BRIDGWATER & DISTRICT CIVIC SOCIETY

Registered Charity No 265031

GIFT AID

If you are an individual taxpayer, your annual subscription and any donation you may wish to make can be given under Gift Aid . The Society, as a charity, can then reclaim the tax you have paid. The payment you make then becomes very much more valuable to the Society. All you need to do is to complete the simple form below.

The form stays effective for any payments you make hereafter. You can cancel the arrangement at any time (and must do so when you cease to be a UK taxpayer).

Please send the bottom part of this form to

Jack Napthine, Hon. Treasurer, B&DCS, 6 Harbour View, Combwich, Bridgwater TA5 2QU

Notes

1. You can cancel this declaration at any time by notifying the Treasurer.

2. You must pay an amount of income tax and/or capital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year.

3. If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration (see note 1).

4. If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.

5. If you are unsure whether your donations qualify for Gift Aid tax relief, ask the Treasurer. You can ask your local tax office for leaflet IR113 Gift Aid.

6. Please notify the Treasurer if you change your name or address.

7. The B&DCS will only make use of this information for the purposes of reclaiming tax.

Gift Aid declaration

I want the Bridgwater & District Civic Society (reg. charity 265031) to treat all payments I make from 6 April 2005 as Gift Aid until further notice. Please reclaim tax on these.

Full Name ( please print ) ..................................................

Date: Signature .....................................................

Address ........................................................................................................................................................................

Postcode ........................................................ Telephone (in the event of a query)....................................