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Teddington Old People’s Welfare Association

Gift Aid Declaration

Certificate of payment(s) by an individual to a charity

                                                           enter your full name

I certify that I        ............................................................................

have made or will make payments to Teddington Old People's Welfare Association

This declaration covers all donations I have made since 6 April 2000 and all donations I make thereafter.

I declare that I am resident in the United Kingdom and have paid or will pay income tax or capital gains tax on the gross amount of the gift 

and that the payment

was made or will be made in money and was not subject to a condition that any part of it can be repaid

was not paid or will be paid for any benefits beyond the limits

was not linked or will not be linked with the acquisition of property by Teddington Old People’s Welfare Association except by gift

and that I will notify Teddington Old People’s Welfare Association if my circumstances change.

All these conditions must be satisfied for the payment to qualify for tax relief

Signature  ........................................................................................  Date ..................

Address    ........................................................................................

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

  Postcode  .........................................

When you have completed this form please return it to Teddington Old People’s Welfare Association, Elleray Hall Social Club, Elleray Road, TEDDINGTON, TW11 0HG