Gift Aid declaration: Single donation

Freeview single donation Gift Aid declaration. For multiple donation declarations, see here.

Gift Aid declaration for a single donation

Name of charity/CASC: ______________________________________

Please treat the enclosed gift of £ ____________ as a Gift Aid donation.

I confirm I am a UK taxpayer and I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year.

I understand that other taxes such as VAT and Council Tax do not qualify.

I understand that in the event that I have not paid sufficient tax to cover the tax amount that the charity or CASC reclaims from my donation that it remains my responsibility to pay the difference to HM Revenue & Customs (HMRC).

I understand the charity will reclaim 25p of tax on every £1 that I have given.

Donor’s (my) details

Title _________ First name or initial(s) ____________________________________________

Surname ________________________________________________________________

Full Home address:

House name/number ______________________________ 

Street ______________________________________________________________________

Town ____________________________________________

County ________________________________________

Postcode ____________________

Date ____________________

Signature ________________________________________

Please notify the charity or CASC 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 HMRC to adjust your tax code.