THE UNITED METHODIST CHURCH
MICHIGAN CONFERENCE
HOUSING ALLOWANCE WORKSHEET AND REPORT
Housing Allowance Worksheet and Report Fall 2021 Page 1
Church:
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Pastor:
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District:
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Date:
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Instructions: Please email copies by December 31, 2021 to:
District Superintendent, Pastor, Church Treasurer, Recording Secretary
Housing Allowance Worksheet
To provide an estimate of actual costs which should be used to assist the pastor and local congregation to determine an appropriate Housing
Allowance, one of the following figures should be used:
1. Fair rental value of housing (including major appliances) within the immediate community/school district
2. Cost of utilities
Total
OR
1. Mortgage Payment Which Includes:
a. Principal $Click to type
b. Interest $Click to type
c. Property Taxes $Click to type
d. Homeowners Insurance $Click to type
2. Routine Maintenance $Click to type
3. Cost of utilities $Click to type
Total $Click to type
Housing Allowance
In compliance with the provisions of Section 107 of the Internal Revenue Code of 1986, the type name of church/charge
United Methodist Church, in action at the Charge Conference of type date of church conference, 2021 did authorize the provision of a
cash Housing Allowance (HA) of $type HA amount for the period from January 1, 2022, to Dec. 31, 2022, for Rev. type name of clergy to
the extent it is used to provide a home, this amount is to be considered a Clergy Housing Allowance Exclusion and is not to be included as
reportable compensation under said section of the Code.
Pastor’s Signature
Date
District Superintendent’s Signature
Date
Secretary of Charge Conference Signature
Date
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signature
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