Gift Aid Declaration

I declare that I wish all donations I have made to the IMPACT Foundation in the last four years and all donations I make hereafter to be treated as Gift Aid donations. This means that the IMPACT Foundation may reclaim tax on my donations directly from HM Revenue & Customs

Title:  Forenames:  Surname: 
Address: 
Postcode: 
Signed:  Date:  / /
I am a UK taxpayer and I understand that if I pay less Income and /or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in the relevant tax year (6th April to 5th April), it is my responsibility to pay any difference.

Please notify IMPACT 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.
Please return this completed form to:
IMPACT, 151 Western Road, Haywards Heath, West Sussex, RH16 3LH, UK
Registered Charity No. 290992.
Thank you
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