THE MATHIESON MUSIC TRUST ONE-OFF GIFT AID DONATION FORM

A Registered Charity. Charity Number 1040751 Trustees: Anup Kumar Biswas - Andrew Auster - Agnes Biswas

Please print out this page, fill it in and send to the Mathieson Music Trust, c/o 52 The Avenue, Rayners Lane, Pinner, Middlesex, HA5 5BL UK

(tel 020 8960 5889)

I am donating the sum of £.......................

(in words ..........................................................pounds)

My name................................................................

Address...................................................................

...........................................................................

............................................................................

Post code.....................

 

Signature …………………. ..........

Date……………...........................

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DECLARATION OF GIFT AID DONATIONS (please sign again for tax rebate purposes, if applicable)

To qualify, you must be a UK taxpayer and pay income tax or capital gains tax equal to the gross tax deducted from your donation (28p for every £1 you give). Please remember to notify us if and when you are no longer a taxpayer. You are entitled to cancel this declaration at any time.

I want the Mathieson Music Trust to reclaim tax on all donations I have made since 6 April 2000 and all donations I will make to this charity hereafter.

Signed …………………. .......................

Date…………….......................

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