Gift Aid Form

INSTRUCTIONS If you are a UK taxpayer, the value of your donation can increase by 25% under the Gift Aid Scheme at no extra cost to you. Please fill in the Gift Aid Declaration to confirm you are a UK taxpayer and would like the Worshipful Company of Scriveners’ Sexcentenary Charity Fund to claim Gift Aid on your past, present and future donations, and return this form to: The Clerk The Scriveners Company HQS Wellington, Temple Stairs Victoria Embankment London WC2R 2PN Please make cheque donations payable to: The Scriveners Company Sexcentenary Charity Fund and donations by direct bank transfer to the following account: 40-52-40 / A/C No. 00012022 (Charities Aid Foundation Bank Ltd) with your surname and initial as reference.

GIFT AID DECLARATION Title: ……………………………. Forenames: ………………………………………………………………. Surname: ………………………………………………………………….. Address: …………………………………………………………………… …………………………………………………………………………………... ………………………………………………………………………………….. Postcode: ………………………………………………… Email: ……………………………………………………………………….. I want to Gift Aid any donations I make now, or in the future, or have made in the past four years, to the Scriveners’ Company Sexcentenary Charity. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. Signed: ………………………………………………………………………. Date: …………………………………………………………..

Notes:
1. Please notify us if you change your name or address, or you no longer pay an amount of
Income Tax or Capital Gains Tax equal to the tax we reclaim on your donation.
2. 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 HMRC to adjust your tax code.
3. You can cancel this declaration at any time by notifying the Clerk.