Printable Gift Aid Declaration For Langdon

Please complete and print this form only if you are sending (or have sent previously) a donation by post.

You can type your details directly into the form and print it out, or if you prefer you can print the form out and fill it in by hand.

Please sign the form after printing it out.

Print this form

Please treat * The enclosed gift of £ as a Gift Aid donation OR * All gifts of money that I make today and in the future as Gift Aid donations OR *All gifts of money that I have made in the past 6 years and all future gifts of money that I make from the date of this declaration as Gift Aid donations *tick as appropriate You must pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6th April one year to 5th April the next) that is at least equal to the amount of tax that The Langdon Foundation will reclaim on your gifts for that tax year.

Donor Details Title    Initial(s)    Surname Address Post Code

Date// Signature

Please notify The Langdon Foundation if you:

1. Want to cancel this declaration.
2. Change your name or home address.
3. No longer pay sufficient tax on your income and/or capital gains.

Tax claimed by The Langdon Foundation

• The Langdon Foundation will reclaim 28p of tax on every £1 you gave up to 5 April 2008
• The Langdon Foundation will reclaim 25p of tax on every £1 you give on or after 6 April 2008
• The Government will pay The Langdon Foundation an additional 3p on every £1 you give between 6 April 2008 and 5 April 2011. This transitional relief for The Langdon Foundation does not affect your personal tax position.

If you pay income tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.

PLEASE REPLY TO:
PO Box 640 Edgware HA8 4GL
Tel: 020 8951 3942 - email: info@langdonfoundation.org.uk

Registered address:
c/o Lopian Gross Barnett & Co 6th Floor, Cardinal House, 20 St Mary’s Parsonage,
Manchester M3 2LG

Trustees:
Barry Welck (Chairman), Geoffrey Berger, Jonathan Manson, Jonathan Pfeffer, Carole Joseph
Patron:
Chief Rabbi Lord Jonathan Sacks