Zakat Self-Assessment Personal Details Name Address Contact Number Zakat Year Ending Start Here…….
Section 1 - Do you have to pay Zakat this Year ? You only need to pay Zakat if you own net asset wealth above the Nisab Level (87.48 grams of Gold or 612.36 grams of silver). Please also ensure that you have taken account of your basic necessities, before comparing your net asset level to the Nisab level.
See section C
If the answer to the above question is No, then you no longer need to proceed with the rest of this form. You do not have to pay Zakat. If you answered Yes, the continue to section 2
Section 2 - Assets and Liabilities Code
Totals
ASSETS Gold Silver Cash at Bank Cash in Hand Conventional Bonds (not property Bonds) Cash ISA's and cash Tessa National Savings Account Other liquid investments Property (for resale only) Rental income from investment property Finished Goods Work in progress Raw Materials Shares (for resale) Shares held as Investment (see formula) Livestock Agricultural Output Loans receivable (money you are owed) Trade Debtors Pension Contributions (see exemptions)
Section E1 Section E1 Section E2 Section E2 Section E2 Section E2 Section E2 Section E2 Section E3 Section E3 Section E3 Section E3 Section E3 Section E3 Section E3 Section E4 Section E5 Section H1 Section H1 Section H1 Total Assets
Code
Guide reference
LIABILITIES Personal Loans Payable (Money you owe, see notes) Outstanding Mortgage Payment (for this Zakat Yr only) Rent, Bills and other Utilities outstanding Goods purchased on credit Salaries due to be paid to staff Dower due to Wife Commercial Loans (See guide reference, only zakatable element can be deducted)
0 Box 1
Section H2 Section H2 Section H2 Section H2 Section H2 Section H2 Section H2 Section H2
Bad Debts Any other valid Deduction (including basic necessities)
Section H2 Section H2
Total Liabilities
0 Box 2
Net Assets
0 Box 1 - Box 2
Net Assets * 2.5%=
Zakat due
0 Section I
KEY - Categories of Assets/Liabilities
Gold & Silver Cash or cah equivalents Stock in Trade (includes property & Shares) Livestock Agricultural Output Debts Receivable (includes pensions) Deductible Debts