(Dated 1/27/09)

**ESTIMATED RELOCATION EXPENSE WORKSHEET**

**Note to the employee**: Congratulations on your new position! We want
your relocation experience to be a pleasant one. Please note that you
must not begin travel or incur expenses until after this form has been
completed, along with the CD-150, Service Agreement, and an approved
"Form, CD-29, Travel Order." If you have any questions regarding your
relocation or the completion of this form, please contact the Relocation
Specialist at the servicing Finance Office below. In addition, you
should have the name and phone for your Gaining Office Contact who will
prepare your relocation documents, as well as the name and phone number
for your Authorizing Official.

**CONTACTS:**

> **Gaining Office Contact** **(Document Preparer)** Phone number Fax
> Number

[Servicing Finance Office]{.underline}: [Telephone Number]{.underline}
**[Relocation Specialist]{.underline}**

Eastern Finance Branch (757) 441-6527 Wanda Gonsalves

Central Finance Branch (816) 426-7828 Donna Newport

Mountain Finance Branch (303) 497-6199 Steve Tatum

Western Finance Branch (206) 526-4426 Deanna Trosper

Washington D.C. Metro Area Payment Office,

NOAA Travel Policy Office (301) 444-2136 Rachael Wivell (relocation
policy)\
Fax: 301-413-3066

Accounting Operations Division (AOD) (301) 444-2782 Nanette Naylor-Bah
(voucher auditor)

**INSTRUCTIONS:** This form must be completed **[before]{.underline}**
the travel order is completed. Once this form is completed, it must be
submitted to your servicing Relocation Specialist, and your gaining
office contact, along with the signed travel order and signed CD-150,
Service Agreement.

**Employee**: Must complete Section I.

> *If you are a new appointee*, you are limited to transportation costs
> for en route travel for both you and your immediate family, per diem
> for en route travel for you only, and transportation and storage of
> your household goods.
>
> *If you are a transferee*, you are entitled to most of the relocation
> entitlements stated herein. You will need to coordinate with your
> authorizing official on discretionary entitlements, such as a
> househunting trip and/or temporary quarters. Your CD-150, Service
> Agreement provides you the opportunity to explain your needs and/or
> special circumstances.
>
> **Gaining Office Contact (Document Preparer):** Must complete Sections
> II - IX after Section I has been completed, as well as the travel
> order. Please note that once the computations are completed for
> Sections II - VIII, their totals are recorded in Section IX. Totals
> from Section IX are then recorded in block 11 of the travel order.

This form is intended to be a tool to help estimate relocation costs and
will be used by the servicing Finance Office to enter the relocation
costs into the Integrated Travel Manager Relocation (ITMR) system, as
well as obligate the expenses into the Core Financial System (CFS). It
does not replace the travel order as the official travel authorization
or denote eligibility to these entitlements, nor does it estimate the
Relocation Income Tax Allowance (RITA), Federal Insurance Contributions
Act (FICA), and Health Insurance Tax (HIT). The RITA, FICA, and HIT will
be calculated by the ITMR system and obligated in the CFS.

**I. [GENERAL INFORMATION]{.underline} (May be completed by the
employee)**

It is extremely important that the information provided in this section
is [completed]{.underline} in its entirety and as accurately as
possible. Data provided in this section determines entitlements,
taxability of relocation expenses (see IRS Publication 521), and the
mailing address used to issue the IRS Form W-2 which reports relocation
expenses. Note: NOAA issues IRS Form W-2s separately from the W-2s that
report salary. The address provided on this form will only affect the
mailing address for the IRS Form W-2 which reports relocation expenses.

