Format Of Zakat Declaration Form (Cz-50)

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Annexure - A
FORMAT OF ZAKAT DECLARATION FORM (CZ-50)
[TO BE MADE ON A STAMP PAPER OF RS. 50/- (DULY NOTARIZED)]
DECLARATION FORM (CZ-50)
Under the provision of Sub Section (3) of section 1 of
Zakat and Ushr ord. 1980 (XVIII of 1980) and Rule 20
of Zakat (Collection & refund) rules 1980, Sworn on
oath before
I/We ______________________ Son/Daughter/Wife of _____________ Aged __ years, residing
at____________________________________________________________________________________
Do here by solemnly swear by Allah that:
a)
I am/We are Muslim(s) and follow FIQH ____________
b)
According to my/our faith and above said fiqh, I am / We are not obliged to pay Zakat on the
following types of Assets in the manner as laid down in the Zakat & Ushr Ordinance 1980.
1) GOLD & SILVER
Ornaments or silver which is not in the form of coins.
2) PAPER CURRENCY
3) LIFE INSURANCE POLICIES
4) BANK ACCOUNTS
All types including Saving Bank, Current deposit, Notice Deposit, Fixed Deposit and similar accounts
by whatever name described with the banks, Post Offices, National Savings centers and Financial
Institutions etc.
5) SECURITIES
All types including Shares, Debentures, N.I.T. Units, ICP Mutual Funds, defense Saving, special
Saving Certificates and accounts thereof Prize Bonds, Government Securities etc.
6) FUNDS
Provident fund, Gratuity, Annuity, etc. LOANS given to other and ALL OTHER INVESTMENTS
etc.
Place:
_____________________
Date:
_____________________
____________________________
Deponent(s)
WITNESSES
We,
1)
__________________________ son/daughter/wife of _________________ resident of_________
_______________________________________________________________________________
2)
__________________________ son/daughter/wife of _________________ resident of_________
_______________________________________________________________________________
solemnly declare and affirm that we know the above deponent(s) and identify him/her/them as the
same person(s) as described above.
1)
____________________________________
2) ________________________________
Signature
Signature
The above declaration has been solemnly on oath before me on this ________________, by the above deponent(s) in presence of
witnesses and identified the above deponent(s).

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