Freedom Church Gift Aid Declaration

When to use this form:

Please use this form to make a Gift Aid Declaration to accompany any past, present or future donations to Freedom Church Romsey (including Romsey CAP Debt Centre, Romsey Foodbank, Romsey TLG Centre, General Church Fund, Building Fund). You do not need to use this form if you are donating via the Giving Form embedded in our website as this will capture the relevant information instead.

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* 1. What Gift Aid would you like Freedom Church Romsey to collect? (choose one)

Gift Aid is reclaimed by Freedom Church Romsey from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. This allows you to boost your donation by 25p of Gift Aid for every £1 you donate.

I want to Gift Aid any future donations and any donations I have made in the past four years

I want to Gift Aid any donations I make in the future ONLY

I want to Gift Aid any donations I have made in the past four years ONLY

I want to Gift Aid my one-off donation of the following amount ONLY:

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* 2. Gift Aid Declaration: (please tick both boxes)

I am a UK taxpayer and I understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay the difference

I will notify Freedom Church Romsey if I want to cancel this declaration, change my name or home address, or no longer pay sufficient tax on my income and/or capital gains. If I pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to me, I understand that I must include all my Gift Aid donations on my Self-Assessment tax return or as HM Revenue and Customs to adjust my tax code.

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* 3. My Details: (please complete all rows)

Title:

First Name or Initial(s):

Surname:

Full Home Address:

Postcode:

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* 4. Please confirm the date this declaration was made: (todays date)

Date / Time

Date