Employee Residence
Address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Retirement Plan: G CSRS G FERS G Other (CSRS-OFFSET)

Filing Status: G Married Filing Separately G Single

G Married Filing Jointly G Head of Household

Estimated Annual Earnings: Employee Self Employed
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Spouse Self Employed \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Tax State: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Percentage: Expressed as a % of:

Tax Rates (if known) County G Income G Federal Tax G State Tax

> City G Income G Federal Tax G State Tax

Other G Income G Federal Tax G State Tax

Relocation Special Status: G Transferee *(Employee who transfers from
one Federal location to another)*

> G New Appointee *(1^st^ time Federal employee, or returning Federal
> employee, or student Trainee*)
>
> G SES Separation for Retirement
>
> G Overseas Tour Renewal

G Overseas to U.S. Return for Separation

G Reduction in Force Relocation

> Distance: Old Residence to Old Duty Station
>
> Old Residence to New Duty Station
>
> Old Duty Station to New Duty Station

**II. [HOUSEHUNTING TRIP (FTR 302-5)]{.underline}** **(May be completed
by the Gaining Office Contact (Document Preparer))**

Maximum of 10 days can be authorized. Locality rate will be used for all
househunting trips. When driving by POV, calculate per diem based on
driving 300 miles per day.

Approximate Travel Dates: Begin
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ End
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[Cost of Per Diem]{.underline}**

LODGING

Employee (or spouse traveling in place of employee):

Daily lodging rate \$\_\_\_\_\_\_\_\_\_ x \_\_\_\_\_\_\_\_\_ \# of
nights \$ \_\_\_\_\_\_\_\_\_

Spouse accompanying or traveling separately from the employee:

Daily lodging rate \$\_\_\_\_\_\_\_\_\_ x \_\_\_\_\_\_\_ \# of nights =
\_\_\_\_\_\_\_\_\_\_ x .75 \$ \_\_\_\_\_\_\_\_\_

M&IE:

Employee (or spouse traveling in place of employee):

Daily M&IE rate \$ \_\_\_\_\_\_\_\_ x 2 = \_\_\_\_\_\_\_\_x .75 \$
\_\_\_\_\_\_\_\_\_

(First & Last Days)

Daily M&IE rate \$ \_\_\_\_\_\_\_\_ x \_\_\_\_\_\_\_\_\_ \# of days \$
\_\_\_\_\_\_\_\_\_

(Full Days)

Spouse accompanying or traveling separately from the employee:

Daily M&IE rate \$ \_\_\_\_\_\_\_\_ x 2 = \_\_\_\_\_\_\_\_x .75 \$
\_\_\_\_\_\_\_\_\_

(First & Last Days)

Daily M&IE rate \$\_\_\_\_\_\_\_\_ x \_\_\_\_\_\_\_ \# of nights = \$
\_\_\_\_\_\_\_\_\_

Total M&IE for \$ \_\_\_\_\_\_\_ + Total M&IE \$\_\_\_\_\_\_\_ =
\$\_\_\_\_\_\_\_ x .75 = \$ \_\_\_\_\_\_\_\_\_

(First and Last Days) (Days in between)

Total Per Diem (Lodging and M&IE) \$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (i)***

**[Cost of Transportation]{.underline}**

Common Carrier: (Charged to either CBA or Citibank travel card) \$
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (a)***

Other Transportation:

POV-.24¢ per mile x \# of miles \_\_\_\_\_\_\_\_\_\_ = \$
\_\_\_\_\_\_\_\_\_

Taxi Fares \$ \_\_\_\_\_\_\_\_\_

Rental Car \$ \_\_\_\_\_\_\_\_\_

Total Other Transportation \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (g)***

**[Other (Miscellaneous) Expenses]{.underline}**

Tolls, Parking, Hotel Tax, etc\....
\$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (k)***

**TOTAL HOUSEHUNTING TRIP** \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[III. TRAVEL EN ROUTE TO NEW DUTY STATION (FTR 302-4)]{.underline}**
**(May be completed by the Gaining Office Contact (Document Preparer))**

For CONUS, the per diem rate for en route travel is the standard CONUS
rate (\$70 for Lodging and \$39 for M&IE). For OCONUS, the per diem rate
is the locality rate. When driving by POV, calculate per diem based on
driving 300 miles per day.

