GIFT AID DECLARATION

As a UK taxpayer I wish Rotherham FHS to treat as Gift Aid Donations, all donations (inc membership subscriptions) I have paid since 6th April 2000 and all donations (inc membership subscriptions) that I make from the date of this declaration until I notify you otherwise. I understand that I must pay Income Tax or Capital Gains Tax at least equal to the tax that the Charity reclaims on your donations in the appropriate tax year (currently the basic rate of Income Tax).

Signed:..................................................... Date:................................................

NOTES:
1.  You can cancel this Declaration at any time by notifying the Charity
2. If in future your circumstances change and you no longer pay tax on your income or capital gains tax equal to the tax that the Charity  reclaims, you can and should cancel your declaration.
3. If you pay tax at the higher rate you can claim further tax in your self assessment tax return.
4 If you are unsure whether your donations qualify for Gift Aid Tax Relief, ask the Charity or refer to help sheet IR65 on the HMRC website (www.hmrc.gov.uk).
5. Please notify the Charity if you change your name or address.

Please return completed form to :

Martyn Ward
Treasurer - RFHS
39 Birchwood Avenue, Rawmarsh, Rotherham, South Yorkshire.  S62 7JW