Islamic society of central jersey

ISLAMIC SOCIETY OF CENTRAL JERSEY

4145 Route 1 South and Promenade Blvd

Monmouth Junction, NJ 08852-0628

[phone]

WWW.ISCJ.ORG


ZAKAT APPLICATION

INSTRUCTIONS FOR APPLICANTS TO KEEP

“As-Sadaqat (here it means Zakat)are only for the Fuqara' (poor), and Al-Masakeen (the Needy) and those employed to collect (the funds); and to attract the hearts of those who have been inclined (towards Islam); and to free the captives; and for those in debt; and for Allah's  Cause, and for the wayfarer ( a traveler who is cut off from everything;  a duty imposed by Allah. And Allah is All Knower, All-Wise.” - Sarah At-Tauba [9:60]

INSTRUCTIONS

The following application is used to apply for Zakat at Islamic Society of Central Jersey (ISCJ). The application must be completed thoroughly and submitted with the appropriate documentation. Utilize the checklist to complete the application in ENGLISH ONLY.

CHECKLIST

All applications should comply with the following:

• 
  Complete all sections of the application accurately.
  
• 
  Ensure the section requesting an explanation of the applicants need for financial support is documented thoroughly. Use additional sheets if needed.
  
• 
  Provide a copy of the applicants’ tax return for the current year (Form 1040).
  
• 
  Attach a copy of the applicants Social Security Card.
  
• 
  Provide additional documentation as required to provide proof to support your request. This could include:
  

• 
  Disability Check Stub(s)
  
• 
  Welfare payments
  
• 
  Unemployment Check Stub(s)
  
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  Proof of social security benefits
  
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  Proof of Food Stamp benefits
  
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  Employment Stub(s)
  
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  Copy of unpaid bill
  
• 
  Veteran Approvers check
  

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  If you reside outside of the State of New Jersey, we require a recommendation from a known person of your masjid to justify your financial needs. This can include: the Imam, President of your masjid, and a member of the ISCJ Community.
  
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  Please remember to sign and date the application. By signing the application you agree to all terms of the zakat process and verify that the provided information is accurate.
  

SUBMITTING THE APPLICATION

You can submit the application in the following ways:

Website: Zakat tab on ISCJ website www.iscj.org

Fax: [phone]

Email: [e-mail]

Mail: Islamic Society of Central Jersey

P.O. Box 628

Monmouth Junction, NJ 08852

Allow at least 1-2 weeks to process your application. Please note that sending an incomplete application or omitting supporting documentation is likely to delay the process considerably.

WHAT’S NEXT?

Once ISCJ receives your application, it will be reviewed by the Zakat Representatives. You may be contacted via phone or email to request further information or clarification.

STATUS INQUIRIES

If you would like to inquire about the status of your application email [e-mail]. To speak to someone you may call the Zakat Line at: 732-329-2020. If no one is able to attend your call, please leave a message and your call will be returned within 1-3 days.

NOTE:

• 
  ISCJ collaborates with other masajid in the area to review Zakat Applicant Information. If you have any concerns, please note them on your application.
  
• 
  The Zakat Application includes personal and confidential information intended only for restricted, internal use by authorized personnel exclusively for evaluation of zakat requests. Unauthorized use, copying, distribution or dissemination of the information provided in this application is strictly prohibited.
  

A: APPLICANT INFO

Full Name:       Date:      

Address:      

City:       State:       ZIP:      

Contact # (Home/Cell):      

Email:      

Date of Birth:       Social Security Number (Last 4 digits):      

Marital Status:  Single  Married  Divorced  Widowed  Separated

Referred By:      

Reference Contact #:      

B: APPLICANT CIRCUMSTANCES

Employment Status:  Employed  Unemployed

Place of Residence:  Own Home  Apartment  Low Income Housing  Shelter

 Room Rental (In house)  Other(Please specify)      

Method of Transportation:  Own Car  Public Transportation Other:      

Health Insurance:  Insured  Uninsured  Medicare  Other:      

Number of dependents living with you (Includes spouse, children and relatives):      

List of all dependents:

Full Name	Gender: M/F	Age	Relationship
     	     	     	     
     	     	     	     
     	     	     	     
     	     	     	     
     	     	     	     

C: Zakat Assistance Information

Have you previously applied for Zakat:  Yes, Please indicate amount and date:        No

Estimate Of Income

List of Income(s)	Amount
     	     
     	     
     	     
     	     

Estimate Of Expense(s)

List of Expense(s)	Amount
     	     
     	     
     	     
     	     

Have You Applied To Other Organizations (including Islamic) For Support?  If Yes, list them below.

     

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D: EXPLANATION OF YOUR REQUEST (Use additional paper if needed):


     

E: STATEMENT

By Signing This Statement You Agree To The Terms As Defined In The Instructions And Have Provided True And Accurate Information To The Best Of Your Knowledge.

 Please check box if you permit ISCJ to provide your name and contact information to other organizations for further support.

Signature:       Date: