Gift Aid Declaration Gift Aid Form

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About Us
We’re changing lives across Teesside by supporting people and families who’ve been affected by a terminal illness.

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It costs us around £18,500 each day to run all our services.

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Thank you for choosing to Gift Aid your donations for Teesside Hospice!

Gift Aid is one of the simplest and most effective ways of making your donations go further, as it allows us to reclaim the basic rate tax you have already paid on your donations as a UK taxpayer. It means that for every £1 you donate we can claim an extra 25p of tax, at no extra cost to you.

All you need to do is complete the form below.

Your Details

Title

First name

Surname

Address line 1

Address line 2

Town

Postcode

County

Phone

Email address

Are you a UK taxpayer?

1. Yes, by ticking this box you are confirming that: I am a UK Taxpayer and I would like Teesside Hospice to reclaim the tax on all qualifying donations I have made in the past 4 years, as well as any future donations, until I notify them otherwise. You pay an amount of UK Income Tax and/or Capital Gains Tax for each tax year that is at least equal to the amount of tax that all charities & CASCs you donate to will reclaim on your gifts for that tax year i.e. to cover donations of £40, you must pay at least £10 tax in the tax year. You understand that if you pay less tax than the amount of Gift Aid claimed on all your donations in the tax year, it is your responsibility to pay any difference. I understand that Teesside Hospice will reclaim 25p of tax on every £1 that I give. Please contact us if you wish to cancel this declaration, no longer pay sufficient tax or if your details change.

2. No, I am not a UK taxpayer

Let's Keep in Touch

We are so pleased that you’d like to help local people with a terminal illness to live as well as possible, for as long as possible. Thank you. We’re looking forward to keeping in touch with you by post and phone, sharing our news, events and appeals.

Please let us know if you’re also happy to hear from us by email and text.

Yes, I’d like to hear from you by email

Yes, I’d like to hear from you by text

If you don’t want to hear from us, or change your mind about how we contact you, please let us know. You can email marketing@teessidehospice.co.uk or call 01642 811145.

We’ll always keep your details safe; we won’t share them with any other organisations to use for their own purposes and we’ll only use them in accordance with our privacy policy.

Thank you.

If your gift aid status changes:

Please notify Teesside Hospice if you:

-Want to cancel this declaration;
-Change your name or home address;
-No longer pay sufficient tax on your income and/or capital gains.

Gift Aid Declaration Form

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