CLERGY HOUSING ALLOWANCE WORKSHEET

tax return for year 200____

NOTE: This worksheet is provided for educational purposes only. You should discuss your specific situation with your professional advisors,

including the individual who assists with preparation of your final tax return.

METHOD 1: Amount actually spent for housing this year:

Down payment on purchase of primary residence $________

Mortgage principal and interest payments on primary residence $________

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

Refinancing costs paid up-front $________

Real estate commission, escrow fees $________

Real property taxes $________

Personal property taxes on contents of primary residence $________

Homeowner's insurance $________

Special personal property insurance on house contents $________

Umbrella liability insurance $________

Furniture $________

Appliances $________

Art and decorative items $________

Decorator services $________

Lawn care & gardening $________

Repairs $________

Pest control $________

Supplies for cleaning & care of home $________

Carpet and home cleaning services $________

Homeowner's association dues/condominium fees $________

Utilities:

Cable $________

Electricity $________

Internet connection $________

Natural gas/oil $________

Security system $________

Telephone (base charge) $________

Trash collection/recycling pickup $________

Water/sewer $________

TOTAL UTILITIES (also repeat on line 3-e below) $0 (1-a)

Other: ____________________________________ $________

Total computed housing expenses actually paid: $0 (1)

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

From clergy's congregation (or other employer) $________ (2-a)

From board of pensions, as noted on IRS Form 1099R $________ (2-b)

Total officially designated housing allowance: $0 (2)

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

It's suggested that you validate this number by checking with a local realtor.

Depending on your location, including seasonal rentals, this number may vary from the calculation in 3-a below.

Primary home (1% of house appraised value x 12 months) $________ (3-a)

Reference -- appraised value is $________________ (3-b)

Home furniture inventory -- cost to rent for a year $________ (3-c)

Home appliances & misc. inventory -- cost to rent for a year $________ (3-d)

Annual utilities (use figure from line 1-a above) $________ (3-e)

Total computed fair rental value: $0 (3)

CONCLUSION: MY EXCLUDABLE HOUSING ALLOWANCE IS: $0

This is the smallest of the three totals from Methods 1, 2 and 3 abov

NOTE: This worksheet is provided for educational purposes only. You should discuss your specific situation with your professional advisors,

including the individual who assists with preparation of your final tax return.

used by permission