This document is a letter from a charity requesting that a donor sign an attached tax relief form. Signing the form would allow the charity to claim a tax refund from revenue on the donor's previous donations of 250 or more. The letter emphasizes that it is a simple process, free for the donor, and could result in millions of euros for charities. It provides several charity-related benefits of signing and urges the donor to complete the form immediately.
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The Good Form campaign generic taxback pack
1. If undelivered please return to: YOUR CHARITY NAME & ADDRESS HERE
YOUR CHARITY
CEADNAS HERE
138
YOUR
CHARITY
LOGO Thank you for your generosity
HERE
Now you can give again for FREE
2. YOUR
Jonathan, you have already CHARITY
done so much. LOGO
HERE
Jonathan OConnell,
Address Line 1,
Town,
Dublin 3
YOUR
Now, just with your signature, CEO
PHOTO
you can give to us again for free.
HERE
Dear Jonathan,
Your generosity has already made a difference. I want to thank you, on behalf of everyone at
YOUR CHARITY NAME HERE, and all the people we are working to help, for your support.
The good news is that we are not asking you for any more money. Instead there is something
you can do, that will only take a few moments of your time and will cost you absolutely
nothing, yet it could be worth millions to good causes that reach out across Ireland and the
whole world.
How simply it works
YOUR CHARITY NAME HERE can claim a substantial tax refund that is
available from the Revenue. This is for donations from generous donors
like you that give 250 or more in a year, and pay income tax under
the PAYE system ONLY. This refund can only be claimed by the charity
concerned in respect of the PAYE-only donor. It sounds complicated, but
it is simple to do and the form is quick and easy to complete.
This year many Irish charities have come together to highlight how important this form is.
We have decided to call it The Good Form, because it can do so much good, and because
its so painless to do.
As you can see on the form attached, weve filled in your name, address and amount youve
given. If there is more than one year which is due to be claimed, we enclose a form for each
year. What you need to put in is your PPS number, tick the rate at which you are taxed, and
then just sign and date it. Then pop it in the prepaid envelope provided and post it. Pay no
more money. Dont even buy a stamp - unless you want to!
continues overleaf
Your charity contacts details and CHY No. here
3. YOUR
CHARITY
LOGO
HERE
What your signature can achieve
The group of charities who have come together to help each other claim these refunds are
supported by thousands of PAYE-only donors like you. Indeed, across all Irish charities, over
a hundred thousand people have donated 250 or more in the past year, just as you have.
But we can only get Revenue to pay the tax refunds on your donations if you complete, sign
and send back the The Good Form.
That is why it is so vital that you do this one more task for YOUR CHARITY NAME HERE, as
others are doing for the charities they support.
We know that you are a busy person, with many other things to do. That is why we are urging
you to attend to The Good Form right now. If you put it away in a drawer, you might end up
forgetting all about it.
So please, do it now, while its on your mind. There are millions of euro at stake, and so many
people, in so many ways, are depending on you.
Thank you for your time. I hope you have a biro handy.
Any questions, please call us on YOUR CHARITY
PHONE NO HERE.
Thank you, once again,
CHARITY CEO SIGNATURE
CHARITY CEO Name & Title
IMAGES, E.G. OF YOUR CHARITYS BENEFICIARIES
Simply signing this form means we can do so much more.
Your charity contacts details and CHY No. here
4. YOUR
CHARITY
LOGO
HERE
TAX RELIEF FOR DONATIONS
TO ELIGIBLE CHARITIES AND APPROVED BODIES
Appropriate Certificate for the purposes of Section 848A Taxes Consolidation Act, 1997
(To be completed by PAYE-only taxpayers)
(BLOCK CAPITALS PLEASE)
I certify that I, Mr Jonathan OConnell, have made a donation
to YOUR CHARITY NAME
in the sum of (amount in words)
(total donated)
in the year ended 31 December (YEAR) and that
I was resident in the State for the relevant year of assessment,
I have paid or will pay to the Revenue Commissioners income tax of an amount equal to income tax for the above year
on the grossed up amount of the donation,
neither I nor any person connected with me have received or will receive a benefit in consequence of having made this
donation,
the donation was paid in money,
Dont know the donation was not subject to a condition as to repayment nor conditional on, or associated with, the acquisition of
your PPS no.? property by the eligible charity or approved body other than by way of gift, from me or a person connected with me, and
See your pay
slip or social I am not self-assessed for tax purposes.
services card
or ask your I was not directly associated (i.e. either as an employee or member) with the charity/approved body at the time the donation
employer/tax
office. was made. (If you are/were directly associated with the charity/approved body at the time the donation was made then
please complete the additional declaration at the bottom of the form*
Tick whichever
is appropriate
PPS No: Rate of Tax: Standard 20% Higher 41%
Signature Date
Address: 31 Dukes Parade, Rathgar, Dublin 8
Phone Number 01234 567 890
N.B. This certificate should be completed by donors who pay tax under the PAYE tax system ONLY. A donor who is taxed
under the self-assessment system but who may also pay some tax under the PAYE system should claim relief in his/her own
self-assessment tax return for 2012 and prior years.
* The following additional declaration is to be completed where there was a direct association between the donor and the charity/approved body
at the time the donation was made (See Note 3 on http://www.revenue.ie/en/tax/it/forms/chy2cert-charity.pdf)
I declare that the aggregate amount of all donations made by me to this body, or to other charities/approved bodies with
which I am also directly associated, does/does not (delete as appropriate) exceed 10% of my income in that year of
assessment.
Signature Date
Thank you for taking the time to fill in this form.
Please return it to us in this pre-paid envelope.
<Serial No> <EventCode>
5. YOUR
CHARITY
LOGO
HERE
Ten good reasons why you should
sign this form now for YOUR CHARITY
NAME.
1. Its free.
2. Were sure you have a pen!
3. It should take less than three minutes.
4. You dont even need to buy a stamp - unless you want to!
5. We can reclaim up to 69% of your donation, depending on your
tax bracket. It wont affect your finances at all.
6. Charity related benefit e.g. One in seven people accessing
YOUR CHARITY NAMEs services is a child.
7. Charity related benefit
8. Charity related benefit
9. Charity related benefit
10. Charity related benefit
6. Adding a stamp
will save YOUR
CHARITY
NAME paying
the postage -
but please
don't let that
delay posting.
YOUR CHARITY NAME,
Address Line 1,
Address Line 2,
Address Line 3.
YOUR
CHARITY
LOGO
HERE