Form CZ-50
DECLARATION
UNDER THE PROVISIONS TO SUB-SECTION (3) OF SECTION 1 OF THE ZAKAT AND USHR
ORDINANCE, 1980) AND RULE 20 OF THE ZAKAT (COLLECTION AND REFUND) RULES, 1981 SWORN
ON OATH BEFORE______________________________________________________
(Name & designation of the person administering oath)
I (Name)
Son / daughter / wife / widow
Age ,
Complete Address:
Do hereby solemnly swear by Allah that:-
(a) I am a Muslim and follow fiqh, (Name of the recognized fiqh)
(b) According to my faith and the above said fiqh, I am not obliged to pay:-
(i) Zakat on the following types of assets to the extent indicated against each:
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, Mutual Funds Units, 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.
(ii) Ushr on the following kinds of produce to the extent indicated against each produce
________________________________
________________________________
(c) That what is stated above is true to the best of my knowledge and belief
Place: Faisalabad
Date: 14 /12 / 2018
Deponent(s)
We,
1. (Name)_____________________________ Son of _________________________________of
(address)__________________________________________________________________________
2. (Name)_____________________________ Son of _________________________________of
(address)__________________________________________________________________________
Solemnly affirm that we know the above deponent and identify him as the same person as described above.
___________________________________ ___________________________________
Signature of Witness (1) Signature of Witness (2)
The above declaration has been solemnly affirmed on oath before me this _________day of ___________,
IAS-01-2018
20____by the above deponent in the presence of the above witnesses who identified the above deponent.
Place ____________________ _____________________________________________
Date _____________________ (Name and designation of the person administering oath)
SEAL OF OFFICE
Note: (A) In case of a minor or insane persons, his guardian shall make this declaration. A minor is supposed to
follow the fiqh of his father and the declaration shall be made accordingly.
