|
Mom
|
Dad
|
Combined
|
| 1. MONTHLY GROSS INCOME |
|
|
|
| a. Minus Pre-existing
child support payments |
|
|
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| b. Minus Pre-existing
alimony payments |
|
|
|
| 2. MONTHLY ADJUSTED GROSS
INCOME |
|
|
|
3. PERCENTAGE SHARE OF GROSS
INCOME (Each parent's
income
on line 2 divided by the Combined Income) |
|
|
|
4. BASIC CHILD SUPPORT OBLIGATION
(Apply
line 2 combined income to Child Support
Table) |
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|
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| 5. WORK RELATED CHILD CARE
COSTS |
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| 6. HEALTH INSURANCE COSTS |
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7. TOTAL CHILD SUPPORT OBLIGATION
(add lines
4, 5, and 6) |
|
|
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8. EACH PARENT'S CHILD SUPPORT
OBLIGATION
(Multiply Line
7 by Line 3) |
|
|
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9. ADJUSTMENT FOR PAYMENT
OF HEALTH INSURANCE
(If Obligor
pays health insurance, enter amount
paid in Obligor's
column) |
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|
10. RECOMMENDED CHILD SUPPORT
ORDER
(Subtract
Line 9 from the amount on Line 8
Leave
custodial parent's column blank) |
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|
