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Charity No. 1081400 |
| Details of donor: | |
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Title: |
............ |
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Forename(s): |
................................................................................ |
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Surname: |
................................................................................ |
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Address: |
................................................................................ |
| ................................................................................ | |
| ................................................................................ | |
| ................................................................................ | |
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Postcode: |
.................... |
| I want the charity to treat as Gift Aid donations | |
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the enclosed donation of £………….. |
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* |
the donation(s) of £ …………….. which I made on ……/……./…….. |
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all donations I make from the date of this declaration until I notify you otherwise |
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all donations I have made since 6 April 2000, and all donations I make from the date of this declaration until I notify you otherwise |
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Signature: |
................................................................................ |
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Date: |
............/............/............ |
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* |
Please delete as appropriate |
Inland Revenue Financial Intermediaries and Claims Office Ref. No: XR 41597