Gift Aid Declaration Form

Thousands of donors are signed up for Gift Aid, and raise around £100,000 a year from this Government scheme.

Currently, for every £1 qualifying donation received we can claim repayment from HMRC of 25p.

It’s an amazing way of gaining extra funds for the hospice. If you have donated to St Richard’s in the past 4 years, please complete the form below, to enable us to claim back the Gift Aid.

There are two Gift Aid schemes; Donation Gift Aid (for multiple donations of money to the Hospice) and Retail Gift Aid (for donated goods to the Hospice). You will be asked about both types of Gift Aid below.

About you
Name*
Prefix First Last
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email*
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Mobile
Donation Gift Aid declaration
A copy of this Gift Aid declaration will be sent to the email address you have provided.
Please read and tick box to confirm your declaration:*
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.

Please let us know if you want to cancel the declaration, change your name, address, or no longer pay sufficient tax on your income and/or capital gains.
I confirm the Donation Gift Aid declaration
Have you, or do you donate items to our shops?*
- Yes
- No
Retail Gift Aid declaration
A copy of this Retail Gift Aid declaration will be sent to the email address you have provided.
You can also Gift Aid your retail donations. St Richard’s Hospice Tracing Co. will act as your ‘agent’ to sell your donated goods on your behalf, if you the owner will give the sale proceeds (minus commission of 2%) to the charity as a Gift Aid donation.
Please read and tick box to confirm your declaration:*
I want to Gift Aid my current donation and any donations I may make in the future or have made in the past 4 years to St Richard’s Hospice Trading Co Ltd.

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.

I will notify St Richard’s Hospice Trading Co Ltd of any change in my personal circumstances, such as name and address, or that I no longer pay UK Income or Capital Gains tax or I wish to cancel the declaration either by contacting the Commercial Department via email, phoning via 01905 763963 or writing to Retail Gift Aid, St Richard’s Hospice, Wildwood Drive, Worcester WR5 2QT.

I wish St Richard’s Hospice Trading Co Ltd to act as my agent in offering my goods for sale, at a charge of 2% plus VAT which shall be deducted from the proceeds of sale.

The goods which I am offering to St Richard’s Hospice Trading Co Ltd are my own to give and do not belong to another household.

I am not acting as a business in bringing goods in for sale to any St Richard’s Hospice Trading Co Ltd premises.

I understand that this agency agreement is a legally binding contract.

I understand that if St Richard’s Hospice Trading Co Ltd are unable to sell any of the goods they will have the right to dispose of the goods as they see fit and cannot be returned to the donor.

I agree that St Richard’s Hospice Trading Co Ltd will not be responsible for any loss or damage to any donated goods.

I agree that St Richard’s Hospice Trading Co Ltd will NOT write to me to confirm donations, if the total value of the money raised, after deduction of Commission and VAT (Net Sales Proceeds), from the sale of my goods in any tax year is equal to or less than £1,000 and the Net Sales Proceeds will be treated as a donation to St Richard’s Hospice Trading Co Ltd.

I understand that St Richard’s Hospice Trading Co Ltd WILL contact me, if the Net Sales Proceeds are in excess of £1,000, to give me the opportunity to donate the proceeds in excess of £1,000.

I understand that St Richard’s Hospice Trading Co Ltd WILL send me an end of tax year letter, even if monies raised are less than £1,000 detailing the Net Sales Proceeds and Gift Aid reclaimed in that tax year.

If an email address has been provided St Richard’s Hospice Trading Co will send you an end of year tax statement by email. If the email fails, we will need to inform you by post.

Either I or St Richard’s Hospice Trading Co Ltd may terminate this Agreement at any time by written notice.

St Richard’s Hospice Trading Co Ltd may vary the terms of this Agreement at any time by written notice to me.

Your details will be shared with HMRC in order to enable St Richard’s Hospice Trading Co to make a Gift Aid claim.
I confirm the Retail Gift Aid declaration
Keeping in touch
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About you

Donation Gift Aid declaration

Retail Gift Aid declaration

Keeping in touch

Thank you for your continued support from us all here at St Richard’s Hospice.