Cz-50

DECLARATION
UNDER THE PROVISION TO SUB-SECTION(3) OF SECTION-1 OF THE ZAKAT AND USHER
ORDINANCE, 1980 (XVIII OF 1980) AND RULE 20 OF THE ZAKAT (COLLECTION AND REFUND)
RULES, 1981 SWORN ON OATH BEFORE.
……………………………………………………………………………………………………………………...
(Name, Designation and address of the person administering oath)

I…………………….…………………………………………………………………Son/Daughter/Wife/Widow
of …………………………………………………………………………………………………………………..
(Name of Father or Husband of the deponent)
of…………………………………………………………………………………..………. years of age Resident
(Age of the deponent)
of…………………………………………………………………………………………….…………………….

of………………………………………………………………………………………………………….……….
(Complete address of the deponent)
do hereby solemnly swear by Allah that

(a) I am a Muslim and follow……………………………………. Fiqah

(name of the recognized Fiqh that the deponent follows)
(b) According to my faith and the above said fiqh I am not obliged to pay zakat on the following types of assets
in the manner laid down in zakat & usher ordinance 1980 (XVIII of 1980) and in accordance with the
decision dated 9th March, 1999 of Supreme Court of Pakistan.
i) Bank Account all types of bank accounts including savings bank account. Notice deposit account. Fixed
deposit account and other account by whatever name described, with the Bank, Post Office, National
Saving Centres and Financial Institutions etc.
ii) Securities all types of bank accounts including shares, Debentures, N.I.T Units, I.C.P
mutual fund certificate, Defence Savings Certificates, Special Savings Certificates, National Deposit
Certificate/Account Khas Deposit Certificate/Account Premium Saving Certificates and Account thereof
Government Securities etc.
iii)Funds Provident Funds gratuity, Annuity etc.
iv)Loans given to others
v)And all other investments etc. including insurance policies, claims, premiums etc.
vi)That what is stated above is true to the best of my knowledge and belief.

Place: _____________
Date: _____________ Deponent: _____________
We:
1. ____________________________ Son of _______________________________________
2. ____________________________ Son of _______________________________________

Solemnly affirm that we know the above deponent and identify him as the same person as described above.

________________________ ___________________________
Witness (1) Witness (2)
The above declaration has been solemnly affirmed on Oath before me this __________ day of ______________
by the above deponent in the presence of the above witnesses who identified the above deponent.

Place: _____________
Date: _____________ _________________________
(OATH COMMISIONER)