Home-Start Runnymede Supporting Families Chertsey Nursery School Pyrcroft Road Chertsey Surrey KT16 9ER Tel: 01932 568874 Fax: 01932 571312 e-mail info@home-startrunnymede.org.uk website www.home-startrunnymede.org.uk Registered Charity Number: 1047145

GIFT AID DECLARATION

To: The Treasurer, Home-Start Runnymede,

Chertsey Nursery School, Pyrcroft Road, Chertsey, KT16 9ER

From: ……………………………………………………………………

Address: ……………………………………………………………………

……………………………………………………………………

……………………………………………………………………

………………………………… Post Code ……………………

I enclose a donation of £……………..to Home-Start Runnymede and wish this, and all future donations that I make after the date of this declaration, to be treated under the new Gift Aid Scheme. I confirm that I am a UK taxpayer, and that I pay tax at or above the basic rate. I undertake to advise Home-Start Runnymede if this situation changes.

Signed: ………………………………………… Date: …………………………

Note: As from 1 April 2000, Charities will be able to recover the income tax suffered from all donations made to them irrespective of the amount, this provided the donor pays income tax at the basic rate (at present 22 percent) and completes the Gift Aid Declaration as set out above. This form covers all donations made in future and saves the requirement of more paperwork. Thus for every £10 donated by the donor Home-Start Runnymede will benefit by a further £2.82, for every £100 a further £28.21. The new Gift Aid Scheme supersedes the Covenant Scheme, although present covenants (on which you can claim repayment of tax) are still valid.