CLERGY HOUSING ALLOWANCE WORKSHEET

METHOD 1: Amount actually spent for housing this year:

Down payment on purchase of primary residence $_____________

Mortgage payments on primary residence (PITI) $_____________

Home equity loan repayments (loan made for housing-related expenses) $_____________

Refinancing costs paid up-front $_____________

Settlement costs on a new purchase, i.e. real estate commission, escrow fees $_____________

Real property taxes (If not included in house payment) $_____________

Personal property taxes on contents of primary residence $_____________

Homeowner's insurance (If not included in house payment) $_____________

Personal property insurance on house contents $_____________

Umbrella liability insurance $_____________

Furniture and accessories $_____________

Appliances $_____________

Furnishings, art and decorative items $_____________

Decorator services $_____________

Lawn care, maintenance, equipment & gardening $_____________

Improvements/Remodeling $_____________

Repairs and maintenance $_____________

Pest control $_____________

Supplies for cleaning & care of home $_____________

Carpet cleaning services $_____________

Homeowner's association dues/condominium fees $_____________

Miscellaneous $_____________

Other $_____________

Utilities:

Cable

$_____________

Electricity

$_____________

Internet connection

$_____________

Natural gas/oil

$_____________

Security system

$_____________

Telephone (base charge)

$_____________

Trash collection/recycling pickup

$_____________

Water/sewer

$_____________

TOTAL UTILITIES (repeat on line 3c below)

$_____________ 1a

Total computed housing expenses actually paid

(1T)

CLERGY HOUSING ALLOWANCE WORKSHEET

METHOD 2: Officially designated (in advance) housing allowance:

Housing allowance designated by the church (or other employer)

$_____________ (2a)

Board of pensions, as noted on IRS Form 1099R

$_____________ (2b)

(2T)

Total officially designated housing allowance:

METHOD 3: Fair rental value of house, furnishings & utilities:

Please provide an approximate appraised value of primary home: $_____________ .

Fair rental value of your primary home per year $_____________ (3a)

Fair rental value of furnishings per year $_____________ (3b)

Annual utilities (use figure from line 1a above) $_____________ (3c)

Total computed fair rental value:

(3T)

EXCLUDABLE HOUSING ALLOWANCE FOR TAX YEAR 202________:

Your excludable housing allowance will be the smallest of Methods 1, 2 or 3.

If you have any questions, please contact our office.