GIFT AID DECLARATION
MISBOURNE ORCHESTRA

Registered Charity No: 1047207

Name of Charity: MISBOURNE ORCHESTRA

Details of donor:

Title:....Forename(s):............... Surname:.......................

Address:.............................................................

.....................................................................

..................................... Post Code:.....................

I want the charity to treat:

* the donation 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             * delete as appropriate


Date...../...../...........


Notes:
1. You can cancel this declaration at any time by notifying the charity

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.

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 charity reclaims, you can cancel your declaration (see note 1).

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 the charity. Or ask your local tax office for leaflet IR113 Gift Aid.

6. Please notify the charity if you change your name or address.