> Approximate Travel Dates: Begin
> [\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} End
> [\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

Rate Authorized: G Standard CONUS Rate G OCONUS Locality Rate

If driving POV: \# of miles from old ODS to new ODS
[\_\_\_\_\_\_\_\_\_\_]{.underline} 300 miles =
[\_\_\_\_\_\_\_\_\_\_]{.underline} \# of en route per diem days

**[Cost of Per Diem]{.underline}** (*Immediate family members of new
appointees are [not]{.underline} entitled to per diem (lodging and
M&IE).)*

LODGING

Employee:

Daily lodging rate \$ \_\_\_\_\_\_\_\_\_\_ x \_\_\_\_\_\_\_\_ \# of
nights \$ \_\_\_\_\_\_\_\_\_\_

Spouse accompanying the employee

Employee lodging total \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ x .75 \$
\_\_\_\_\_\_\_\_\_\_

Spouse traveling separately from employee

Employee lodging total \$ \_\_\_\_\_\_\_\_\_\_

Dependents 12 years of age & over:

\# of dependents \_\_\_\_ x employee lodging total \_\_\_\_\_\_\_\_ =
\_\_\_\_\_\_\_ x .75 \$ \_\_\_\_\_\_\_\_\_\_

Dependents under 12 years of age: compute as follows:

\# of dependents \_\_\_\_ x employee lodging total \_\_\_\_\_\_\_\_ =
\_\_\_\_\_\_\_ x .50 \$ \_\_\_\_\_\_\_\_\_\_

M&IE

Employee:

Daily M&IE rate \$ \_\_\_\_\_\_\_ x 2 =\_\_\_\_\_\_\_\_\_\_ x .75 \$
\_\_\_\_\_\_\_\_\_\_

(First & Last Days)

Daily M&IE rate \$ \_\_\_\_\_\_\_ x \_\_\_\_\_\_\_\_\_ \# of days \$
\_\_\_\_\_\_\_\_\_\_

(Full Days)

Total Employee M&IE \$ \_\_\_\_\_\_\_\_\_\_

Spouse accompanying the employee

Employee M&IE total \$ \_\_\_\_\_\_\_\_\_\_\_\_\_ x .75 \$
\_\_\_\_\_\_\_\_\_\_

Spouse traveling separately from employee

Employee M&IE total \$ \_\_\_\_\_\_\_\_\_\_

Dependent 12 years of age & over:

\# of dependents \_\_\_\_\_x employee M&IE total
\_\_\_\_\_\_\_\_=\_\_\_\_\_\_\_\_ x .75 \$ \_\_\_\_\_\_\_\_\_\_

Dependent under 12 years of age: compute as follows:

\# of dependents \_\_\_\_\_ x employee M&IE total \_\_\_\_\_\_\_\_ =
\_\_\_\_\_\_\_ x .50 \$ \_\_\_\_\_\_\_\_\_\_

Total Per Diem (Lodging and M&IE) for Enroute \$
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (j)***

**[Cost of Transportation]{.underline}**

Common Carrier (Charged to either CBA or Citibank travel card) \$
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (b)***

Other Transportation

POV 1 \# of miles \_\_\_\_\_\_\_\_\_\_\_ x .24¢ per mile \$
\_\_\_\_\_\_\_\_\_

POV 2 \# of miles \_\_\_\_\_\_\_\_\_\_\_ x .24¢ per mile \$
\_\_\_\_\_\_\_\_\_

Total Cost of Other Transportation \$
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (h)***

**[Other (Miscellaneous) Expenses]{.underline}**

Tolls, Parking, etc\... \$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (l)***

**TOTAL ENROUTE TRIP \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**IV. [COST OF SUBSISTENCE WHILE OCCUPYING TEMPORARY QUARTERS (FTR
302-6)]{.underline}** **(May be completed by the Gaining Office Contact
(Document Preparer))**

Maximum of 120 days can be authorized. For CONUS, the per diem rate for
temporary quarters is the standard CONUS rate (\$70 for lodging and \$39
for M&IE), and for OCONUS, the per diem rate is the locality rate.

