BANKERS’ ORDER Christ Church Parish of Saint Luke and Christ Church, Chelsea Registered Charity No. 1133092 GIFT AID DECLARATION DONOR’S DETAILS Full Name (Capitals please) ………………………………………………………….. To: The Manager, ……………………………..………………. Bank PLC Address………………………………………………………..…. …………………………………………………………… Address …………………………………………………………….. Please pay to the account of Christ Church District Church Council at National Westminster Bank PLC, 224 Kings Road, London SW3 5UB. Postcode ………………. Sort Code: 60-05-14 Please treat as Gift Aid donations all qualifying gifts of money made from the date of this declaration and in the past four years. The sum of £…………………………………………………………. (figures) I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities (including churches) and Community Amateur Sports Clubs 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 of tax on every £1 that I give. I plan to give by Bankers’ Order/envelope no . Account No: 29616891 ………………………………………………………………………... on the ……….. day of….………… 201……... and on the same date in each succeeding month/quarter/year, until further notice. (Delete as necessary) Please note Gift Aided donations should be made by the individual paying income and/or capital gains tax so declarations should not be made in joint names. Please debit my account no. ……………………………….. with each payment made. .DONOR’S Please cancel my previous standing order for £…………….. per month/quarter/year. (Delete as necessary) DATE: SIGNATURE ……………………………………….…… ……………………………………….…… Please notify the church/charity 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. Gift Aid is linked to basic rate tax. Basic rate tax is currently 20%, which currently allows charities to reclaim 25 pence on the pound. Higher rate taxpayers can claim back the difference between basic rate and higher rate or additional rate tax. 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 (words) Name (block capitals) Signature …………………………………………………….. Address Date …………………………………………………….. Please complete this form in BLOCK LETTERS and return it with the Gift Aid Declaration, to the Treasurer, Parish Office, St Luke’s Crypt, Sydney Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code. 2 Street, London SW3 6NH, NOT to your Bank. NB: When an earlier bankers’ order is superseded the donor should request his/her bank to cancel any related standing order. /www/wwwroot/www.45doc.com/home/dochub/uploads/2022/04/19/1/1-1650303501481820083-.doc 19 April 2022

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