Child Support Worksheet B

–

MONTHLY CHILD SUPPORT OBLIGATION

WORKSHEET B – SHARED RESPONSIBILITY

 

IN THE FAMILY COURT OF THE NAVAJO NATION

DISTRICT OF ____________

 

 

________________________________,

Petitioner,

 

vs.

NO. ____________________

 

________________________________,

Respondent.

MONTHLY CHILD SUPPORT OBLIGATION

A. Gross Monthly Income and Percentage
 

 

Custodial Parent

 

Absent Parent

 

Combined

1. Gross Monthly Income

$ _______

+

$ _______

=

$ _______
2.

Percentage of Combined Income (Each parent’s income divided by combined income)

______ %

+

______ %

=

100 %
B. Computation of Basic Support
3.

Number of Children for Whom Support is Sought

 

 

 

 

_______
4.

Basic Support for Number of Children

 

 

 

 

$ _______
5.

Shared Responsibility Basic Obligation (Line 4 x 1.5)

 

 

 

 

$ _______
6.

Each Parent’s Share (Line 5 x each parent’s percentage from Line 2)

$ _______

 

$ _______

 

 
7.

Number of 24 Hour Days With Each Parent (Must Total 365)

______

+

______

=

         365
8.

Percentage of Year With Each Parent

______ %

+

______ %

=

100 %
9.

Amount Retained (Line 6 x Line 8 for each parent)

$ _______

 

$ _______

 

 
10.

Each Parent’s Obligation (Subtract Line 9 from Line 6)

$ _______

 

$ _______

 

 
11.

Amount Transferred (Subtract smaller amount on Line 10 from larger amount on Line 10.)  Parent with larger amount on Line 10 pays the other parent the difference.

 

 

 

 

$ _______
C. Additional Support Costs
12.

Children’s Health and Dental Insurance Premium

$ _______

+

$ _______

=

$ _______
13.

Work-Related Child Care

$ _______

+

$ _______

=

$ _______
14.

Extraordinary Costs

$ _______

+

$ _______

=

$ _______
15.

Total Additional Support Costs

$ _______

 +

$ _______

 =

$ _______
16.

Each Parent’s Obligation (Combined column Line 15 x each parent’s Line 2)

$ _______

 

$ _______

 

 
17.

Amount Transferred (Subtract each parent’s Line 16 from his/her Line 15.)  Parent with a negative number pays that amount to the other parent.

$ _______

 

$ _______

 

 
D. Net Amount Transferred
18.

Combine Lines 11 and 17 by addition if same parent pays on both lines, otherwise by subtraction.

      

 

$ _______

_________________________________

Custodial Parent’s Signature

_______________

Date

_________________________________

Absent Parent’s Signature

_______________

Date

_________________________________

Child Support Enforcement Officer

_______________

Date