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Charity Gift Declaration

Gift aid declaration - for past, present and future donations

Please complete all fields marked with an astrix (*)

By signing a Gift Aid declaration, every £1 you give, Buckinghamshire NHS Trust Charitable Fund can claim an additional 25p back in tax, so you can make your donation go much further at no extra cost to you.

Most people in the UK are eligible to sign a Gift Aid declaration. Even if you are retired, you may be paying more than enough tax on your private pension or on your savings to qualify.

All you need to do is complete the declaration form below, and send this to Buckinghamshire Healthcare NHS Trust, Charitable Fund, Amersham Hospital, Whielden Street, Amersham, HP7 0JD.

Please treat all qualifying gifts of money made as Gift Aid donations: (Please tick each box you wish to apply)

I can confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each year (6th April to 5th April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCS) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p for every £1 that I have donated on or after 6th April 2008.


Please notify us if you:

  • Want to cancel this declaration
  • Change your name or home address
  • No longer pay sufficient tax on your income and/or capital gains
If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

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