Gift Aid Declaration Form

Thank you for your donation. Through Gift Aid you can help us to raise an extra 25% on the

value of this donation. If you are a UK tax payer and would like us to treat this as a Gift Aid

donation, please complete this form.

Title

Full name

Home Address

Postcode:

Gift Aid means that the Disability Sport Yorkshire can reclaim tax that you have already paid and add it to your charitable donations. It is worth an extra 25p for every £1 you donate.

Gift Aid Declaration

Please treat as Gift Aid donations all qualifying gifts of money made today, in the past 4 years and in the future. I confirm that I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each year (6 April – 5 April) that is at least equal to the amount of tax, that all charities and Community Amateur Sports Clubs that I donate to, will claim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand that the charity will reclaim 25p on every £1 that I donate.

Signature:……………………………………………………….……………Date…………………………………………..

Please notify us 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 tax at the higher rate and want to receive additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment Tax Return or ask Inland Revenue to adjust your tax code.)

Disability Sport Yorkshire

Denhale Active Recreation Centre

Denhale Avenue

Wakefield

WF2 9EF

Tel: 01924 372382

www.fdso.co.uk

email staff@fdso.co.uk

FDSO trading as Disability Sport Yorkshire

Registered in England No. 7832841

Registered Charity No. 114552