Approximate Begin Date:
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} Rate
Authorized: G Standard CONUS Rate G OCONUS Locality Rate

**[First 30 days]{.underline}:**

LODGING:

Employee: Daily lodging rate \$ [\_\_\_\_\_\_\_]{.underline} x
[\_\_\_\_\_\_\_\_]{.underline} \# of nights \$
[\_\_\_\_\_\_\_\_]{.underline}

Spouse: Daily lodging rate \$ [\_\_\_\_\_\_\_\_]{.underline}
x[\_\_\_\_\_\_\_\_]{.underline}\# of nights
=[\_\_\_\_\_\_\_\_]{.underline} x .75 \$ [\_\_\_\_\_\_\_\_]{.underline}

Dependents 12 yrs & over:

\# of dependents[\_\_\_\_\_\_]{.underline} x Daily lodging rate \$
[\_\_\_\_\_\_\_\_]{.underline} =[\_\_\_\_\_\_\_\_]{.underline} x

[\_\_\_\_\_\_\_]{.underline} \# of nights = [\_\_\_\_\_\_\_]{.underline}
x .75 \$ [\_\_\_\_\_\_\_\_]{.underline}

Dependents under 12 yrs:

\# of dependents[\_\_\_\_\_\_]{.underline} x Daily lodging rate \$
[\_\_\_\_\_\_\_\_]{.underline} = [\_\_\_\_\_\_\_\_]{.underline} x

[\_\_\_\_\_\_\_]{.underline} \# of nights
=[\_\_\_\_\_\_\_\_]{.underline} x .50 \$ [\_\_\_\_\_\_\_\_]{.underline}

M&IE

Employee: Daily M&IE rate \$ [\_\_\_\_\_\_\_\_]{.underline} x
[\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} \# of days \$
[\_\_\_\_\_\_\_\_\_]{.underline}

Spouse: Daily M&IE rate \$ [\_\_\_\_\_\_\_\_\_\_]{.underline} x
[\_\_\_\_\_\_\_]{.underline} \# of days
=[\_\_\_\_\_\_\_\_\_]{.underline} x .75 \$
[\_\_\_\_\_\_\_\_\_]{.underline}

Dependents 12 yrs & over:

\# of dependents [\_\_\_\_\_\_]{.underline} x Daily M&IE rate \$
[\_\_\_\_\_\_\_\_\_]{.underline} = [\_\_\_\_\_\_\_\_\_\_]{.underline} x

[\_\_\_\_\_\_\_\_\_]{.underline} \# of days =
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} x .75
\$[\_\_\_\_\_\_\_\_\_\_]{.underline}

> Dependents under 12 yrs:

\# of dependents [\_\_\_\_\_\_]{.underline} x Daily M&IE rate \$
[\_\_\_\_\_\_\_\_\_]{.underline} =[\_\_\_\_\_\_\_\_\_\_\_]{.underline} x

\_[\_\_\_\_\_\_\_\_]{.underline} \# of days =
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} x .50 \$
[\_\_\_\_\_\_\_\_\_]{.underline}

Total Per Diem (Lodging and M&IE) for the first 30 days Temporary
Quarters \$ [\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**[31 to 60 days (When authorized)]{.underline}:**

LODGING

Employee: Daily lodging rate \$ [\_\_\_\_\_\_\_]{.underline} x
[\_\_\_\_\_\_]{.underline} \# of days = [\_\_\_\_\_\_\_]{.underline} x
.75 \$ [\_\_\_\_\_\_\_\_\_]{.underline}

Spouse: Daily lodging rate \$ [\_\_\_\_\_\_\_\_\_]{.underline} x
[\_\_\_\_\_\_]{.underline} \# of days = [\_\_\_\_\_\_\_]{.underline}\_ x
.50 \$ [\_\_\_\_\_\_\_\_\_]{.underline}

Dependents 12 yrs & over:

\# of dependents [\_\_\_\_\_\_\_\_]{.underline} x Daily lodging rate \$
[\_\_\_\_\_\_\_\_]{.underline} = [\_\_\_\_\_\_\_\_]{.underline} x

[\_\_\_\_\_\_\_\_\_\_]{.underline} \# of days =
\_[\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} x .50
\$[\_\_\_\_\_\_\_\_\_]{.underline}

> Dependents under 12 yrs:

