Baptist Convention of New England

PASTOR HOUSING ALLOWANCE FORM

Housing Allowance Form

MINISTER'S ESTIMATE OF HOUSING EXPENSES

TO:                  Baptist Convention of New England 

                          87 Lincoln Street  Northboro  MA  01532

FROM:            Rev. __________________________________________

SUBJECT:       Housing allowance for 20___

                                    ITEM                                                   ANNUAL AMOUNT

1.         Rent on leased premises or payments on

purchase of house (including down payment,

mortgage principle payments, interest, taxes)                 $_____

2.         Garage rental (if not included above)                               _________

3.         Utilities (gas, electricity, water, heat, telephone, etc)  __________

4.         Insurance (housing)                                                         __________

5.         Repairs and maintenance                                                 ________

6.         Furnishings                                                                     _________

7.         Other housing expenses - set forth                                  ________

                                                            Total amount:                $_________

                                                            __________________________

                                                                       Minister's Signature

                                                            _________________________

                                                                        Street Address

                                                           _______________________

                                                                        City/Town, State, Zip

Approved by:  _____________________                     

Date:  ____________________________________________