0     >0@- >-@-_        _      ,Arial-mP,"MS Sans SerifmP!@!@!@!@!@#P@-#P#P`#P`#P>-#P -# P# P@-# P# P# P#P#P #P@- ` P `P*v _Wv22?@  -""    2 2222222626262525 FSTATUS) HHFEDS)27 HHSTS)26 MSTATUS)   SINGFED)2 7 SINGST)26e'CHILD SUPPORT GUIDELINES WORKSHEETS 1 (Basic), 4 (No. of Children), & 5 (Deviations) (2001v1)%@"= # of Children ^MOTHER^COMBINED  ^FATHER 'INCOME:3' 1a/b Last Two Years Schedule C/F income%%% % 4' 2a/b Last Two Years Depreciation claimed%%% % 3' 3 MONTHLY S. E. INCOME ((1a+1b+2a+2b)/24)(0(0     !' 4 MONTHLY SALARY INCOME%% ,' 5 MONTHLY VALUE of Fringe Benefits%% 2' 6 MONTHLY INCOME ALL SOURCES (sum L3..L5)(P(   P 'DEDUCTIONS:' ' 7 Filing Status (1=Single;2=HH)% @% @ ' 8 No. of Exemptions% @( @ 2 ' 9 Annual Gross Inc (((L1a+1b)/2)+(L4x12))(0 (0    * '10 Standard Ded. (S:$4550;HH:$6650)($ Ʊ@ @~q;($ Ʊ@ @~q;!'11 Exemptions ($2900 each)(@ ( @ ''12 Fed Taxable Inc. (L9-L10-L11)((  ((    ,'13 Annual Fed Income Tax (from table)( @2 7@@U2 7@U2 7@U27@@U27@U27@U;(  @  2 7@@U 2 7@U 2 7@U  27@@U 27@U 27@U;5'14 Child Credit ($500/ch in parent's custody)(( @}((   @}1'15 Federal Income Taxes ((L13-L14) / 12)("(!   !'16 St Taxable Inc (L9-L10)("  ("   0'17 State Tax Before Credits (from table)( @26@@U26@U26@U26@@U26@U26@U;(  @  26@@U 26@U 26@U  26@@U 26@U 26@U;+'18 State Exemption Credit (L8 x $94)(W@ ( g@ .'19 Annual State Income Tax (L17 - L18)(!(!   )'20 State Income Taxes (L19 / 12)((  .'21 FICA/Medicare: 7.65% Sal; 15.3% SE(E/$?/$?(E   /$? /$?2'22 Child(ren)'s Health Insurance Premiums%%  '23 Mandatory Retirement%% ?'24 Child Support Previously Ordered for Other Children%% 2'25 TOTAL DEDUCTIONS (sum L14 + L20 to L24)(P(   P9'26 MONTHLY NET INC Bef Othr Chldrn Dedtn (L6 - L25)("("   4'27 Deduction for Children Not Subject of Order%% %'28 MONTHLY NET INCOME (L26-L27)("( ("   & '29 Percentage of Combined Income( (  !!'MONTHLY SUPPORT, from table(=! @@U{Gz?!"(rounded)!"(unrounded)! "(rounded)"'30 One Child(*"I@ @U(0"I@  @U(!"" ?(9"I@@"""!;(!" " ?#'31 Two Children(*#I@ @U(0#I@  @U(!## ?(9####!;(!# # ?$'32 Three Children(*$I@ @U(0$I@  @U(!$$ ?(9$$$$!;(!$ $ ?%'33 Four Children(*%I@ @@U(0%I@  @@U(!%% ?(9%%%%!;(!% % ?&'34 Five Children(*&I@ @U(0&I@  @U(!&& ?(9&@&&&!;(!& & ?''35 Six Children(*'I@ @U(0'I@  @U(!'' ?(9''''!;(!' ' ?/('36 GUIDELINE R LIMITATION (rounded down):(&(I@ ?(&( I@  ?)'DEVIATION (Specify):*'37 *"+/-%* *"+/-%* (+'MONTHLY SUPPORT NET OF DEVIATIONS:,'38 One Child(+,"*((+, " * ( -'39 Two Children(+-#*((+- # * ( .'40 Three Children(+.