HERTFORDSHIRE EAST BRANCH Registered Charity no. 208244

If you pay UK Income Tax or Capital Gains Tax, your donation can benefit even more

– up to 25p for every £1 you give

Please treat as Gift Aid donations all qualifying gifts of money made

 ........     today      ..............    in the past 4 years         ............  in the future

Please tick all lines you wish to apply

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 the charity will reclaim 28p of tax on every £1 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.

Donor’s details

Title..........................  First  name..................................................

Surname.......................................................................................

Home Address...............................................................................

.....................................................................................................

.................................................Postcode.....................................

Signed................................................Date...................................

Please use BLOCK CAPITALS

Please notify RSPCA Herts East Branch if you:

•  Wish to cancel this declaration
•  Change your name or 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 received 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 code

Please contact our office on 01462 672278 to obtain the office address