Bromhead Medical Charity   20 Craypool Lane   Scothern   Lincoln   LN2 2UU   Tel: 01673 861412

Gift Aid declaration for a single donation

as a Gift Aid donation

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current

tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and
Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current
tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand
the charity will reclaim 25p of tax on every £1 that I have given.

Please notify the charity if you:


If you pay Income Tax at the higher or additional rate and want to receive 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 tax code.