GIFT AID DECLARATION

NB: In order for us to reclaim tax you must pay an amount of income tax and/or capital gains tax equal to the tax that the charity reclaims on your donation in the tax year. Higher rate tax payers can claim further tax relief in your self assessment tax return.

Details of Donor:

I want the Charity to treat [Delete as appropriate]

• all donations I make from the date of this declaration until I notify you otherwise,
• all donations I have made since 6^th April 2000 and all donations I make from the date of this declaration until I notify you otherwise,
• the enclosed donation, or
• the donation(s) of £ …………. which I made on ……… / ……… / ………

as Gift Aid Donations.

Signature ……………………………………………………………………………………… Date ……… / ……… / ………

If your declaration covers donations you may make in the future - please notify CLA Charitable Trust at 16 Belgrave Square, London, SW1X 8PQ or CAF if:

• You change your name or address while the declaration is in force
• Your circumstances change, i.e. you no longer pay tax on your income or capital gains tax equal to the tax that the charity reclaims.

You can cancel your declaration at any time by notifying CLA Charitable Trust or CAF. It will not then apply to donations you make on or after the date of cancellation or such later date as you specify.

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Please pay to the National Westminster Bank PLC (Parr's Branch) at 126 High Holborn, Bloomsbury, London WC1 (sort code 60-30-06) for the account of CAF "D" (a/c no. 36880043) for the later credit of CLA Charitable Trust

Signature ……………………………………………………………………………………… Date ……… / ……… / ………