Professional Documents
Culture Documents
I am married to
person.
B. I am the father/mother of the following children whose names and dates of birth are:
1. _____FATIMA IBRAHIM MOHAMMED 06/30/2014__________________________ 2. _________KHADIJA IBRAHIM MOHAMMED 06/22/2015_______________________________
3. ________________________________________________________________________4. ________________________________________________________________________________
5. ________________________________________________________________________6. ________________________________________________________________________________
TOTAL BEQUESTS (must not be more than 33%) ................ % of the total remainder
*OPTIONAL*
HEALTH CARE PROXY, LIVING WILL & NOTARIZATION
***OPTIONAL***
I,____________________________________________________
_ hereby appoint the following individual as my health care agent.
Name: __________________________________________
Phone#__________________
Address:_______________________________________________
__________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
We hope this will benefit you and your family. For a will to be legal in
most states, you have to be at least 18 years old and of sound mind. In the
State of Georgia, the will should be signed by you and witnessed by two
people who will not receive anything from your estate.
However, please consult with an Islamic scholar and an attorney for legal
advice before, during or after completing this will. By signing this will,
you agree to hold its developers free of liability for any errors therein as
well as for any financial, legal or other consequences of such errors.
Please also feel free to pass or share this information with your friends
and other Muslims.
This health care proxy shall take effect if and when I become
unable to make my own health care decisions. In respect of each
decision made for me by my agent, it is my wish and direction that
my agent be guided solely by Islamic Shariah as to what my own
decision would have been in the same circumstances. Without
limiting the unrestricted scope of my agents authority hereunder, I
expressly authorize my agent to direct that no treatment be
conducted or withheld from me if to do so is against the teachings
of Islam, to the best of understanding of my agent. I direct that
medication be judiciously administered to me to alleviate pain. I do
not intend any direct taking of my life. I also direct that "life
support systems" may be used in a judicious manner and its use
discontinued, just like any other medicine, if it becomes reasonably
apparent that it has no curative value. The "life support systems"
include but are not limited to artificial respiration,
cardiopulmonary resuscitation, artificial means of providing
nutrition and hydration, and any pharmaceutical drugs. I direct
that my family, all physicians, hospitals and other health care
providers and any court or judge honor the decision of my
agent/alternate agent. This request is made, after careful reflection,
while I am of sound mind.
Pray for the people at The Islamic Bulletin who prepared the original form
of this sample will, which was subsequently edited by the Islamic
Community Center of Atlanta, and then the Georgia chapter of the Council
on American-Islamic Relations. Jazakum Allah Khairan (May God
Reward You). If you have further questions, contact:
Name:__________________________________________Signature:______________________________________
Al-Farooq Masjid
Witness 2.
_____________________________________________
Name and Signature
Witness 1. _____________________________________________
Name and Signature
404-874-7521
or CAIR Georgia info@ga.cair.com
At the time of writing this Will, my spouse is _AISHA MOHAMMED SARDAR_ whose date of birth is
11/08/1987 and social security number is ____-___-______. contact info: _919 985 1843_
FATHER
My father, if he survives me, is to be given from my estate as follow:
One sixth (1/6), if I am survived by sons or grandsons
One sixth (1/6) of the estate plus residual estate after distributing shares as per guidelines to surviving
daughters, granddaughters, spouse, mother or grandmother
My father is _MOHAMMED HASANUDDIN KHADEER_ whose date of birth is 11/09/1953 and the social
security number is ____-___-______, contact info if alive: _919 946 4290_
MOTHER
My mother, if she survives me, is to be given from my estate as follow:
One sixth (1/6) of the estate, if I am survived by sons, daughters, grandsons, granddaughters, husband, father
or brothers with same biological mother or father as mine.
One third (1/3) of the estate, if my wife or father survives me but none of the above survives me.
One third (1/3) of the estate, if none of the above survives me.
The full amount, if none of the above survives me.
My mother is _SYEDA FAKHERA_ whose date of birth is 12/16/1965 and the social security number is _______-______ contact info if alive: _919 786 0377_
CHILDREN
If at least one of my sons survives me, all remaining estate after executing relevant and necessary payments,
is to be distributed among my children, with sons inheriting double the share of daughters.
If none of my sons survive me and one daughter survives me, she inherits one half (1/2) of the estate.
If none of my sons survive me, and more than one daughter survives me, two thirds (2/3) of my estate is
distributed equally among them.
At the time of writing this Will, I have the following biological children:
1. _FATIMA IBRAHIM MOHAMMED_, who is my _DAUGHTER_ (son/daughter), whose date of birth is
06/30/2014 and the social security number is ____-___-______. contact info: _______________
2. _KHADIJA IBRAHIM MOHAMMED_, who is my _DAUGHTER_ (son/daughter), whose date of birth is
06/22/2015 and the social security number is ____-___-______. contact info: _______________
3. ______________________, who is my ________ (son/daughter), whose date of birth is __/__/__and the
social security number is ____-___-______. contact info: _______________
4. ______________________, who is my ________ (son/daughter), whose date of birth is __/__/__and the
social security number is ____-___-______. contact info: _______________
If additional children, attach a separate sheet with all the information and refer to the above section.
As used in writing this Will, the words my children shall mean the biological sons and daughters listed above,
and any others hereafter born to me.
BROTHERS AND SISTERS (sharing my biological mother or father)
In presence of father or one or more of my sons or grandsons, the surviving brothers or sisters are not given any
share.
In the presence of mother or daughter(s), only brother(s) from the same father will get share, which is
remainder of my estate after executing other relevant parts of the will, to be distributed equally among all my
brothers from same father.
If Im NOT survived by sons, daughters, grandsons, father or mother, remainder of my estate after executing
other relevant parts of the will, shall be distributed in the following manner:
Maternal Brothers and Sisters (from my mother but different father than mine) will each receive one sixth
(1/6) of the my estate, will total of all this to not exceed one third (1/3) of the total estate.
Paternal Brothers and Sisters (from my father with same mother or different mother) will share the remainder
of the estate with brother inheriting double the share of sisters.
If no brother survives me and if one sister survives she gets half (1/2) and if more than one sister survive then
the remainder is to be equally divided.
At the time of writing this Will, I have the following siblings from my biological father and/or mother (Paternal:
from same father, Maternal: if from same mother but different father):
1. ______________________, who is my _________ (paternal/maternal) ________(brother/sister), whose date
of birth is __/__/__and the social security number is ____-___-______ contact info: _______________
2. ______________________, who is my _________ (paternal/maternal) ________(brother/sister), whose date
of birth is __/__/__and the social security number is ____-___-______. contact info: _______________
3. ______________________, who is my _________ (paternal/maternal) ________(brother/sister), whose date
of birth is __/__/__and the social security number is ____-___-______. contact info: _______________
If additional siblings, attach a separate sheet with all the information and refer to the above section.
Remainder from the all of the above percentage based calculation, if any, shall be applied to the closest male heir(s) or
distributed between heir(s) in proportion to their shares listed in the sections above.
In the case, that any of my heirs, predecease me or is ineligible for inheritance, I direct that their share be distributed
among the eligible heirs in proportion to their shares listed in the instructions in this sections above. In the case that all
of my heirs predecease me or ineligible, I direct that the remainder of my estate, after executing other relevant parts of the
will, be distributed to the following individuals and/or organizations:
1. ____________________, whose address is ______________________________, a amount equal to ________
percent (__%) of my remaining estate.