Pastoral Transition Form

Church*

Pastor*

First NameLast Name

Treasurer

First NameLast Name

Membership*

Average Monthly Tithe*

Average Monthly Income*

Average Weekly Sunday School Attendance

Average Weekly Morning Worship Attendance*

Average Weekly Family Training Hour Attendance

Sunday School

Sunday Morning Worship

Sunday Evening Worship

Wednesday Family Training Hour

Small Groups

Principal Contact Person during pastoral transition*

Phone Number*

Area CodePhone Number

E-mail*

Church and Pastor's Council Members

	FIRST_&_LAST_NAME	TELEPHONE	EMAIL_ADDRESS
1
2
3
4
5
6
7
8

Court Appointed Church Trustees*

	FIRST_&_LAST_NAME	TELEPHONE	EMAIL_ADDRESS	PHYSICAL_MAILING_ADDRESS
1
2
3
4
5

Paid Staff Members

	FIRST_&_LAST_NAME	POSITION_TITLE	EMAIL_ADDRESS	TENURE	SALARY_Per_Hr/Annual
1
2
3
4
5

Are all church reports to International and State Offices up-to-date?*

YesNo

If in arrears, list each month to:

International Offices

State Office

Has church sent appropriate percentage of tithes?

YesNo

If in arrears, list total amount due:

International Offices

State Office

Does Church own church building?*

YesNo

Approximate Value

Total indebtedness (if any) on church building

Monthly Payment

Are church building payments up-to-date?

YesNo

If in arrears, give amount behind

Does church own a parsonage?*

YesNo

Approximate Value

Total indebtedness (if any) on parsonage

Are parsonage payments up-to-date?

YesNo

If in arrears, give amount behind

Briefly describe the parsonage

If church does not own a parsonage, does it pay a housing allotment?

YesNo

Upload Church Owned Property Deed(s)

Browse Files

(upload as a scanned pdf doc)

Upload Court Order of Trustees Appointed

Browse Files

(upload as a scanned pdf doc)

Amount of monthly housing allotment

	Balance
Tithe Fund
General Fund
Women's Ministries
Sunday School
Building Fund
World Missions

List all other funds (Including CDs and savings, etc.) and give balances in each:

	Fund	Balance

Total cash on hand or in bank (all funds)

Are payments for insurance coverage on the church building current?

YesNoN.A.

Are payments for insurance coverage on the parsonage current?

YesNoN.A.

Does church pay telephone expense for church?

YesNo

Parsonage?

YesNo

Are telephone bills paid to date?

YesNo

If in arrears, give amount owed

Does Church pay electric bills for church?

YesNo

Parsonage?

YesNo

Are electric bills paid to date?

YesNo

If in arrears, give amount owed

Does church pay gas bills for church?

YesNo

Parsonage?

YesNo

Are gas bills paid to date?

YesNo

If in arrears, give amount owed

Does church pay water bills for church?

YesNo

Parsonage?

YesNo

Are water bills paid to date?

YesNo

If in arrears, give amount owed

Please list any other utilities and/or assessments not listed above

OTHER OBLIGATIONS NOT LISTED ABOVE INCLUDING CREDIT CARD DEBT OR OTHER DEBT PAYMENTS FOR THE CHURCH OR FOR AN ASSOCIATED ENTITY FOR WHICH THE CHURCH IS RESPONSIBLE: IE. CHURCH SCHOOL, FOOD BANK, EXTERNAL MINISTRY, ETC. IF NONE TYPE "NONE" IN THE FIRST ROW*

	Name of each person or firm to whom the church owes money	Total balance due on each account	Amount of monthly payments	Are all payments up-to-date?	If in arrears, list amount of each account
DEBT OWED
DEBT OWED
DEBT OWED
DEBT OWED
DEBT OWED
DEBT OWED

Please Indicate what church ministries are a part of the church. --IF NONE, ☑️ Check NONE:*

Are payments for insurance coverage on the noted church ministry above current?*

YesNo

Does this Church Ministry own a separate building?*

YesNoOther

Are all associated bills for this noted church ministry above up-to-date?*

YesNo

OTHER OBLIGATIONS NOT LISTED ABOVE INCLUDING CREDIT CARD DEBT OR OTHER DEBT PAYMENTS FOR THE ASSOCIATED MINISTRY FOR WHICH THE CHURCH IS RESPONSIBLE: IE. CHURCH SCHOOL, FOOD BANK, EXTERNAL MINISTRY, ETC. IF NONE TYPE "NONE" IN THE FIRST ROW

	Name of each person or firm to whom the church owes money	Total balance due on each account	Amount of monthly payments	Are all payments up-to-date?	If in arrears, list amount of each account
DEBT OWED
DEBT OWED
DEBT OWED
DEBT OWED
DEBT OWED
DEBT OWED

FOR THIS CHURCH MINISTRY, UPLOAD: FINANCIAL STATEMENT AND/OR BALANCE SHEET

Upload a File

Enter compensation amount(s) in the appropriate box(es) below.

	Weekly	Biweekly	Monthly	Quarterly	Yearly
Salary
Social Security
Health Insurance
Retirement
Housing/Utilities

Other Compensation Not Included Above (Describe type and amount).

Pastor's Total Annual Compensation

Social Security

Health Insurance

Retirement Benefits

Name of Spouse

First NameLast Name

Date of Marriage

MonthDayYear

Name & Ages of Children (indicate * by those living at home)

Special Skills (yourself and your spouse)

Churches Pastored (with dates)

Elected & Appointed Positions (general, state and district)

Are your minister reports to International and State Offices up-to-date?

YesNo

Current Email:*

example@example.com

Please Indicate what you intend to do upon leaving your present position

Another Church pastorate in VirginiaRetirementLeaving pastoral ministryMoving out of state

If moving out of state, please indicate which state

New Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Church

Position

Telephone

Area CodePhone Number

Cell Phone

Area CodePhone Number

Effective Date

MonthDayYear

Attach PDF if available of the following: Balance Sheet and/or Budget Performance

BUDGET PERFORMANCE

Upload a File

FINANCIAL STATEMENT AND/OR BALANCE SHEET

Upload a File

Attach Photo

Upload a File

Attach Resume

Upload a File

If you choose to mail this form, please mail to

Church of God State Executive Offices

P.O. Box 7547

Roanoke, VA 24019

Pastoral Transition Form

PART 1 - CHURCH INFORMATION

SERVICE SCHEDULE

CHURCH LEADERSHIP

CHURCH REPORTS

CHURCH PROPERTY

CASH ASSETS

OBLIGATIONS

CHURCH MINISTRIES

CHURCH MINISTRIES OBLIGATIONS

PASTOR'S COMPENSATION

PART 2 - INFORMATION

Pastor, if you are retiring, leaving pastoral ministry, or moving out of the state, please complete the following: