Logo created by Phil Weller  

Thank you for offering to make a gift aid declaration. Please use this form to make your declaration.


Print out, complete and sign it and post to The Katie Trust, 32 Zetland Road, Redcar, TS10 3QD

Gift Aid declaration
Details of donor

Title ……Forename(s) …………………………………… Surname …………………

Address ………………………………………………………………………….……….

……………………………………………………………………………………

………………………………………………… Post Code …………………….

I want the charity to treat

*the enclosed donation of £ ……………….

*the donation(s) of £ ………………………which I made on ……/……/……..

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

*all donations I have made since 6 April 2000, and all donations I make from the date of this declaration until I notify you otherwise

as Gift Aid donations.

Signed....................................................................    Date..................................

 Notes
  1. 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 (currently 28p for each £1 you give).
  2. You can cancel this declaration at any time by notifying us.
  3. If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the Katie Trust reclaims, you can cancel your declaration.
  4. If you pay tax at the higher rate you can claim further tax relief in your Self- Assessment tax return.
  5. If you are unsure whether your donations qualify for Gift Aid tax relief, ask us. Or ask your local tax office for leaflet IR 65.
  6. Please notify us if you change your name or address.
Registered charity no 1076623