$*((+. $ * ( /'41 Four Children(+/%*((+/ % * ( 0'42 Five Children(+0&*((+0 & * ( 1'43 Six Children(+1'*((+1 ' * (  2"FED: 2"Single: 2"Head H: 2"STATE: 2"Single: 2 "Head H:%2 (2 333333?3%2%2(2ݵ|г?3%2%2(2333333?3%2%2(2ݵ|г?3%2%3%3j%3f#(&3ݵ|г?l?gs??%3X%3 (3 j@3(3 Q?4(3@2 3 (3@3(3Biޡ?4(3QN@23(3@@3(3Q?4(3=@23(3@3 (3Biޡ?4(3QW@23%4%4@%4t[(&4Biޡ?l?X2ı.??%4%4 p(4 @4(4 ףp= ?5(*4@3 4 3 3(4@4(4' ?5(*4 ףp=΁@3433(4 @4(4ףp= ?5(*4`@3433(4p@4 (4' ?5(*4{G@3433%5%5%5(&5' ?l?7d??%5%5 ."(5 pA5(5 ףp= ?6(*5@4 5 4 4(5@5(5o_?6(*5RV@4544(5A5(5 ףp= ?6(*50H@4544(5@5 (5o_?6(*5p= @4544%6 %6a"%6a"(&6o_?l?,C?? 6"excess 6 "excess(6 &A6(6 MbX?7(*6X @5 6 5 5%6(6&A6(6MbX?7(*6Xr@5655%6%7c 7"excess 7"excess%7 %7h8'APPENDIX "B" Support Worksheet; _____________ v. _____________; ___________ County, Case No. _____9':::'WORKSHEET 1 ;"MOTHER;"COMBINED ; "FATHER<"=========<"=========< "=========>'1. Total Monthly Income +?' from all sources (except previous @' marriage child support'A' payments and all means-tested&B' public assistance benefits)*(B(B  D'2. Deductions:**#E' a. Federal Income Tax***(E(E  !F' b. State Income Tax***(F(F  G' c. FICA(G(G  /H' d. Child(ren)'s Health Insurance****(H(H  "I' e. Mandatory Retirement(I(I  /J' f. Child Support Previously Ordered(J(J  K' g. TOTAL DEDUCTIONS(KEJP(K E J PM'3. Monthly Net Income(MBK(M B K  N' (Line 1 minus line 2g)%P'4. Combined Monthly Net Income(PMM $R'5. Combined Annual Net Income(RPS' (Line 4 x 12)!U'6. Percent Contribution of"V' each parent (L3/L4)*****(VMP(V M P&X'7. Monthly Support from Table 1(TXI@YPP  @@U{Gz?YY(1YI@P @@U(7YI@P  @@U(=YPP  @@U{Gz?'Z'8. Each Parent's Share (L7 x L6)(ZXV(Z XV ]"*V]'Court will require copies of last two years tax returns to verify "total income"T^'figures and copies of present wage stubs to verify the pattern of present wageS_'earnings. Income should be annualized and divided by 12 to arrive at monthly`'amounts.a"**Pa'All claimed deductions should be annualized and divided by 12 to arrive atb'monthly amounts. c"***Sc'Deductions for taxes will be based on the annualized income and the number of!d'exemptions provided by law. e"****Ue'The increased cost to the parent for health insurance for the child(ren) of theVf'parent shall be allowed as a deduction from gross income. The parent requestingWg'an adjustment for health insurance premiums must submit proof of the cost of the h'premium. i"*****Qi'In the event of substantial fluctuations of annual earnings of either partyTj'during the immediate past 3 years, the income may be averaged to determine theVk'percent contribution of each parent as shown in item 6. The calculation of the 9l'average income shall be attached to this worksheet.m'::n'WORKSHEET 2!p' SPLIT CUSTODY