Giving Form & Gift Aid Declaration

Giving Form & Gift Aid Declaration

The Southwell & Nottingham Diocesan Board of Finance Charity No 249359 - Each taxpayer should complete a separate form.
Promise Form to *
Bank Account Details:

LLOYDS BANK // ACCOUNT NAME: ST MARGARET'S CHURCH PCC // ACCOUNT NUMBER: 02863039 // SORT CODE: 30-96-18
Bank Account Details:

ACCOUNT NAME: St Johns Bilborough PCC // ACCOUNT NUMBER: 52424260 // SORT CODE: 30-96-26
Bank Account Details:

ACCOUNT NAME: St Martin of Tours Church Bilborough // ACCOUNT NUMBER: 56891562 // SORT CODE: 30-99-50
Bank Account Details:

COOP BANK // ACCOUNT NAME: THE PCC OF STRELLEY ALL SAINTS // ACCOUNT NUMBER: 67336348 // SORT CODE:08-92-99
Bank Account Details:

LLOYDS BANK // ACCOUNT NAME: ST LEODEGARIUS CHURCH // ACCOUNT NUMBER: 28640760 // SORT CODE: 30-99-50
Bank Account Details:

LLOYDS BANK // ACCOUNT NAME: ST AIDAN'S CHURCH COUNCIL // ACCOUNT NUMBER: 35290468 // SORT CODE: 30-99-50
Bank Account Details:

ACCOUNT NAME: ACCOUNT NAME: ST MARTHA’S PCC // ACCOUNT NUMBER: 96912693 // SORT CODE: 60-80-09
Bank Account Details:

ACCOUNT NAME: CINDERHILL PAROCHIAL CHURCH COUNCIL // ACCOUNT NUMBER: 50232203 // SORT CODE: 40-35-12
Title*
Date*

DayMonthYear
Date
Name*

First NameLast Name
House Number*
Street Name*
Address Line 2 (optional)
Postcode*
I should like to give £ Number* each * starting on the Date* .
I confirm I would like you to claim gift aid on my donation(s)*
Please tick this box to confirm that you are a UK taxpayer and want Southwell and Nottingham DBF (on behalf of Type a label ) to reclaim tax on all your donations in the future from the date of this declaration and in the past 4 years, currently 25p for every £1 donated. 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 that tax year it is my responsibility to pay any difference. Please notify the Treasurer or Planned Giving Secretary if you want to cancel this declaration, change your name, home address or no longer pay sufficient tax on your income and/or capital gains.
Method of Payment*
Thank you so much for adding Gift Aid to your donation. Your Gift Aid declaration allows us to claim an additional 25p for every £1 that you donate at no extra cost to you.
Should be Empty:

Giving Form & Gift Aid Declaration

Bank Account Details:

Bank Account Details:

Bank Account Details:

Bank Account Details:

Bank Account Details:

Bank Account Details:

Bank Account Details:

Bank Account Details:

Thank you so much for adding Gift Aid to your donation. Your Gift Aid declaration allows us to claim an additional 25p for every £1 that you donate at no extra cost to you.