give.
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If in the future your circumstances change and you no longer
pay tax on your income or capital gains equal to the tax which The Kambia Appeal reclaims, you can cancel your declaration (see note 1).
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If you pay at a higher rate of tax you can reclaim further
relief in your Self Assessment tax return.
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If you are unsure whether your donations qualify for Gift
Aid tax relief, ask the The Kambia Appeal or ask at your local tax
office for leaflet IR113 Gift Aid.
Please print this form, complete it and post it with your donation to the address
below. Cheques should be made payable to "The Kambia Appeal"
and sent to
The Kambia Appeal,
78 Painswick Road, Cheltenham,
Glos.
GL50 2EU, England
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