Date Married

Marriage length

0

Maintenance length

0

Maintenance Taxable?

Number of Children

Names

Worksheet

Mother

Father

Combined

Overnights With Each Parent

Overnights Cannot exceed 365 in one calendar year

= 365

1. Monthly Gross Income

Income before taxes and any deductions

a. Plus Maintenance received

b. Plus Maintenance paid

-

c. Minus court ordered child support.

d. Legal responsibility for children not of this relationship

2. Monthly Adjusted Gross Income

3. Percentage Share of Income

4. a. Basic Combined Obligation

5. Shared Physical Care Support Obligation

6. Parent's Portion of Shared Physical Care Support Obligation

b. Parent's Portion of Shared Physical Care Support Obligation

5. Low-Income Adjustment

8. Percentage with Each Parent

9. Support Obligation for Time with Other Parent

10.6. Adjustments

a. Work-Related Child Care Cost

a. Education-related Child Care Costs

b.Health Insurance Premium Costs

c. Extraordinary Medical Expenses

d. Extraordinary Expenses

f. Minus Extraordinary Adjustments

11.7. Total Adjustments

12. Each Parent’s Share of Adjustments

8. Each Parent’s Fair Share of Adjustments

13. Adjustments Paid in Excess of Fair Share

9. Parent's Share of Total Child Support Obligation

14. Each Parent’s Adjusted Support Obligation

10. Paying Parent’s Adjustment

15.11. Recommended Child Support Order