Gift Aid Declaration

To enable F.A.C.E to obtain the additional benefit of reclaimed Tax on your donation, please print off this page, complete and send with your donation to:

F.A.C.E. c/o Ms F Taylor, Ward 2, Department of Clinical Oncology, Western General Hospital,Crewe Road South, Edinburgh, EH4 2XU.


Gift Aid Declaration

Lothian NHS Endowments Office

Level 2, Lauriston Building, 39 Lauriston Place, Edinburgh,EH3 9HA


Donor's Name: _________________________________________________________

Donor's Address:

_________________________________________________________
_________________________________________________________
_________________________________________________________
____________________________Post Code____________________
Charity: LOTHIAN HEALTH BOARD ENDOWMENT FUND
Fund Title: Fighting Against Cancer Edinburgh & South East Scotland Fund (University Hospitals Division)
Donations to which the
declaration relates:
The donation of £_________made to you on__/__/__ and all donations I make to you thereafter.
Declaration: I wish my donations to be deemed Gift Aid Scheme donations and for the charity to reclaim tax on them.

Signature___________________________________ Date_____________________


Tax Requirement
The donor must pay an amount of income tax or capital gains tax equal to the tax we reclaim on your donations(currently 28p for every £1 you donate). Remember to notify us if you no longer pay the the appropriate amount of income tax or capital gains tax.

If you pay tax at a higher than the basic rate, then the amount on which you pay only the basic rate may be increased by the amount of the donations made under the Gift Aid Scheme provided that you inform the Inland Revenue that you have donated these amounts

Notes
You can cancel the declaration at any time by notifying this office in writing. The declaration then will not apply to donations made on or after the date of cancellation or such later date as you specify

Please notify this office if you change your name or address while the declaration is still in force


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