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Gift Aid

Please use this secure form so the Dnipro Appeal may collect 28% Tax back from the Inland Revenue on your donation:

Charity Details (Do Not Alter This Box)

Charity Name


Personal Details

Title

Forename

Surname

Address 1

Address 2

Post Code

Email Address


I Want The Dnipro Appeal To Treat...

(Please select only ONE option and ensure you complete all required details)

The enclosed donation of £ as Gift Aid
The donation of £ I made on as Gift Aid
All donations that I make from the date of this declaration until I notify you otherwise as Gift Aid donations.
All donations I have made for the six years prior to this year, (but no earlier than 6/4/2000) and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations.


Important Details

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).

  • You can cancel this Declaration at any time by notifying the charity.
  • If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration.
  • If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.
  • If you are unsure whether your donations qualify for Gift Aid tax relief, ask the charity.. Or, refer to help sheet IR65 on the HMRC Web Site.
  • Please notify the charity if you change your name or address.