Gift Aid Declaration

West Oxfordshire Citizens Advice Bureau
Charity Registration No 1092539
The Old Print House, Marlborough Lane, Witney, Oxfordshire, OX28 6DY

Details of donor

Title ……Forename(s) …………………………………… Surname …………………

Home address …………………………………………………………………………………

……………………………………………………………………………………

………………………………………………… Post Code ……………………

I want West Oxfordshire Citizens Advice Bureau to treat all donations I have made since 6 April 2004 and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations.

You must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the appropriate tax year (currently 28p for each £1 you give).

Date: ………/………/………

Notes:

1. You can cancel this Declaration at any time by notifying us.
2. If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that we reclaim, you can cancel your declaration.
3. If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.
4. If you are unsure whether your donations qualify for Gift Aid tax relief, ask the charity or refer to HM Customs and Revenue
5. Please notify us if you change your name or address.

08/07