Leicester Round Table Santa Sleigh — HMRC Gift Aid Booster

£1 BECOMES £1.25

HMRC adds 25p to every £1 you donate

Title

First Name *

Last Name *

Address Line 1 *

Address Line 2

Town / City *

Postcode *

Email (optional — for confirmation)

Donation Amount (£) *

Route / Collection Date

YOUR DECLARATION

I confirm 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.

I want to Gift Aid my donation of £— to this Round Table charity.

Yes, I am a UK taxpayer and I want this donation to be treated as a Gift Aid donation.

Please notify the charity if you want to cancel this declaration, change your name or home address, or 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.

DECLARATION RECEIVED

Thank you! Your Gift Aid declaration has been recorded.

This means an extra 25% will be claimed from HMRC on your donation.

GIFT AID

YOUR DECLARATION

DECLARATION RECEIVED