\# of dependents [\_\_\_\_\_\_\_\_]{.underline} x Daily lodging rate \$
[\_\_\_\_\_\_\_\_]{.underline} = [\_\_\_\_\_\_\_\_]{.underline} x

[\_\_\_\_\_\_\_\_\_\_]{.underline} \# of days =
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} x .40 \$
[\_\_\_\_\_\_\_\_\_]{.underline}

M&IE

Employee: Daily M&IE rate \$ [\_\_\_\_\_\_\_\_\_]{.underline} x
[\_\_\_\_\_\_]{.underline} \# of days = [\_\_\_\_\_\_\_]{.underline} x
.75 \$ [\_\_\_\_\_\_\_\_\_]{.underline}

Spouse: Daily M&IE rate \$ \_[\_\_\_\_\_\_\_\_\_\_]{.underline} x
[\_\_\_\_\_\_]{.underline} \# of days = [\_\_\_\_\_\_\_]{.underline} x
.50 \$ [\_\_\_\_\_\_\_\_\_]{.underline}

Dependents 12 yrs & over:

\# of dependents [\_\_\_\_\_\_\_\_\_]{.underline} x Daily M&IE rate \$
[\_\_\_\_\_\_\_\_]{.underline} = [\_\_\_\_\_\_\_\_]{.underline} x

[\_\_\_\_\_\_\_\_\_\_]{.underline} \# of days =
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} x .50 \$
[\_\_\_\_\_\_\_\_\_]{.underline}

> Dependents under 12 yrs:

\# of dependents [\_\_\_\_\_\_\_\_]{.underline} x Daily M&IE rate \$
[\_\_\_\_\_\_\_\_\_]{.underline} = [\_\_\_\_\_\_\_\_]{.underline} x

[\_\_\_\_\_\_\_\_\_\_]{.underline} \# of days =
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} x .40 \$
[\_\_\_\_\_\_\_\_\_]{.underline}

Total Per Diem (Lodging and M&IE) for the 31-60 days Temporary Quarters
\$ [\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

AMENDMENTS ONLY:

[61 to 90 days (When authorized)]{.underline} - (Computed at same rate
as 31-60 days) \$ \_\_\_\_\_\_\_\_\_\_\_\_

[91 to 120 days (When authorized)]{.underline} - (Computed at same rate
as 31-60 days) \$ \_\_\_\_\_\_\_\_\_\_\_\_

**TOTAL TEMPORARY QUARTERS:** \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (n)***

**V. [TRANSPORTATION OF HOUSEHOLD GOODS (MAX. 18,000 lbs.), TEMPORARY
STORAGE (90 DAYS), and TRANSPORTATION OF POV (FTR.302-7, FTR
302-9):]{.underline} (May be completed by the Gaining Office Contact
(Document Preparer))**

When an employee assumes responsibility for the transportation of
household goods, he is reimbursed under the commuted rate system. Under
the actual expense method, the Government arranges for both the payment
and transportation of household goods. Contact your servicing
transportation specialist for an estimate on household goods:

**[Transferee's New Duty Station Serviced by:]{.underline}**
**[Telephone Number]{.underline}** **[Transportation
Specialist]{.underline}**

Eastern Finance Branch (757) 441-6468 Anita Holley

Central Finance Branch (816) 426-7822 Debbie Ferrara

Mountain Finance Branch (303) 497-6199 Steve Tatum

Western Finance Branch (206) 526-4430 Kevin Godfrey

Washington DC Metro Area (GSA) (703) 605-2896 Angela Jones

**[Transportation and Storage of Household Goods/Transportation of
POV]{.underline}**

***Actual Expense Method (Commercial Bill of Lading)***

Shipping of Household Goods \$ \_\_\_\_\_\_\_\_\_\_\_

Mobile Home Transportation \$ \_\_\_\_\_\_\_\_\_\_\_

(in lieu of household goods transaction)
\$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (c)***

Transportation of POV \$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (d)***

Temporary Storage of Household Goods \$
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (e)***

Total Transportation and Storage of Household Goods/Transportation of
POV \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Billed to Government

***Commuted Rate System***

Shipping of Household Goods \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_

