Lime Tree House – Gift Aid Declaration Form

Please return this form, when completed to: 'The Administrator', Lime Tree House, 264 Washway Road, Sale, Cheshire, M33 4RZ.

I would like to increase the value of my donations to Mountlands Trust Ltd, Registered Charity 219215, by giving the Trust the opportunity to claim the tax paid upon these sums. (Mountlands Trust Ltd. operates Lime Tree House)

Name

Address

I confirm that I currently pay Income Tax or Capital Gains Tax, at least equal to the tax that the charity reclaims on my donations in each tax year.

I confirm that I will notify Mountlands Trust Ltd should I cease to pay Tax.

Please claim tax on all membership subscriptions and/or donations I have made since the 6th April 2000 and all membership subscriptions and/or donations I may make hereafter, until further notice.

Signed

Date

Please return this form to: 'The Administrator', Lime Tree House, 264 Washway Road, Sale, Cheshire, M33 4RZ.

Lime Tree House: Gift Aid Declaration Form