Gift Aid Declaration
Arena Church Gift Aid Declaration
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Title (Mr/Mrs/etc) *
Forename(s) *
Surname *
Address *
Post Code *
Church Name
Arena Church
Church Address (inc post code)
1 Rutland Street, Ilkeston, Derbyshire DE7 8DG
Charity Number
1052643
I want Arena Church to treat as Gift Aid all qualifying gifts of money I have 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.
Donor's Signature (typing your name indicates that you give consent for this form to be processed and that your input will be counted as a digital signature) *
Date
MM
/
DD
/
YYYY
Notes
1. Please notify Arena Church if you:
   - Want to cancel this declaration;
   - Change your name and/or home address
   - No longer pay sufficient tax on your income and or capital gains tax.

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

3. 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 HMRC to adjust your tax code.

Arena Church is registered in England and Wales as a charity under number 1052643 and is governed by a trust deed dated 10th April 2006. The registered office is at 1 Rutland Street, Ilkeston, Derbyshire, DE7 8DG.
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