CALCULATION6r'1. Show combined monthly sharer' Show each parent's"s' from Line 7, Worksheet 1,s' share (apply % from  t' divided by total numbert' Line 6, Wksht 1)u' of childrenw^Combinedw^Each Parent'sx^Mo. Share x^Sharez'Child's Namez' Custody z"MOTHER z "FATHER-{' (Mother=1; Father=2){"========{ "========%|@(,|;(,|||V;(,| |@|V ;%}(,}@;(,}}}V;(,} }@}V ;%~(,~;(,~~~V;(,~ ~@~V ;%(,;(,V;(, @V ;%(,;(,V;(, @V ;%(,@;(,V;(, @V ;1'2. Total amount owed to mother from father1' (father's share from above for children' in mother's custody)( | P/'3. Total amount owed to father by mother4' (Mother's share from above for children in' father's custody)(|P'4. Support to be paid by(! (!   'Rounded(?(  ?'::'WORKSHEET 30' JOINT PHYSICAL CUSTODY CALCULATION "MOTHER "FATHER"======== "========%'1. Each parent's monthly share((   ' (Line 8, Worksheet 1),'2. Number of days annually child(ren)&' is in custody of each parent%:( @`@@[''3. Percentage of year child(ren)&' is in custody of each parent(I&M?@[( lٲe? @[' (line 2 / 365)''4. Mother's obligation to father( "' (Father Line 3 x Line 1)''5. Father's obligation to mother(  "' (Mother Line 3 x Line 1) '6. Obligation for support(! (!  *' (Difference between Lines 4 & 5) 'Rounded(?(  ?'::'WORKSHEET 4$'NUMBER OF CHILDREN CALCULATION'Number of^Combined ^Table ^Payor's ^Child'Children^Net Inc. ^Amount^Percentage ^Support%' = Payor ^Due^(1=mother)^(2=father) '1. Six(%@P;(=@Y;^x(&@VV ; ^=( (*I@ @U(0I@  @U '2. Five(%P;(=Y;^x(&@VV ; ^=( (*I@ @U(0I@  @U '3. Four(%P;(=Y;^x(&@VV ; ^=( (*I@ @@U(0I@  @@U'4. Three(%P;(=Y;^x(&@VV ; ^=( (*I@ @U(0I@  @U '5. Two(%@P;(=@Y;^x(&@VV ; ^=( (*I@ @U(0I@  @U '6. One(%P;(=I@Y;^x(&@VV ; ^=( (*I@ @U(0I@  @U'::'WORKSHEET 53' DEVIATIONS TO CHILD SUPPORT GUIDELINES ^Mother^Combined ^Father''1. Net income of the parties as%' computed under Worksheet 1((  *'2. Deduction computed for child or)' children of one of the parties%' but not previously ordered"-( "-(   'Total((   "'3. Combined monthly income( '4. Monthly support for(?'child(ren) from table 1(TI@  @@U{Gz?(1I@ @@U(7I@  @@U"'5. Percent contribution of' each parent((  &'6. Each parent's monthly share((  ''7. Further deviations (specify))' a.____________________________(*( * )' b.____________________________%% )' c.____________________________%% ' d. Total(P(  P!'8. Adjusted child support+' obligations (line 6 +/- line 7d)(( (   *' Dated: _______________________&'________________________________'District Judge% % % % % % % ( Y@ % % % % % % ( i@ % % % % % % ( r@ % % % % % % ( y@ % % % % % % ( @@ % % % % % % ( 0@  % % % % % % ( @  % % % % % % ( P@  % % % % % % ( @  % @%@%@%%%( p@  % %%%@!