Gift Aid Form
Please note: if you are donating through JustGivingtm, they offer Gift Aid directly from their website.
The Friends of the Lazarus Home for Girls in Bethany Gift Aid Declaration
CIO charity number 1163342
Details of donor
name: 
address:
post code:
I want The Friends of the Lazarus Home for Girls in Bethany to treat (delete as appropriate)
• 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.
Signed: Date:
Notes:
If your declaration covers donation you may make in the future:
- please notify us if you change your name or address while the declaration is still in force
- please note that you can cancel the declaration at any time by notifying us; it will then not apply to donations you make on or after the date of cancellation or such later date as you specify
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 (currently 28p for each £1 you give).
If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to our reclaims, you can cancel your declaration (see above).
If you pay tax at the higher rate, you can claim further tax relief in your Self Assessment tax return.
Please complete, sign and return this form to:
The Treasurer
The Friends of the Lazarus Home for Girls in Bethany
70 Ambridge Way
Wheatfields
Seaton Deleval
Northumberland NE25 0PY