Case Name
Date Prepared
Docket Number
Name of the Preparer
Child Support Guidelines Worksheet
All amounts are $ / week, rounded to the nearest dollar.
1.
INCOME
Recipient
Payor
a. Gross Weekly income
Recipient
Payor
b. Minus Child Care cost paid
Recipient
Payor
c. Minus Health Insurance cost paid
Recipient
Payor
d. Minus Dental/Vision Insurance cost paid
Recipient
Payor
e. Minus Other Support Obligations paid
Recipient
Payor
f. Available income
=
Recipient
Payor
g. Combined Available Income Recipient 1(f) + Payor 1(f)
=
h. Percent of Combined Available Income 1(f) / 1(g)
Recipient
%
Payor
%
2.
CHILD SUPPROT CALCULATION
a. Maximum combined available income maximum 1(g) but not more than $4808
b. Combined support amount for one child from Table A of Guidelines Chart for 2(a)
c. Adjustment for number of children covered by this order from Table B
No. Of Children
X
d. Combined support amount 2(b) x 2(c)
e. Minus Recipient's proportional share of support 2(d) x Recipient 1(h)
f. Payor's proportional weekly support amount 2(d) - 2(e)
g. Weekly support amount as % of Recipient income 2(f)/Recipient 1(f)
%
h. Payor's adjusted weekly support amount
if 2(g) is 10% or more, then enter 2(f) here. Otherwise, enter the lesser of 2(f) OR (10% + 2(g)) x Payor 1(f)
3.
AVAILABLE INCOME ABOVE $4,808 (If applicable)
(Considered at the discretion of the Court.)
a. Combined Maximum of $0 or 1(g)-$4,808
=
b. Proportional share for the recipient and payor 3(a) x 1(h)
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TABLE A
CHILD SUPPORT OBLIGATION SCHEDULE
All amounts are $ / week, rounded to the nearest dollar
COMBINED AVAILABLE INCOME FROM LINE 1(g)
CHILD SUPPORT AMOUNT (1 CHILD)
Maximum
Minimum
$-
$150
At court discretion, but not less than $80/month
$151
$319
22%
$320
$750
$70
22%
above
$319
$751
$1250
$165
21%
above
$750
$1251
$2000
$270
19%
above
$1,250
$2001
$3000
$413
15%
above
$2,000
$3001
$4000
$563
12%
above
$3,000
$4001
$4808
$683
11%
above
$4,000
TABLE B
ADJUSTMENT FOR NUMBER OF CHILDREN
CHILDREN
ADJUSTMENT
1
$1.00
2
$1.25
3
$1.38
4
$1.45
5
$1.48