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Name:
Address:
Phone
e-Mail:
Date:
All praise be to Allah, Lord of the worlds, Eternal Guardian of the Heavens and the Earth,
Disposer of all created beings, Dispatcher of messengers (peace and blessings be upon
them all). I bear witness that there is no god but Allah the Creator and Sustainer, who
created death and life, and I bear witness that Muhammad is His servant and messenger.
I, (insert name), residing at (insert address), being of sound mind and body, do hereby
revoke any and all former wills and codicils thereof made by me, and in lieu of declare
this as my last will and testament. My advice to my relatives and friends, my Muslim
brothers and sisters, is to strive to be true Muslims, and submit to Allah Almighty and
worship Him alone as He alone is to be worshipped. Let them obey Him and hold fast to
His book (the Quran) and die not except in a state of Islam.
ARTICLE 1: FUNERAL AND BURIAL RIGHTS
I ordain that no autopsy be done on my body, that without justified delay, my body should
be handled in accordance with the Islamic funeral process. I ordain that absolutely no
non-Islamic religious service or observance shall be conducted upon my death, or on my
body. I ordain that my body shall not be transported over any unreasonable distance from
the locality of death (particularly when such transportation would necessitate embalming)
unless decided by my Muslim family members.
I ordain that my body should be washed and prepared first by (insert name and
relationship to you). If he/she is unable to perform this duty, then I ordain that righteous
individuals chosen by my spouse or my nearest Muslim relative shall wash my body.
Such individuals should be known for their upright character and knowledge of the
Janaza process.
If I am under any circumstances physically disabled to the point that I am unable to direct
my own medical care, or communicate my needs, and/or my medical condition deems the
use of artificial means to maintain the basic body functions for any extended period of
time, I direct that such medical intervention should be stopped in the following two cases:
1. My spouse or nearest Muslim family member deems that such treatment should
be stopped or
minority, so long as said guardian remains an upright practicing Muslim of sound mind
and judgment.
Name:
Address:
Phone:
e-Mail:
In the event that he/she/they are unable or unwilling to act as guardians, I nominate the
following individual/s to be their guardian.
Name:
Address:
Phone:
e-Mail:
In the event that any of my children reaches adulthood before my death (or after my
death) then that child will become the legal guardian of all of his/her siblings even if
he/she is financially and physically being supported by the above-mentioned guardian/s.
ARTCILE VIII: SEPERABILITY
I direct and ordain that if any part of this document is determined invalid by a court of
competent jurisdiction, that other parts shall remain valid and enforceable.
In witness whereof, I have hereunto set my hand and seal this day of (insert date).
Signature of Testator:______________________________________________________
WITNESSES
We herby certify that the foregoing process of testament was on the date thereof signed
by the Testator (insert name) as and for his/her last will and testament, in our presence
and the presence of the Testator we have hereunto subscribed our names as witnesses
thereto, believing that the said Testator at the time of so signing to be of sound mind and
body.
First Witness:
Name:
Address:
Phone:
e-Mail:
Signature:
Date:
Second Witness:
Name:
Address:
Phone:
e-Mail:
Signature:
Date:
This document is made in two copies, both are the same and identical. One is with me
and the other is with the executor.
Notarization