Mobile Home Transportation \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_

(in lieu of household goods transaction)

\$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (o)***

Transportation of POV \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (p)***

Temporary Storage of Household Goods \$
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> ***Copy to Section IX (q)***

Total Transportation and Storage of Household Goods/Transportation of
POV \$ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Paid to Employee

**TOTAL TRANSPORTATION and STORAGE OF HOUSEHOLD GOODS/**
\$\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**TRANSPORTATION OF POV**

**[VI. EXTENDED STORAGE OF HOUSEHOLD GOODS (FTR 302-8)]{.underline}**

***Commercial Bill of Lading***

Extended Storage of Household Goods \$
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (f)***

***Commuted***

Extended Storage of Household Goods \$
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***Copy to Section IX (r)***

**TOTAL EXTENDED STORAGE OF HOUSEHOLD GOODS**
\$[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**VII. [REAL ESTATE (FTR 302-11 & FTR 302-12)]{.underline}** **(May be
completed by the Gaining Office Contact (Document Preparer))**

[Old Residence]{.underline} -

Estimated selling price of your old residence
[\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} x .11
\$[\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

> **Note: The amount paid for home sale services**
>
> **will range from 11% - 30% depending on how the home is sold**\
> 11% is based on BVO sale (home selling in 1^st^ 60 days)\
> 12% is based on an amended sale (home selling after appraisals
> ordered)\
> 30% is based on appraised sale (home sold to 3^rd^ party relocation
> vendor)

Lease Breaking Expenses at Old Duty Station \$
[\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

(No property to sell)

[New Residence]{.underline} -

Estimated Purchase price of new residence
[\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} x .05 \$
[\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**TOTAL REAL ESTATE** \$
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

***Copy to Section IX (s)***

**VIII. [MISCELLANEOUS EXPENSE ALLOWANCE (FTR 302-16)]{.underline}** -
*Select only one.*

Employee only:

\$500 or one week's basic gross pay, whichever is less \$
[\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

Employee with immediate family:

\$1,000 or two week's basic gross pay, whichever is less \$
[\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**TOTAL MISCELLANEOUS EXPENSE ALLOWANCE** \$
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

