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Affiliation with the Free Methodist Church-usa

PCJC Housing Allowance

Name

First Name

Last Name

PCJC Predetermined Housing Allowance Worksheet

I am herby informed that under the Internal Revenue Code Section 107, in the case of a minister of the Gospel, gross income does not include the housing allowance paid to the minister as part of the minister’s compensation to the extent it is used to rent or provide a home. The responsibility for determining the appropriate amount of housing allowance that can be excluded is the minister’s. The PCJC has no responsibility beyond determining that the compensation is reasonable. The following is a predetermined estimate by the undersigned as to “out of pocket” housing expenses to be excluded from wages reported in Box 10 of the W2.

1. Rent/principle mortgage payments

2. Taxes and interest

3. Insurance on home and/or contents

4. Repairs / upkeep on home and/or contents

5. Furniture and applicances

6. Decorator items

7. Curtains, linens, etc.

8. Utilities, cable TV, garbage, phone

9. Cleaning supplies, lawn upkeep, and misc

Total $

Upon approval by the PCJC Board of Administration, the amount indicated above will be considered officially designated as a housing allowance for the year 2024

Minister signature

Please type your full name

Date

YYYY

Affirmation of Character

Every year the MEG/MAC is required to "affirm the character" for each of it's appointed pastors, CMC's, and retired pastors. If you would like to meet with a member of the MEG board before signing your name, please contact Superintendent Mike Chong Perkinson at mike@pcjcfm.org to schedule a time. The MAC is not able to appoint/reappoint a pastor who has not submitted his/her signed affirmation of character.

Name

First Name

Last Name

Church

Ordination Status

Choose one:

Read the following sections of the Book of Discipline, then digitally sign and submit this form.

The Articles of Religion: paragraphs 101 - 131

The Membership Covenant: paragraphs 154 - 160

The Christian Journey: paragraphs 3000 - 3430

I believe and practice everything in these sections of the Book of Discipline

I believe and practice everything in these sections of the Book of Discipline except:

Please explain here

Initial and Date

PCJC Church Officers

Thank you for your help in providing the information for your delegate, reserve, finance administrator and mission coordinator. As a reminder, delegates must attend Annual Leadership Conference .

Church Name

First Delegate Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Second Delegate Name

First Name

Last Name

Address

Address 1

Address 2

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Phone

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Third Delegate Name

First Name

Last Name

Address

Address 1

Address 2

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State/Province

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Phone

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Fourth Delegate Name

First Name

Last Name

Address

Address 1

Address 2

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State/Province

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Phone

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Reserve Delegate 1

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Reserve Delegate 2

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Reserve Delegate 3

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Reserve Delegate 4

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Finance Administrator

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Mission Coordinator

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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