GRAMPIAN SOCIETY FOR THE BLIND

Gift Aid Declaration

Date completed: ____________________

Details of Donor:

Title: ______ Forename(s): __________________________________

Surname: _________________________________________________

Address: __________________________________________________

_______________________________ Postcode: _________________

I want the charity to treat the enclosed donation of £ _____________

and any donation I have made since 6 April 2000 and any donation I may make from the date of this declaration until I declare otherwise as Gift Aid donations.

Please see notes on reverse side.

Notes:

You must pay an amount of income tax and/or capital gains tax at least equal to the tax Grampian Society for the Blind reclaims on your donations in the tax year (currently 28p for each £1 you give).

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

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.

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 relief, ask your local tax office for leaflet IR65.

Please notify Grampian Society for the Blind if you change your name or address.

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