0  0)$))  >0@- >-@-_         _      ,Arial-L8!@!@!@!@!@#P@-#P#P`#P`#P >-#P>#Pf># P.># P># P1># P# P>#P#P+>#P>#P@ #P #P>#P #P/#P >#P >#P>#P>#P >#P#P #P #PN# P#!P #"P ##P #$P #'P#(P #)P#*P#+P #,P@-#6P@- `,P `6P `P `P `P `P `P `P `P  `P  `P  `P  `P  `P `P `P `P*v _Wv2?@  -suwZ`w w bb75  71777 1 75B7BB#5 # %5:78'7::: 7 ::78'::7::: 7 :7& ####&" & &#$ $$ $     + "    (  " " - ,            P3DL8 FSTATUSL HHFEDSL   HHSTSL   MSTATUSL SINGFEDL   SINGSTL  # 6APP "B"# 6INC_TAX#6LINE 13_M#6LINE 13_F#6W_1#6W_2#6W_3#6W_4#6 W_5#6 2# 6 T_SUPP'APPENDIX "B" INPUT:"((  2007v2') ^MOTHER ^FATHER ^STEP-FATHER^STEP-MOTHER$'enter info in BOLD-FACED cells#'(do NOT type in SHADED cells)4"(do NOT use COMMAS in entering dollar amounts)'PARTIES' SSNs:^123-45-6789 ^987-65-4321'CASE SHORT TITLE:'Jones v. Jones 'COUNTY: 'SEWARD'CASE NUMBER: 'CIxx-x'CHILDREN:)'Number of Children Subject of Case:%@^Child name^d/o/b (m/d/y)  ^SSN < "If mother gets custody, insert "Y"; if not, insert "N"($ ?@; ^youngest% @>" ^111-11-1111 ^Y( @ YNY; N( @; ^2nd youngest% ! ^222-22-2222 ^Y( H YNY; N( ; ^3rd youngest% ! ^333-33-3333 ^Y( P YNY; N( ; ^4th youngest% ,! ^444-44-4444 ^Y( X YNY; N( @; ^5th youngest%   ^555-55-5555 ^Y( ` YNY; N( @;^6th youngest%u ^666-66-6666^Y( hYNY; N)'Joint Custody Days with Each Parent%-( f@@[ 'INCOME:'Monthly Salary Income%C% % %?'Mother's Recalculated Monthly Net Self-Employment Income:(?@0'Annual SE Information:*'No. of Years Included. (min=1;max=5)%@ "Annual:"Sch. C / F Net Inc."Tax Depreciation"S.L. Depreciation"Net SE Income"Average SE Inc.(X@ %%%(!("@;('@@;%%%(0@;('Q;(';%%%(0;('Q;(';%%%(0;('Q;(';%%%(0;('@Q;?'Father's Recalculated Monthly Net Self-Employment Income:(?  @   ! " 0'Annual SE Information:)'No. of Years Included (min=1;max=5)% @ "Annual:"Sch. C / F Net Inc."Tax Depreciation"S.L. Depreciation"Net SE Income "Average SE Inc.(X@ %%%(!("  @;(' @@;%%%(1 @;('  Q;('  @;% % % (1     ;('   Q;('! @;%!%!%!(1! !!!;('!  !Q;('" @;%"%"%"(1" """;('"  @"Q;D#'Step-Father's Recalculated Monthly Net Self-Employment Income:(?# $ @& ' ( ) * 0$'Annual SE Information:*$'No. of Years Included. (min=1;max=5)%$ @ %"Annual:%"Sch. C / F Net Inc.%"Tax Depreciation%"S.L. Depreciation%"Net SE Income% "Average SE Inc.(&X@ %&%&%&(!&&&&("& $ @&;(''$ @&@;%'%'%'(1'$ @''';('' $ &'Q;('($ &;%(%(%((1($ (((;('( $ &(Q;(')$ &;%)%)%)(1)$ )));(') $ &)Q;('*$ &;%*%*%*(1*$ ***;('* $ @&*Q;D+'Step-Mother's Recalculated Monthly Net Self-Employment Income:(?+,@./0120,'Annual SE Information:*,'No. of Years Included. (min=1;max=5)%,@ -"Annual:-"Sch. C / F Net Inc.-"Tax Depreciation-"S.L. Depreciation-"Net SE Income-"Average SE Inc.(.X@ %.%.%.(!....(".,@.;('/,@.