Gift Aid Declaration Form Gift Aid Declaration FormCharity Registration Number 1076399 We can make your gift worth 25% more! The Gift Aid scheme allows charities to claim back the tax paid on donations, which means we get more out of the money you give to us. This is valid for those that pay tax on income or those who pay capital gains tax. Please complete the form below to Gift Aid any donation you make to The Headgate Theatre.Name* First name or initial(s): Surname: Address* Address: Town/City: Postcode: Please tick those that apply:* I want to Gift Aid my donation I want to Gift Aid any donations I make in the future or have made in the past 4 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. Please notify us if you:• want to cancel this declaration• change your name or home address• no longer pay sufficient tax on your income and/or capital gain.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.