Gift Aid declaration form

Name *

First Name

Last Name

Address *

Address 1

Address 2

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I want to gift aid my donations I make today, any donations I make in the future or have made in the past 4 years to Severn Vineyard Church. 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 the charity 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 HM Revenue and Customs to adjust your tax code.

I agree