Case Name Docket Number
Date Prepared Name of Preparer
CHILD SUPPORT GUIDELINES WORKSHEET
All amounts are $ / week, rounded to the nearest dollar 1. INCOME a. Gross Weekly income b. Minus Child Care cost paid c. Minus Health insurance cost paid $ $ ( $ ( $ ( $ ( = $ = $ ) ) ) ) Recipient $ $ ( $ ( $ ( $ ( $ ) ) ) ) Payor
d. Minus Dental/Vision insurance cost paid e. Minus Other Support Obligations paid f. Available income
g. Combined Available Income Recipient 1(f) + Payor 1(f) 2. CHILD SUPPORT CALCULATION a. Combined amount for one child (See Table A) b. Adjustment for number of children covered by this order (See Table B) c. Combined support amount 2(a) x 2(b) % Number of children
x = $
.
d. Recipient's % of combined income Recipient 1(f) ÷ 1(g) e. Minus Recipient's share of combined support amount 2(c) x 2(d) f. Payor's proportional weekly support amount 2(c) - 2(e)
2(f) ÷ Recipient 1(f)
$ ( = % = $
reset
)
$
g. Weekly support amount as % of Recipient income h. Payor's final 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)
All amounts are $ / week, rounded to the nearest dollar COMBINED AVAILABLE INCOME FROM LINE 1(g) Minimum Maximum $: $100 $101 : $200 $201 : $320 $321 : $500 $501 : $1,000 $1,001 : $1,500 $1,501 : $2,500 $2,501 : $3,500 $3,501 : $4,808
TABLE A: CHILD SUPPORT OBLIGATION SCHEDULE
CHILD SUPPORT AMOUNT (1 CHILD) At court discretion, but not less than $80/month 21% 24% $77 + 26% above $320 $124 + 25% above $500 $249 + 22% above $1,000 $359 + 19% above $1,500 $549 + 17% above $2,500 $719 + 15% above $3,500
TABLE B: ADJUSTMENT FOR NUMBER OF CHILDREN
CHILDREN
1 2 3 4 5
ADJUSTMENT
1.00 1.20 1.27 1.32 1.35
Child Support Guidelines Child Support Guidelines Chart