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 confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand IMPACT Foundation will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.

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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