Gift Aid Declaration

Please read the notes overleaf before completing.

Donor Details:

Title:_____ Surname:________________ Forenames:________________

Address:_____________________________________________________

______________________________________ Post code:_____________

I want Torch Trust for the Blind to treat as Gift Aid donations:

(Please delete as appropriate)

· all donations I make from the date of this declaration, until I notify you otherwise

· all donations I have made in the past four tax years and all donations I make from the date of this declaration, until I notify you otherwise.

· all donations I have made between _____________ and _____________

· the enclosed donation of ___________________

Signature:___________________________ Date:________________

Please return this form to:

For internal use:

Declaration No:_________

Torch Trust for the Blind

Torch House

Torch Way

For internal use:

CRM No:_________

MARKET HARBOROUGH

Leicestershire

LE16 9HL

Notes

1. If your declaration covers donations you make in the future:

Please notify Torch Trust for the Blind if you change your name or address while the declaration is still in force.

You can cancel the declaration at any time by notifying the charity - it will then not apply to donations you make on or after the date of cancellation or such later date as you specify.

2. You must pay an amount of income tax and/or capital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year (25p for every £1 you give), otherwise you will be liable to refund the difference to the HM Revenue & Customs.

3. Your donations should not be based on the tax paid by another person (e.g. husband or wife) but by you personally.

4. If, in the future, your circumstances change and you no longer pay tax on your income and/or capital gains equal to the tax the charity reclaims, you can cancel your declaration. (See note 1.)

5. If you pay higher rate tax, you can claim further tax relief in your Self Assessment tax return.

6. If you are unsure whether your donations qualify for Gift Aid tax relief, please ask us, or you can ask your local tax office for leaflet IR113 Gift Aid.

Torch Trust for the Blind

Torch House, Torch Way,

MARKET HARBOROUGH

Leicestershire

LE16 9HL

Tel: 01858 438260

E-mail: info@torchtrust.org

Registered Charity No: 1095904