Gift Aid Form

Gift Aid Declaration

Please complete this form to inform us of your gift even if not a tax payer

Title: Mr / Mrs / Miss / Rev / Dr* *delete as appropriate

Name _________________________________________________________

Address _______________________________________________________

Post Code __________

Tel _____________________________________

Please treat all donations I have made to Tees Valley Youth For Christ since 6th April 2000*

or __ / __ / __* and all donations I have made since the date of this declaration, as Gift Aid donations, until I notify you otherwise.

*delete as applicable (6th April 2000 is the earliest date this declaration can apply)

Signed by taxpayer ________________________________Date __ / __ / __

Gift Aid is now applicable to gifts of any amount.

Amount given £ _____________per month/quarter/annual

Please read these notes:

Please notify Tees Valley Youth For Christ if you change address;

You can cancel this declaration at any time by notifying Tees Valley Youth For Christ;

You MUST be paying UK basic rate tax (income tax and/or capital gains tax) for Tees Valley Youth For Christ to reclaim the tax on your gift(s);

If you stop paying tax during the period of this declaration please let Tees Valley Youth For Christ know in writing;

If you pay higher rate tax you can claim further tax relief in your self assessment tax return

Please return this completed form to:

Tees Valley YFC, Finance

Unit 9 Sowerby Way
Durham Lane Industrail Park
Durham Lane
Stockton TS16 0RB