%"%$( @  % "%%%@'%@)%+%-( @  % )%+%.%1%@4%@7( @  % @/%2%@6%9%=%@( @  % 5%9%=%A%E%J( @@  % ;%@%@E%I%N%@S( h@  % ?%@G%L%R%@W%\( 0@  % B%@N%@T%Z%`%f( @  % @E%U%[%@b%h%o( @  % @H%\%@c%@j%q%x( @  % @K%b%j%r%@z%@( P@  % @N%i%@r%z%%( @  % @Q%p%y%%%( @  % T%w%@%%%@( @  % W%}%%%@%(  p@  %  Z% % @% % % (  8@   %  \% % % @% % (  @   %  _% @% @% @% % (  ș@   %  b% % % % @% (  @   %  e% % @% % % ( X@   % h%%@%@%%( @  % k%%@%%@%( @  % n%%@%%%( @  % @q%@%@%@%%( x@  % @t%%@%%%@( @@  % @w%%%%%( @  % z%%%@%%( h@  % }%%%%%@( ̠@  % %%%%%( 0@  % %@%%@%%( @  % %@%%%% ( @  % %%%% %( \@  % %%%@%%@( @  % %%% %%( $@  % @%%@%%%@!( @  % @%%@%@%!%&( @  % %@%@%%'%,( P@  % %@% % %,%2(  @  %  % % % &% 2% 7(! @   %! %!%!%!@+%!@7%!=(" |@!  %" %"%"%"0%"<%"B(# @"  %# %#%#%#5%#@B%#H($ D@#  %$ %$%$!%$;%$G%$M(% @$  %% @%%%%@&%%@@%%M%%S(& @%  %& @%&%&@+%&E%&R%&X(' p@&  %' %'@%'0%'J%'X%'^(( ԧ@'  %( %(@%(4%(P%(@]%(c() 8@(  %) %)@%)9%)@U%)b%)i(* @)  %* %* %*>%*Z%*@h%*n(+ @*  %+ %+%+@C%+_%+m%+t(, d@+  %, @%,%,@H%,e%,s%,y(- ȩ@,  %- @%-%-M%-j%-@x%-(. ,@-  %. %.%.Q%.@o%.}%.@(/ @.  %/ %/%/V%/t%/%/(0 @/  %0 %0"%0[%0y%0%0@(1 X@0  %1 %1'%1@`%1~%1%1(2 @1  %2 %2+%2e%2%2%2(3 @2  %3 @%3/%3i%3@%3%3(4 @3  %4 @%43%4n%4@%4%4(5 @4  %5 %57%5s%5%5@%5(6 L@5  %6 %6@;%6@x%6%6%6(7 @6  %7 %7@?%7}%7%7%7@(8 @7  %8 %8@C%8%8%8%8(9 x@8  %9 @%9@G%9%9@%9%9(: ܮ@9  %: @%:@K%:@%:@%:%:(; @@:  %; %;@O%;%;%;%;(< @;  %< %<@S%<%<%<@%<(= @<  %= %=@W%=%=@%=%=(> 6@=  %> %>@[%>@%>%>%>(? h@>  %? %?@_%?%?%?@%?(@ @?  %@ %@c%@%@%@%@(A ̰@@  %A %Ad%A%A@%A@%A(B @A  %B %Bf%B%B%B%B@(C 0@B  %C %Ci%C%C%C%C@(D b@C  %D %D@k%D@%D%D%D(E @D  %E %Em%E%E%E%E(F Ʊ@E  %F @%Fp%F%F%F%F(G @F  %G %G@r%G@%G%G%G(H *@G  %H @%H@t%H%H%H%H(I \@H  %I %Iv%I%I%I%I(J @I  %J %Jx%J@%J@%J%J(K @J  %K %K{%K%K%K%K(L @K  %L %L}%L@%L%L%L@(M $@L  %M %M@%M%M%M@%M@ (N V@M  %N @%N@%N@%N%N%N(O @N  %O %O@%O%O%O%O(P @O  %P @ %P%P@%P%P %P(Q @P  %Q %Q%Q%Q%Q@%Q@(R @Q  %R %R%R%R%R%R(S P@R  %S %S%S%S@%S%S(T @S  %T %T%T%T%T@%T%U -%U @%U%U@%U@%U%U!(V @U  %V %V%V%V%V%V#(W @V  %W %W@%W%W@ %W%W@&(X J@W  %X @%X@%X%X %X %X((Y |@X  %Y %Y@%Y@%Y@%Y#%Y+(Z @Y  %Z %Z%Z%Z%Z%%Z.([ @Z  %[ @%[%[%[%[(%[0(\ @[  %\ %\%\%\@%\*%\3(] D@\  %] %]%]%]%],%]@5(^ v@]  %^ %^@%^%^%^@/%^7(_ @^  %_ @%_%_@%_@%_1%_@:(` ڶ@_  %` %`%`@%` %`4%`<(a @`  %a %a%a@%a"%a@6%a?(b >@a  %b "%b@%b%b$%b8%b@A(c p@b  %c #%c%c%c'%c:%cC(d @c  %d @$%d%d%d@)%d=%dE(e Է@d  %e %%e@%e@%e@+%e@?%eH(f @e  %f &%f%f@%f-%f@A%f@J(g 8@f  %g '%g%g@%g/%gC%gL(h j@g  %h (%h@%h%h1%hE%hN(i @h  %i *%i%i%i3%iG%iP(j θ@i  %j +%j@%j %j5%jI%jR(k @j  %k ,%k%k %k7%kL%kU(l 2@k  %l @-%l@%l %l9%lN%lW(m d@l  %m @.%m%m@%m;%mP%mY(n @m  %n @/%n@%n%n=%nR%n[(o ȹ@n  %o @0%o%o%o@?