Gift Aid Declaration

To:

Country Cat Shelter

11, Durrant's Close

Kessingland, Lowestoft,

Suffolk, NR33 7PB

Mr/Mrs/Miss/Ms:...Forename:..........................................................................................................................................................

Surname:........................................................................................................................................................................................

Address:.........................................................................................................................................................................................

Post Code......................................................................................................................................................................................

Telephone No:...............................................................................................................................................................................

I would like all donations I make to the Country Cat Shelter on or after 6th April 2000 to be treated as Gift Aid donations. I understand I must be paying Income Tax or Capital Gains Tax at least equal to the amount reclaimed by the Country Cat Shelter. I understand I can cancel this Gift Aid Declaration at any time.

Signature of Donor:........................................................................................................................................................................

Date:.............................................................................................................................................................................................

Country Cat Shelter - Registered Charity Number 297973

Notes

1. You can cancel this declaration at any time by notifying the Country Cat Shelter.

2. You must pay an amount of Income Tax or Capital Gains Tax at least equal to the tax that the Country Cat Shelter reclaims on your donations in the tax year.( Currently 25p for each 1.00 you give.)

3. If in future your circumstances change and you no longer pay tax on your income and Capital Gains equal to the tax that the charity reclaims, you can cancel your Gift Aid Declaration.

4. If you pay tax at a higher rate, you can claim further Tax relief in your Self Assessment Tax Return.

5. Please notify us if you change your name and/or address.