@;%/%/%/(1/,@///;('/,./Q;('0,.;%0%0%0(10,000;('0,.0Q;('1,.;%1%1%1(11,111;('1,.1Q;('2,.;%2%2%2(12,222;('2,@.2Q;"3'Monthly Other Taxable Income%3%3 %3 %3 4'Monthly Non-Taxable Income%4%4 %4 %46'DEDUCTIONS: 7'Taxes:48'CHILDREN'S income tax exemptions allocated to:%8@(8 8=9'Parent's Filing Status (S=single ; H=head of household)9"H9 "S9 "S9"S3:'ANNUAL Itemized Income Tax Deductions Claimed%:%: %: %:6;'ANNUAL State Taxes Claimed as Itemized Deduction%;%; %; %;<'Health Insurance:7='Monthly Children's Health Insurance Premiums Paid%=%= %= %=>'Retirement::?'Monthly Min. Req'd Contribution, Mandatory Ret. Plan%?%? %? %?7@'Monthly Actual Voluntary Retirement Contributions%@%@ %@ %@2A'Mother's Monthly Net Self-Employment Income:(?AB@DEFGH0B'Net SE Information:B'No. of Years Included(B? C"Annual:C"Sch. C / F Net Inc.C"Net SE IncomeC"Ave. Net SE Inc.(DX@ (D(DD("DB@D;('EB@D@;(E(#EB@E;('EBDEQ;('FBD;(F(#FBF;('FBDFQ;('GBD;(G(#GBG;('GBDGQ;('HBD;(H(#HBH;('HB@DHQ;2I'Father's Monthly Net Self-Employment Income:(?I J @L M N O P 0J'Net SE Information:J'No. of Years Included(J ?  K"Annual:K"Sch. C / F Net Inc.K"Net SE IncomeK "Ave. Net SE Inc.(LX@ (L(LL("L J @L;('MJ @L@;(M(#MJ @M;('M J LMQ;('NJ L;(N (#NJ N;('N J LNQ;('OJ L;(O!(#OJ O;('O J LOQ;('PJ L;(P"(#PJ P;('P J @LPQ;7Q'Step-Father's Monthly Net Self-Employment Income:(?Q R @T U V W X 0R'Net SE Information:R'No. of Years Included(R ?$  S"Annual:S"Sch. C / F Net Inc.S"Net SE IncomeS "Ave. Net SE Inc.(TX@ (T&(TT("T R @T;('UR @T@;(U'(#UR @U;('U R TUQ;('VR T;(V((#VR V;('V R TVQ;('WR T;(W)(#WR W;('W R TWQ;('XR T;(X*(#XR X;('X R @TXQ;7Y'Step-Mother's Monthly Net Self-Employment Income:(?YZ@\]^_`0Z'Net SE Information:Z'No. of Years Included(Z?, ["Annual:["Sch. C / F Net Inc.["Net SE Income["Ave. Net SE Inc.(\X@ (\.(\\("\Z@\;(']Z@\@;(]/(#]Z@];(']Z\]Q;('^Z\;(^0(#^Z^;('^Z\^Q;('_Z\;(_1(#_Z_;('_Z\_Q;('`Z\;(`2(#`Z`;('`Z@\`Q;a'Prior Order:9b'Child Support Previously Ordered for Other Children%b%b %b %b7c'"Other Family" Children (App B, L13) (W1, L2.f.):,d'Number of child(ren) in "other" family%d%d f'Guideline S Limitation:%f%f g'Guideline T Limitation:%g%g i'DEVIATIONS:i'reason 1j'reason 2k'reason 3l'One Child/l'(if deviation increases support, enter as%l%l m'Two Childrenm' positive number)%m%m n'Three Children/n'(if deviation decreases support, enter as%n%n o'Four Children1o' negative number; start with minus sign)%o%o p'Five Children%p%p q'Six Children%q%q s'CHILD CARE CREDIT:=t'Monthly Qual'd Child Care Exp. Paid By CUSTODIAL Parent%t%t )u'Total Monthly Child Care Tax Credit(uvw(u v w .v'Lesser of payment, earned inc., or limit(\v@ tS tS;(\v @ t   S t   S;w'Applicable rate of credit(9wffffff?A3 - @U(9w Q? I 3  - @UA'WORKSHEETS 1 (Basic), 4 (No. of Children), & 5 (Deviations)(    2007v2(?'= # of Children ^MOTHER ^COMBINED  ^FATHER(x 123-45-6789(   987-65-4321'MONTHLY INCOME:%@ 'Salary(@@( p@ %'Self-employment((  %'Other Taxable(3( 3 %'Other Non-Taxable(4( 4 %@'Total Monthly Income($@@?PT($ p@?  PT 'DEDUCTIONS: '(child exemptions)( 8@(  8 @%  'Federal(  (  UUUUU@s@ %  'State( (  أp= Y@%  'Taxes(   (  K~y@    % @ 'FICA(g  S@ TS T (g  l@   TS   T %#'CHILD(REN)'S Health Insurance(=( = %'Retirement(H??