Diverse Church Gift Aid
If you are a UK taxpayer and eligible to Gift Aid your donation, please complete all of the declaration below, entering your details as requested in the form.  This will increase your gift by 25p for every £1 given (at the current rate) at no extra cost to you or to us. Thank you.

Please treat as Gift Aid donations all qualifying gifts of money made from the date of this declaration and in the past four years. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference

By clicking "Submit" you are confirming:
1. the accuracy of the content of this declaration; and
2. that you agree to be contacted by Diverse Church from time to time in connection with the administration of the processing of Gift Aid data; and
3. That you have read the Diverse Church Data Protection and Privacy Policy - (https://diversechurch.website/gdpr) and consent to the processing of your personal data in line with this Policy.

NOTES
Please notify Diverse Church if you:
a) Want to cancel this declaration
b) Change your name or home address
c) No longer pay sufficient tax on your income and/or capital gains

Gift Aid is linked to UK basic rate tax, currently 20%, which allows charities to reclaim 25p for every £1 donated.

2. 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 Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Diverse Church is a Charitable Incorporated Organisation registered with the Charities Commission with charity number 1179441.

THANK YOU FOR YOUR DONATION(S)!

Sign in to Google to save your progress. Learn more
Email *
Title (e.g. Mx, Mr, Ms, Mrs, Dr) *
First Name(s) *
Surname *
Street Address, Town, City, County *
Post Code *
Mobile (Optional, but it can help us clear up any difficulties with processing payments later)
EITHER: OPTION 1 - To HMRC (I worked *throughout* the last four years): -
Please treat as Gift Aid donations all qualifying gifts of money made from the date of this declaration and in the past four years. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference (If this is not true for you, then you are not eligible!)
OR: OPTION 2 - To HMRC (where I have not worked through the last four years).
Please treat as Gift Aid donations all qualifying gifts of money made from the date of this declaration and, prior to that, from the date given in the below box (no earlier than four years prior to today's date) during which periods I confirm that I have been a UK taxpayer and I am now still a UK taxpayer and I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in a particular tax year it is my responsibility to pay any difference (NOW FILL IN THE DATE) (If this is not true for you, then you are not eligible!)
FOR OPTION 2 ONLY: DATE BOX - FROM WHICH GIFT AID CAN BE CLAIMED IF NOT LAST FOUR YEARS
MM
/
DD
/
YYYY
Confirmation of UK Tax-payer Status *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report