DATA PROTECTION ACT 2018 – The information given on the Declaration below will be held by the Diocese of Brentwood and used to complete HM Revenue & Customs returns, to provide information for statutory/audit purposes, and to communicate with the donor. Details of how we process your data, and your rights, are on the Privacy Notice which is on the Diocesan website:

https://www.dioceseofbrentwood.net/diocese/data-protection/

I am a UK taxpayer and understand that, if I pay less Income Tax and/or Capital Gains Tax in the current year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay any difference.

Details of the relevant UK Taxpayer:

Mr/Mrs/Ms/Miss/Dr/Other/

First name

Surname

Address

Town

Post code

Phone

E mail l

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

Preferred method of Giving: (Please tick ONE of the boxes below)

I wish to make donations by STANDING ORDER and will return the completed standing order form to my bank. My monthly standing order will be for (Please enter the monthly amount)

Amount

I wish to make donations by in CASH/CHEQUE and I request a set of personalised gift aid envelopes

Amount

Date

Please treat as gift aid donation, all qualifying gifts of money made from the date of this declaration,

or since this date

Gift Aid Number if known

Please send any queries to Michael Rawlinson, our Gift Aid Officer via this address

giftaid@ourladyandstjosephchurch.org.uk

Our Lady and St Joseph Catholic Church

Contact Details:

Gift Aid Application Form