Anyone who is a UK income/capital gains taxpayer can
complete the declaration below to allow Gloucestershire Counselling Service
to recover the basic rate of tax on your donation.
We therefore invite you to complete the declaration below.
I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the
current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to
pay any difference.
I would like to donate (£):
— OR —