Gift Aid Declaration Form

Title
-- Please Select --MrMrsMissDrRevOther

First Name (required)

Surname (required)

Home address (First line minimum) (required)

Postcode (please include your previous Postcode if you are updating your Gift Aid records) (required)

I would like to Gift Aid my future donations and any donations I have made in the past 4 years.

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.

Please notify BRACE at [email protected] if you:

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

Date completed (required)

(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 of ask HM Revenue and Customs to adjust your tax code).