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Child Support Worksheet

This document is a child support worksheet that calculates the child support obligations for two parents. It lists their incomes and adjustments, then calculates their proportional shares of support expenses like health insurance and child care. It also accounts for deviations from the standard calculation like parenting time percentages. The worksheet is used to determine the final net parental child support obligation for each parent.

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36 views

Child Support Worksheet

This document is a child support worksheet that calculates the child support obligations for two parents. It lists their incomes and adjustments, then calculates their proportional shares of support expenses like health insurance and child care. It also accounts for deviations from the standard calculation like parenting time percentages. The worksheet is used to determine the final net parental child support obligation for each parent.

Uploaded by

Ga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Child Support Worksheet

IN THE JUDICIAL DISTRICT


COUNTY, KANSAS
IN THE MATTER OF:

and CASE NO.

CHILD SUPPORT WORKSHEET OF (name)

PARTY NAME PARTY NAME

A. INCOME COMPUTATION – WAGE EARNER


1. Domestic Gross Income $ $
(Insert on Line C.1. below)*

B. INCOME COMPUTATION – SELF-EMPLOYED

1. Self-Employment Gross Income


2. Reasonable Business Expenses (-)
3. Domestic Gross Income
(Insert on Line C.1. below)*

C. ADJUSTMENTS TO DOMESTIC GROSS INCOME

1. Domestic Gross Income


2. Court-Ordered Child Support Paid (-)
3. Court-Ordered Maintenance Paid ______% (-)
4. Court-Ordered Maintenance Received ________% (+)
5. Child Support Income
(Insert on Line D.1. below)

D. COMPUTATION OF CHILD SUPPORT


1. Child Support Income +
=
2. Proportionate Shares of Combined Income % %
(Each parent’s income divided by combined income)
3. Gross Child Support Obligation**
(Using the combined income from Line D.1.,
find the amount for each child and enter total for
all children)
Age of Children 0-5 6-11 12-18 Total
Number Per Age Category
Total Amount + + =

* Cost of Living Differential Adjustment? Yes No


**Multiple Family Application? Yes No
Parenting Time Adjustment Yes No _________%
Income Beyond the Child Support Schedule calculation used Yes No

1
Case No. PARTY NAME PARTY NAME

4. Proportionate Share (Line D.3 x Line D.2) _____________ _____________

5. Parenting Time Adjustment ______% x Line D.4 (-) _____________ _____________

6. Proportionate Shares after Parenting Time Adjustment _____________ _____________

7. Health and Dental Insurance Premium $ + $

8. Proportionate Shares Health Insurance Premium _____________ _____________

9. Work-Related Child Care Costs


Formula: Amt. – (Amt. x %)
for each child care credit
Example: 200 – (200 x 30%)

10. Proportionate Shares Work-Related Child Care Costs ____________ _____________

11. Proportionate Child Support Obligation for Each Parent _____________ _____________
(Line D.6 + D.8 + D.10)

12. Credit for Insurance or Work-Related Child Care Paid (-) ____________ _____________

13. Basic Parental Child Support Obligation


((Line 11-Line D.12); Insert on Line F.1. below)

E. CHILD SUPPORT ADJUSTMENTS

APPLICABLE N/A CATEGORY PARTY NAME PARTY NAME

1. Long Distance Parenting Time Costs (+/-) (+/-)

2. Income Tax Considerations (+/-) (+/-)

3. Special Needs (+/-) (+/-)

4. Agreement Past Majority (+/-) (+/-)

5. Overall Financial Condition (+/-) (+/-)

6. TOTAL (Insert on Line F.2. below)

2
F. DEVIATION(S) FROM REBUTTABLE PRESUMPTION AMOUNT

AMOUNT ALLOWED

PARTY NAME PARTY NAME

1. Basic Parental Child Support Obligation


(Line D.13. from above)

2. Total Child Support Adjustments (+/-)


(Line E.6. from above)

3. Adjusted Subtotal (Line F.1. +/- Line F.2.)

4. Equal Parenting Time Obligation


( EPT Worksheet or Shared Expense Formula) ______________ ___________

5. a Ability to Pay Calculation


Child Support Income (D.1) ______ - Poverty Guidelines for Household of One _____ = ______

5. b. Subtotal (lesser amount of F.3 and F.5.a) ___________ ____________

6. Social Security Dependent Benefits (-) _________ (-) ______________

6. b. Final Subtotal __________ ______________

7. Enforcement Fee Allowance** Percentage %


(Applied only to Nonresidential Parent) Flat Fee $
((Line F.3. x Collection Fee %) x .5)
or (Monthly Flat Fee x .5) (+) (+)

8. Net Parental Child Support Obligation


(Line 5.b. + Line F.4.)

**Parent paying support.

Prepared By (Signature) Judge/Hearing Officer Signature

Prepared By (Print Name)

Date Submitted Date Approved

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