No. of Dependents from THIS Relationship |
|
|
Number of Hours
Worked / Week = |
/
WK |
/
WK |
(Use average monthly wage if overtime hours are expected) |
Hourly Wage = |
AND
/HR |
AND
/HR |
|
Biweekly Income = |
OR
/2
WKS |
OR
/2
WKS |
|
Annual Income = |
OR
/YR |
OR
/YR |
|
| Monthly Gross Income |
(Calculated if not input)
|
(Calculated if not input)
|
Calculated
|
| Other Income (excluding Alimony) |
|
|
Other Income, Alimony, and
Deductions Figures Based On:
Amounts |
| Alimony Received (Current and/or Past Relationships) |
|
|
| Total Monthly Income |
Calculated
|
Calculated
|
| Alimony Paid (Current and/or Past Relationships)
|
|
|
| Prior Child Support Orders (Past Relationships) |
|
|
| Health Insurance (only the amount for these dependents) |
|
|
| Adjusted Actual Income |
Calculated
|
Calculated
|
Calculated
|
CHILD SUPPORT OBLIGATION |
| Percentage Share of Income |
Calculated
% |
Calculated
% |
|
Basic Child Support
Obligation - each parent |
Calculated
|
Calculated
|
Calculated
|
SHARED PHYSICAL CUSTODY ADJUSTMENT (only if > 35% of
overnights is spent with non-custodial parent) |
| Number of overnights per year spent with Non-custodial Parent |
|
|
Calculated for Non-Custodial Parent
% |
| Adjusted Basic Child Support Obligation |
Calculated
|
Calculated
|
|
ADDITIONAL EXPENSES |
| Total Child Care Expenses |
Calculated
|
Calculated
|
|
| Extraordinary Medical Expenses |
Calculated
|
Calculated
|
|
| School and Transportation Expenses |
Calculated
|
Calculated
|
|
| Total Additional Expenses |
Calculated
|
Calculated
|
Calculated Monthly
|
TOTAL CHILD SUPPORT |
| Support Obligation (for shared custody cases the custodial parent
may owe the non-custodial parent) |
Calculated (Monthly Amount)
|
Calculated (Monthly Amount)
|
(THIS IS
AN
ESTIMATE BASED ON THE FIGURES
SUPPLIED) |
|
|
|
|
|
|