I want The Jane Austen Society Midlands to treat

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this year's subscription, and all subsequent annual subscriptions, including any special one-off contributions, made after this date of this declaration, until I notify The Jane Austen Society Midlands otherwise, as Gift Aid donations

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all annual subscriptions, or one-off contributions, I have made for this tax year and the six tax years prior to the date of this declaration, (but no earlier than 06/04/2000) and all annual subscriptions, or one-off contributions I make from the date of this declaration until I notify The Jane Austen Society Midlands otherwise, as Gift Aid donations.

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Delete as appropriate

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 subscriptions in the appropriate tax year. Currently this is 28p or 25p for each pound that you donate for basic tax rates of 22% or 20% respectively.

Signed:

Date:

Notes:

1.

You can cancel this Declaration at any time by notifying The Jane Austen Society Midlands.

2.

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 Jane Austen Society Midlands reclaims, you can cancel your declaration.

3.

If you pay tax at a higher rate, you can claim further tax relief in your Self Assessment tax return.

4.

If you are unsure whether your subscriptions, or other payments, qualify for Gift Aid tax relief, ask The Jane Austen Society Midlands, or visit the HM Revenue & Customs at www.hmrc.gov.uk/charities/gift-aid.htm

5.

Please notify The Jane Austen Society Midlands if you change your name or address.