Dachshund Health UK - Gift Aid Declaration Form

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Boost your donation by 25p of Gift Aid for every £1 you donate.
Gift Aid is reclaimed by us from the tax you pay for the current tax year.
Your address is needed to identify you to HMRC as a current UK taxpayer.

I want to add Gift Aid to my donation of the amount below and any donations I make in the future or have made in the last 4 years to Dachshund Health UK. *

Please select the amount you donated from the list or type the amount of your donation.

£5

£10

£20

£50

Other:

Declaration

I am a UK taxpayer and 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 any difference.

Title

Mrs

Other:

Clear selection

First name *

Surname *

UK home address *

Postcode *

Date *

YYYY

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 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.

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