Child Support Worksheet A Instructions
BASIC VISITATION Line I. Gross Monthly Income: Line 2. Percentage of Combined Income: Line 3. Number of Children: Line 4. Basic Support: Line 5. Children’s Health and Dental Insurance
Premium: Line 6. Work-Related Child Care: Line 7. Additional Extraordinary Costs: Line 8. Total Additional Support Costs:
Line 9. Total Basic and Additional Support
Costs: Line 10. Multiply the total basic and additional support costs amount from Line 9 by the percentage for each parent from Line 2 to calculate each parent’s child support obligation. The sum of these amounts in the combined column must equal the amount from Line 9. Line 11. Enter each parent’s amount of total additional support costs from Line 8. Line 12. Subtract the amount of each parent’s total additional support costs from Line 11 from each parent’s total basic and additional support costs entered on Line 10 to arrive at each parent’s net monthly child support obligation. The Custodial Parent is deemed to be providing that amount of child support costs. The Absent Parent’s net monthly child support obligation shall be entered into the space provided, and shall be the amount paid to the state Title IV-D child support enforcement payment clearinghouse on a monthly basis.
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