GiftAid Declaration Form

The Andrew Clark Trust

Changing the lives of the children of Lintha, Myanmar
Registered Charity in England. Reg. No. 1104134

Gift Aid Declaration

Boost your donation by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. In order to Gift Aid your donation you must tick the box below:

* Indicates required field

I want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to The Andrew Clark Trust. 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 want to Gift-Aid my donation of: *

Name *

First

Last

Full postal address with Post Code *

Date *

Gift-Aid your donation *

Tick to confirm

Tick to confirm you have read and agree

Submit Gift-Aid Declaration

Please notify the charity if you:

want to cancel this declaration
change your name or home address
no longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

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