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It requires submission of the relevant US 1040 tax form information, attachment of a valid driver license or picture ID, and timely delivery by personal submission or mail. An appendix provides guidelines for calculating Zakâh, including zakâtable assets, non-zakatable assets, current liabilities, and the Nisâb threshold.",{"@graph":14,"@context":76},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/darussalam-foundation-zakah-eligibility-self-certification-form-version-11/303156/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/darussalam-foundation-zakah-eligibility-self-certification-form-version-11/303156.png","ImageObject",442,249,{"name":42,"@type":43},"\tJames","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-05","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":22},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68,72],{"name":59,"@type":60,"acceptedAnswer":61},"What information is applicants required to provide to the DarusSalam Foundation?","Question",{"text":62,"@type":63},"Applicants must complete identification details and make a declaration confirming whether they meet or exceed the Zakâh qualifying threshold or qualify to receive Zakâh. They must also provide the requested supporting information and sign to confirm accuracy.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What tax and identification documents are required for application review?",{"text":67,"@type":63},"Applications require submission of the first page of the applicant’s most recent 1040 US tax form, or the parent/guardian’s 1040 US tax form if dependent, showing Adjusted Gross Income (AGI). A copy of the driver license or a valid picture ID must be attached, because application decisions cannot be made without the required tax information.",{"name":69,"@type":60,"acceptedAnswer":70},"How is Zakâh calculated according to the appendix guidelines?",{"text":71,"@type":63},"Zakâh is due at 2.5% on surplus zakât-able wealth when owned for the duration of one Islamic year, after deducting current liabilities from zakât-able wealth. The appendix explains which assets are considered zakâtable (e.g., cash, stock in trade, gold, silver, certain debts and livestock) and which are non-zakatable (e.g., dwelling and personal items, harâm wealth).",{"name":73,"@type":60,"acceptedAnswer":74},"What happens if an applicant’s circumstances change after signing the self certification?",{"text":75,"@type":63},"The applicant undertakes to advise the recipient promptly and provide an updated self certification form within 30 days if any changes make information in the form inaccurate or incomplete.","https://schema.org",{"og:url":32,"og:type":78,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":80,"canonical":32},"index,follow",{"doc_id":82,"site_id":7},303156,1791230238,{"code":4,"msg":85,"data":86},"success",[87,92,97,102,107,112,116,121,126],{"id":88,"doc_module":22,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},11,"Presentations",90,"presentations",{"id":93,"doc_module":22,"doc_module_name":25,"category_name":94,"show_sort_weight":95,"slug":96},12,"Resumes",80,"resumes",{"id":98,"doc_module":22,"doc_module_name":25,"category_name":99,"show_sort_weight":100,"slug":101},14,"Invoices",70,"invoices",{"id":103,"doc_module":22,"doc_module_name":25,"category_name":104,"show_sort_weight":105,"slug":106},15,"Posters",60,"posters",{"id":108,"doc_module":22,"doc_module_name":25,"category_name":109,"show_sort_weight":110,"slug":111},16,"Social Media",50,"social-media",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":114,"slug":115},17,40,"forms",{"id":117,"doc_module":22,"doc_module_name":25,"category_name":118,"show_sort_weight":119,"slug":120},18,"Letters",30,"letters",{"id":122,"doc_module":22,"doc_module_name":25,"category_name":123,"show_sort_weight":124,"slug":125},21,"Paper Templates",5,"papers-templates",{"id":127,"doc_module":22,"doc_module_name":25,"category_name":128,"show_sort_weight":4,"slug":129},158,"General","general-158",{"code":4,"msg":85,"data":131},{"doc_id":82,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":22,"category_id":113,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":30,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":26},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","DarusSalam Foundation Zakâh Eligibility Self Certification Form  \nInstructions for Completion  \nWe are obliged under the Sharia Compliance Laws to collect certain information about each applicant’s financial status to confirm eligibility of acceptance of Zakâh. Please complete the sections below as directed and provide any additional information that is requested. DarusSalam Foundation reviews each Self Certification in confidence and makes decisions based on the information you provide in this application. If you have any questions about eligibility of receiving Zakâh, please refer to the accompanying Appendix for additional information. Please note applicants under the age of eighteen years of age, require signature of their parent or guardian.  \nImportant Information:  \n1. All applications require submission of the first page of the applicant's most recent 1040 US Tax Form or if a dependent their parent/guardian’s 1040 US Tax Form showing Adjusted Gross Income (AGI) . Application decisions cannot be made without the required tax information.  \n2. A copy of the driver license or a valid picture ID needs to be attached to the application.  \n3. Self Certification forms must be received by our office by personal submission or mailed to 21W525 North Ave. Lombard, IL 60148.  \nSelf Certification  \nSection 1: Identification  \nPersonal Information:  \n\n| Full Legal Name (dd/mm/yyyy)\u003Cbr>\u003Cbr>Residence Address: |  | Date ofBirth |\n| --- | --- | --- |\n| Number/Street |  | City/Town |\n| State/Province/County\u003Cbr>\u003Cbr>Additional Information: | Zip Code | Country |\n| Occupation/Job |  | Driver License Number1 |\n\nTelephone Email  \nSection 2: Declaration  \nPlease initial (a) (b) as appropriate.  \n(a)   I confirm that I do not meet or exceed the Zakâh Qualifying threshold  \n(b)   I confirm that I qualify as a person who is entitled to receive Zakâh  \nBy signing below, I am stating that the information outlined above is accurate, and that the amount funds we are requesting is necessary. We realize that funds for financial assistance are very limited and that receiving the full amount of funds requested isnot guaranteed.  \nI declare that the information provided in this form is to the best of my knowledge and belief, accurate and complete. I undertake to advise the recipient promptly and provide an updated Self Certification form within 30 days where any change in circumstances occurs which causes any of the information contained in this form to be inaccurate or incomplete.  \nApplicant’s Signature:   Parent/Guardian’s Signature:   Date: (dd/mm/yyyy) :    \n1 A copy of the driver license or a valid picture ID needs to be attached to the application.  \nVersion 1.1  \nLast updated: 7/12/2016  \nAppendix  \nGuideline to Calculating Zakâh  \nWhen a person owns Surplus Zakâtable Wealth/Assets to the value ofNisâb Rate for the duration of One Islamic Year, Zakâh of 2 .5% is due on that Surplus Zakâtable Wealth on that particular year end date. Such a person is considered as a Wealthy Person and is obliged to disburse the 2.5% Zakâh to the recipients of Zakâh. Zakâtable wealth from which Current Liabilities are deducted is classified as Surplus Zakâtable Wealth.  \nZAKÂTABLE ASSETS:  \n1) CASH: Savings, cash on hand, petty cash, cash at bank, saved income from property investments, saved dividends from investments.  \n2) STOCK IN TRADE: Stock used for trading, investments in stock/asset shares and commodities, agricultural produce for trade, etc.  \n3) Properties that are leased, fixtures and fittings, investments in leased assets, etc. are not considered as Stock in Trade.  \n4) Properties purchased for resale are classified as Stock in Trade. Stock in Trade is calculated on the Selling Price of the trader.  \n5) GOLD: Jewellery or items that are 50% or more gold content, Kruger Coins, gold ornaments, etc.  \n6) SILVER: Jewellery or items that are 50% or more silver content, silver coins, silver ornaments, etc.  \n7) DEBTORS AND LOANS: Monies that are owed to you (pr","cbCaidKn7PLMXn52","https://ap.wps.com/l/cbCaidKn7PLMXn52","pdf",278720,6,"English","# Instructions for Completion\n# Self Certification\n## Section 1: Identification\n## Section 2: Declaration\n# Appendix\n## Guideline to Calculating Zakâh\n### ZAKÂTABLE ASSETS\n### NON ZAKÂTABLE ASSETS\n### CURRENT LIABILITIES\n### NISÂB (Zakâh Qualifying threshold)","[{\"question\":\"What information is applicants required to provide to the DarusSalam Foundation?\",\"answer\":\"Applicants must complete identification details and make a declaration confirming whether they meet or exceed the Zakâh qualifying threshold or qualify to receive Zakâh. They must also provide the requested supporting information and sign to confirm accuracy.\"},{\"question\":\"What tax and identification documents are required for application review?\",\"answer\":\"Applications require submission of the first page of the applicant’s most recent 1040 US tax form, or the parent/guardian’s 1040 US tax form if dependent, showing Adjusted Gross Income (AGI). A copy of the driver license or a valid picture ID must be attached, because application decisions cannot be made without the required tax information.\"},{\"question\":\"How is Zakâh calculated according to the appendix guidelines?\",\"answer\":\"Zakâh is due at 2.5% on surplus zakât-able wealth when owned for the duration of one Islamic year, after deducting current liabilities from zakât-able wealth. The appendix explains which assets are considered zakâtable (e.g., cash, stock in trade, gold, silver, certain debts and livestock) and which are non-zakatable (e.g., dwelling and personal items, harâm wealth).\"},{\"question\":\"What happens if an applicant’s circumstances change after signing the self certification?\",\"answer\":\"The applicant undertakes to advise the recipient promptly and provide an updated self certification form within 30 days if any changes make information in the form inaccurate or incomplete.\"}]","DarusSalam Foundation Zakâh Eligibility Self Certification Form - Version 1.1 | PDF",1789800128]