%oT%o](p @o  %p @1%p@%p%p@A%pU%p_(q ,@p  %q @2%q%q@%qC%qW%qa(r ^@q  %r @3%r%r%rD%rY%rb(s @r  %s @4%s%s%sF%s[%sd(t º@s  %t 5%t%t@%t@H%t@]%tf(u @t  %u 6%u@%u%uJ%u_%uh(v &@u  %v 7%v%v@%vK%va%v@j(w X@v  %w 7%w%w %wM%wb%wl(x @w  %x 8%x%x!%x@O%x@d%xm(y @x  %y 9%y@%y#%yP%yf%yo(z @y  %z :%z%z$%zR%zg%z@q({ @z  %{ @;%{%{&%{T%{i%{s(| R@{  %| @<%|%|@'%|U%|k%|t(} @|  %} =%}@%}(%}@W%}l%}@v(~ @}  %~ =%~%~@*%~X%~@n%~w( @~  % >%%+%@Z%o%y( @  % ?%%-%[%@q%{( L@  % @@%%@.%]%r%|( ~@  % A%%/%^%@t%~( @  % A%%1%`%u%( @  % B%%@2%@a%@w%( @  % @C%%3%b%x%( F@  % C%%4%d%z%( x@  % D%%5%@e%{%@( @  % @E%%7%f%|%( ܾ@  % E%%@8%h%~%( @  % F%%@9%@i%@%@% % @G%%:%@j%%% % G%%;%k%%% % @H%%<%l%%( ֿ@  % I%%=%n%@%@( @  % I%%>%o%%( @  % J%@%?%p%%( 6@  % J%%@%@q%%( O@  % @K%%A%@r%%( h@  % K%%B%@s%%( @  % @L%%C%@t%%( @  % L%%@D%@u%%( @  % @M%%@E%@v%%( @  % M%%F%@w%%( @  % @N%@%G%x%%( @  % N%%G%y%%( @  % O%%H%y%%( 0@  % O%@%@I%z%%( I@  % O%%J%{%%( b@  % @P%@%J%@|%@%( {@  % P%%K%}%%( @  % Q%%L%}%%@( @  % @Q%%L%~%%( @  % Q%%M%@%%( @  % R%%N%%%( @  % @R%%N%%%@( @  % R%%@O%@%%( *@  % R%@%O%%%( C@  % @S%%@P%@%%( \@  % S%%P%%@%( u@  % S%%@Q%%%@( @  % S%%Q%%%( @  % T%@%R%%%( @  % @T%%R%%%( @  % T%%S%@%%( @  % T%%@S%%@%( @  % T%@%S%@%%@( $@  % U%%T%%@%( =@  % U%%@T%%%( V@  % @U%%T%@%%( o@  % @U%@%T%%@%% % U%%U%%%( @  B@  BC A:A1..A:L234 BC A:A1..A:L234  88Pu ``??qP8 u BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB!BBBBBBBB,BB/B!BBBBB*BBBBBBBB@BB BB BBBB BBBBBBBBBB B1BBB8BB BBBB-BLBBBBB3BB BB BBBBBBB B#BLBBB BB BBBB BBBB BBBBBBBBBBBB BBBBBBBB B BLBB BB B BBB.BBBBBBB B BBB BBBBBBB.B BB BBBB B BLBBB BB BBBBBBB BBBBBBBBBBBBBBB BLBBBBB B#B"B BBBBBBBB*BB2BBBB B B1BKB2BBBKB2BBBLB2BBBLB2BBBLB2BBLB2BBB2BBB2BBB2BBBB   P P P P PP P  P  P P P P P P P P P P P P P P P P P P P P  P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P PPP5 P P P P P P P+ P  P P P P PPPP9 P P P3 P P PO P P P P P P P PPPP P8 P  P P P P P  P1 P  P P P P PP P  P P P P P P PP} P P P P P P P P P P P P  P P3 P P P P P P P  P P P  PPP P P: P PM P P" P P  P P P P PP P P P P P P P  P P P P P PPPPP P P8 P P P P P P P P P P P P P P P9 P  P P P P PP P P3 P P P P P P P  P P P  PPPPP P P= P P P3 P P P P P P P P P P P P P P9 P  P P P P PP\ P P P P PN P2 PP P2 PP P2 PP P2 PP P P2 PP P2 PP P2 PP P2 PP P2 PP P2 PP P P 0 8  4  {   084{ 0800400{084    H x  x H x  !      A- A-  4   2 BBi=/1'dDefaultBBiFF=/7'ZDefaultB B   N @ d       A_  ,  B@  B@   W   Alan G Gless Alan G Gless123123 PropertyDoc Info AuthorDoc Info CommentsDoc Info Editing TimeDoc Info Last RevisorDoc Info ObjectDoc Info Revisions Count    NN^ n   t   xCMHdr