***Copy to Section IX (m)***

+-------------+------------------------------------------+-------------+
| **IX.       |                                          | **Enter     |
| ESTIMATES   |                                          | these       |
| FOR FORM    |                                          | Totals in   |
| CD-29 (May  |                                          | Block 12 of |
| be          |                                          | the         |
| completed   |                                          | CD-29:**    |
| by the      |                                          |             |
| Gaining     |                                          |             |
| Office      |                                          |             |
| Contact     |                                          |             |
| (May be     |                                          |             |
| completed   |                                          |             |
| by the      |                                          |             |
| Gaining     |                                          |             |
| Office      |                                          |             |
| Contact     |                                          |             |
| (Document   |                                          |             |
| P           |                                          |             |
| reparer))** |                                          |             |
+-------------+------------------------------------------+-------------+
| **SECTION   |                                          |             |
| A**         |                                          |             |
+-------------+------------------------------------------+-------------+
| TRA         | Common Carrier (Object Class 2143)       | \$          |
| NSPORTATION |                                          |             |
|             | > Househunting (a)                       |             |
| ***(All     | > [\_\_\_\_\_\_\_\_\_\_\_]{.underline}   |             |
| expenses    | >                                        |             |
| billed      | > Enroute (b)                            |             |
| directly to | > [\_\_\_\_\_\_\_\_\_\_\_]{.underline}   |             |
| the         |                                          |             |
| Gov         | Transportation of Household Goods - CBL  |             |
| ernment)*** |                                          |             |
|             | (Object Class 2211) (c)                  |             |
|             | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
|             |                                          |             |
|             | Transportation of POV- CBL               |             |
|             |                                          |             |
|             | (Object Class 2211) (d)                  |             |
|             | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
|             |                                          |             |
|             | Storage of Household Goods - CBL         |             |
|             |                                          |             |
|             | (Object Class 2528) (e)                  |             |
|             | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
|             |                                          |             |
|             | Extended Storage of Household Goods -    |             |
|             | CBL                                      |             |
|             |                                          |             |
|             | (Object Class 2528) (f)                  |             |
|             | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
+-------------+------------------------------------------+-------------+
| **CD-29,    |                                          | []{.mark}   |
| Block 12A** |                                          |             |
|             |                                          |             |
| []{.mark}   |                                          |             |
+-------------+------------------------------------------+-------------+
| **SECTION   |                                          |             |
| B**         |                                          |             |
+-------------+------------------------------------------+-------------+
| OTHER       | Mileage, Taxi, Shuttle, Rental Car       | \$          |
| TRA         | (Object Class 2140)                      |             |
| NSPORTATION |                                          |             |
|             | > Househunting (g)                       |             |
|             | > [\_\_\_\_\_\_\_\_\_\_\_]{.underline}   |             |
|             | >                                        |             |
|             | > Enroute (h) \_\_\_\_\_\_\_\_\_\_\_     |             |
+-------------+------------------------------------------+-------------+
| SUBSISTENCE | Per Diem (Object Class 2140)             | \$          |
| EXPENSE     |                                          |             |
|             | > Househunting (i)                       |             |
| ***(Per     | > [\_\_\_\_\_\_\_\_\_\_\_]{.underline}   |             |
| Diem        | >                                        |             |
| /Actual)*** | > Enroute (j)                            |             |
|             | > [\_\_\_\_\_\_\_\_\_\_\_]{.underline}   |             |
+-------------+------------------------------------------+-------------+
| OTHER       | Miscellaneous Expenses (Object Class     | \$          |
| EXPENSES    | 2140)                                    |             |
|             |                                          |             |
|             | > Househunting (k)                       |             |
|             | > [\_\_\_\_\_\_\_\_\_\_\_]{.underline}   |             |
|             | >                                        |             |
|             | > Enroute (l)                            |             |
|             | > [\_\_\_\_\_\_\_\_\_\_\_\_]{.underline} |             |
|             |                                          |             |
|             | Miscellaneous Expense Allowance (Object  |             |
|             | Class 1216 ) (m)                         |             |
|             | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
+-------------+------------------------------------------+-------------+
| TEMPORARY   | Temporary Quarters (Object Class 1209)   | \$          |
| QUARTERS    | (n) \_\_\_\_\_\_\_\_\_\_\_               |             |
+-------------+------------------------------------------+-------------+
| RELOCATION  | Transportation Household Goods -         | \$          |
| EXPENSES    | Commuted Rate System                     |             |
|             |                                          |             |
| ***(Other   | (Object Class 2211) (o)                  |             |
| than listed | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
| above)***   |                                          |             |
|             | Transportation of POV - Commuted Rate    |             |
|             | System                                   |             |
|             |                                          |             |
|             | (Object Class 2211) (p)                  |             |
|             | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
|             |                                          |             |
|             | Storage of Household Goods - Commuted    |             |
|             | Rate System                              |             |
|             |                                          |             |
|             | (Object Class 2528) (q)                  |             |
|             | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
|             |                                          |             |
|             | Extended Storage of Household Goods -    |             |
|             | Commuted                                 |             |
|             |                                          |             |
|             | (Object Class 2528) (r)                  |             |
|             | [\_\_\_\_\_\_\_\_\_\_\_]{.underline}     |             |
|             |                                          |             |
|             | Real Estate (Object Class 1214) (s)      |             |
|             | \_\_\_\_\_\_\_\_\_\_\_                   |             |
+-------------+------------------------------------------+-------------+
| **CD 29,    |                                          | \$          |
| Block 12,   |                                          |             |
| SUB - TOTAL |                                          |             |
| B**         |                                          |             |
+-------------+------------------------------------------+-------------+
| **TOTAL     |                                          |             |
| ESTIMATED   |                                          |             |
| COST**      |                                          |             |
+-------------+------------------------------------------+-------------+
| **CD 29,    |                                          | \$          |
| Block       |                                          |             |
| 12,TOTAL A  |                                          |             |
| & B**       |                                          |             |
+-------------+------------------------------------------+-------------+