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Annual Parsonage Review
Step
1
of
9
11%
Date
MM slash DD slash YYYY
Pastoral Charge Name
Parsonage Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Part A - Insurance
Amount of insurance carried by church/charge on church-owned house:
Amount of insurance carried by church/charge on church-owned contents:
Insurance Company Name
Insurance Agent Name
Insurance Agent Phone
Is insurance coverage adequate on house and church/charge-owned contents?
Yes
No
Date last reviewed
MM slash DD slash YYYY
If answer to Question 4 is No, what steps are proposed to remedy the situation?
Amount of insurance carried by PASTOR on church-owned house:
Pastor's Insurance Company Name
Pastor's Insurance Agent Name
Pastor's Insurance Agent Phone
Is insurance coverage adequate on house and church/charge-owned contents?
Yes
No
Date last reviewed
MM slash DD slash YYYY
Part B - Inventory of Furnishings
Is a current complete inventory of all furnishings and equipment maintained—one copy with the Pastor-Parish Relations Committee and/or the Trustees, and a second copy with the parsonage family?
Yes
No
By what date will this be accomplished
MM slash DD slash YYYY
Part C - Parsonage Rooms
Bedrooms
Are there at least three bedrooms with adequate closet space in each?
Yes
No
Are the bedrooms at least 144 square feet each, with one not less than 168 square feet?
Yes
No
If No, please describe
Are all bedrooms over three adequately furnished and maintained?
Yes
No
Total number of bedrooms:
Current condition of bedroom furnishings
Foyer
Is there an adequately furnished and maintained foyer?
Yes
No
Current condition of foyer furnishings
Living Room
Is there an adequately furnished and maintained living room measuring at least 280 square feet (or living-dining room combination measuring at least 330 square feet)?
Yes
No
If No, please describe
Current condition of living room furnishings
Dining Room
Is there an adequately furnished and maintained dining room?
Yes
No
If No, please describe
Current condition of dining room furnishings
Other Areas
Is there a utility room?
Yes
No
Is there a family room/den?
Yes
No
Is there a garage?
Yes
No
Are there at least 1 1/2 baths?
Yes
No
Is there ample dry storage space large enough for major pieces of furniture and large packing boxes?
Yes
No
Is there, on the ground floor level, one room that could be used as a bedroom by a person with a handicapping condition?
Yes
No
A fully accessible bathroom?
Yes
No
Fully accessible laundry facilities?
Yes
No
If No is answered to any of questions C.1-10, what is being done to bring these items up to Minimum Standards for the Parsonage, and by what date can this be accomplished?
Pastor’s Office
It is recommended that the Pastor’s Office be in the/a local church, not in the Parsonage. Is the pastor’s office in the parsonage?
Yes
No
If (out of necessity) the Office is in the Parsonage, then it is to be on the first floor. Is it on the first floor?
Yes
No
More Details
Housing Necessities
HVAC
Is there a central HVAC system?
Yes
No
If No, please describe
Is annual servicing of all heating and air-conditioning equipment provided?
Yes
No
Date of last HVAC Inspection
MM slash DD slash YYYY
Name of HVAC Service Company
Phone for HVAC Service Company
Is there complete insulation and weather stripping?
Yes
No
Storm Windows?
Yes
No
Insulation in ceiling, sidewall, and floor?
Yes
No
Carpeting?
Yes
No
Are there dead-bolt locks on all exterior doors?
Yes
No
Are smoke detectors, carbon-monoxide detectors and fire extinguishers installed and in working order?
Yes
No
Provide dates of last inspection for smoke detectors, carbon-monoxide detectors, and fire extinguishers:
Hazards
Is the parsonage free of health hazards including:
Lead paint?
Yes
No
Last Inspection/Comment
Asbestos?
Yes
No
Last Inspection/Comment
Mildew?
Yes
No
Last Inspection/Comment
Radon?
Yes
No
Last Inspection/Comment
Is there an annual termite inspection and exterminator/pest control service?
Yes
No
Date of last inspection
MM slash DD slash YYYY
Name of Pest Control company
Phone for Pest Control company
Are all major appliances supplied and maintained?
Yes
No
Comments on Kitchen Appliances
Is the kitchen adequately equipped?
Yes
No
Comments on Kitchen equipment
If No is answered to any of questions D.1-9, what is being done to bring these items up to Minimum Standards for the Parsonage, and by what date can this be accomplished?
Water and Sewer Facilities
How is the water supplied?
City/Village/Municipal
Well
When was the well last tested?
MM slash DD slash YYYY
If its been more than 2 years since the last test, when will it be tested again?
MM slash DD slash YYYY
Did the well pass most recent test?
Yes
No
When will the well be rememdied?
MM slash DD slash YYYY
Please attach a copy of the most recent well test results
Accepted file types: jpg, pdf, Max. file size: 64 MB.
Is parsonage on city sewer?
Yes
No
Septic Tank?
Yes
No
If septic tank, was tank cleaned in the last 5 years?
Yes
No
When will this be accomplished?
MM slash DD slash YYYY
Maintenance
Amount budgeted for current Church year?
Amount Spent in this current year?
Amount held in reserves from prior years?
We find the maintenance of the parsonage to be adequate, except as noted below:
Things which the church should do
Things which the Pastor should do
Key Documents
Location of user manuals and warranty documents for all church-owned appliances and equipment:
Additional Recommendations or Comments
Any comments not addressed previously:
Submission
Chairperson, Pastor-Parish Relations Committee
First
Last
Chairperson, Trustees
First
Last
Pastor
First
Last
Comments
This field is for validation purposes and should be left unchanged.