Gift Aid Declaration

This is a one-off declaration, not a payment. By completing it, you let Chapel of Life reclaim an extra 25p from HMRC for every £1 you give, on the past 4 years and everything you give in future, at no cost to you.

Takes about 2 minutes•No payment taken•Cancel any time

Your details

Title(optional)First nameSurname

House number or name and streetAddress line 2(optional)

Town or city(optional)Postcode

EmailPhone(optional)

How you give (optional, helps us match your gifts)

Method(optional)Envelope no. or reference(optional)

I am a member of Chapel of Life

Your declaration

This is a one-off declaration, not a payment. It applies to all your giving to Chapel of Life over the past 4 years and everything you give in future, until you tell us otherwise.

Years to reclaim for

These are the UK tax years your declaration covers. Untick any year you did not pay enough UK Income or Capital Gains Tax. Your future giving is always covered.

Tax years run 6 April to 5 April. Future giving is always covered going forward.

I want to Gift Aid all donations I make to Chapel of Life in the future, and all donations I have made in the past 4 years. 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.

Please tell Chapel of Life if you want to cancel this declaration, change your name or home address, or no longer pay sufficient Income Tax and/or Capital Gains Tax. If you pay tax at the higher or additional rate, you can claim the difference through your Self Assessment return.

I understand Chapel of Life will hold the information on this form to administer Gift Aid, and will keep these records for as long as HMRC requires (currently 6 years after the relevant tax year). My details will not be shared except as required to reclaim Gift Aid from HMRC.