Important Information - Please Read Before Completing this Form

• Compensation received as parsonage allowance is not reportable for income tax on your 1040 but is subject to self employment tax and must be reported on Schedule SE of your 1040 return. Please discuss with your accountant.
• The aggregate parsonage allowance may not exceed the fair rental market value of the home including furnishings (and garage) plus utilities. Excess amounts should be reported as income on your tax return.
• Evidence of expenses should be kept in your files.
• The Board will need review and approve this request prior to any parsonage payments being issued. You will receive a formal copy of the approval, please keep a copy for your records.

Set forth are the estimated expenditures anticipated during the current school year, to maintain my home.

The above is an accurate estimate of my anticipated housing expenses. These estimated expenditures shall remain in effect unless modified.