@AS;(H ? ? @  I S;%&'Child Support Previously Ordered(b( b %@('Regular Support for Other Children(bd@0S;(b d  @      0S;%'Total deductions( S@? P( &X@?  P%'MONTHLY NET INCOME(܌@( 6i]@ ( 6i]p@  %'PERCENT CONTRIBUTION(? ( x?  'MONTHLY SUPPORT:(60~g?   U ^USE"(rounded) "(unrounded) "(rounded)%@(#h@  @U'One Child()@   @U ^FINAL(%k@ ?(9 DG@@;(% @  ?%(#h@  U'Two Children()@   U ^SUPPORT(% ?(9 ;(%   ?%(#L@  U'Three Children()@   U ^AMOUNTS(% ?(9 ;(%   ?%(#@  U'Four Children()@   U ^BELOW(% ?(9 ;(%   ?%@(#H@  @U'Five Children()@   @U^AT LINES(% ?(9 @;(%   ?%(#d@  U'Six Children()Ȝ@   U ^32-37(% ?(9 ;(%   ?%'Guideline R Limitation(/gffffW@ QT T(/ l@  QT  T%'Guildeline S Limitation(f( f % @ 'Guideline T Limitation( g(  g "'DEVIATIONS:%##'Deviation for One Child(#l(# l %$ $'Deviation for Two Children($m($ m %%"%'Deviation for Three Children(%n(% n %&@!&'Deviation for Four Children(&o(& o %'!''Deviation for Five Children('p(' p %( ('Deviation for Six Children((q(( q 3*'MONTHLY SUPPORT AFTER DEVIATIONS/LIMITATIONS: +'Name +"D/O/B  + "SSN %,,'One Child(',  ; ,youngest(&, @ ;(,gffffW@  #TSS#TS;T#TSS#TS;;(&,  ;, 111-11-1111(, @       # T SS # T S;T   # T SS # T S;;%-@-'Two Children("-@ ;("-@ ;(-  $TSS$TS;T$TSS$TS;;("- @ ;(-        $ T SS $ T S;T   $ T SS $ T S;;%..'Three Children(". ;(". ;(.  %TSS%TS;T%TSS%TS;;(".  ;(.        % T SS % T S;T   % T SS % T S;;%//'Four Children("/ ;("/ ;(/  &TSS&TS;T&TSS&TS;;("/  ;(/        & T SS & T S;T   & T SS & T S;;%0 0'Five Children("0 ;("0 ;(0  'TSS'TS;T'TSS'TS;;("0  ;(0        ' T SS ' T S;T   ' T SS ' T S;;%1@ 1'Six Children("1@;("1@;(1  (TSS(TS;T(TSS(TS;;("1 @;(1        ( T SS ( T S;T   ( T SS ( T S;;3'CHILD CARE EXPENSES:%4 '4'Max. Monthly Amt. by NONCUSTODIAL(.4t t ;(.4 tt ;%5 /5'Monthly Tax Credit (other party earnings)(.5t u ;(.5 tu ;7'APPENDIX "B"(77Jones v. Jones(7 7SEWARD7' County Case No.(7  7 CIxx-x'INCOME TAX CALCULATIONS:(  2007v2 ^MOTHER ^FATHER%@'Filing Status(9H(9 S% 'Number of CHILD Exemptions(?8(8 %'Annual Gross Income(3p@A3T(3@ I 3 T%'Standard Deduction($@H  ;($@H  ;%@'Itemized Deductions(:(: %'State Taxes Itemized(;(; %'Exemptions("@@ ("@@ %  'Federal Taxable Income(4 TT(4 @TT% @( 'Annual Fed Income Tax (from table)( S    U   @U   U    U   @U   U;( @S    U   @U   U    U   @U   U;%  'Child Credit("   S("   S% " 'Monthly Federal Income Taxes("   (! UUUUU@s@  %  'State Taxable Income(5 6@TT(5 @TT%@+'State Tax Before Credits (from table)(q[@S    U   @U   U    U   @U   U;(zG@S    U   @U   U    U   @U   U;%'State Exemption Credit(*q[@@ S(*@[@@ S%'Annual State Income Tax((zG.@% 'Monthly State Income Taxes((أp= Y@ ^MOTHER ^STEP-F'R%@'Filing Status"S "S% 'Number of CHILD Exemptions(d( d%'Annual Gross Income(3p@A3T(4  Q 3 T%'Standard Deduction($@H  ;($ @ H  ;%@'Itemized Deductions(:( : %'State Taxes Itemized(;( ; %'Exemptions("@@ (" @ @ %'Federal Taxable Income(4d@TT(4    T T%@('Annual Fed Income Tax (from table)(Pt@S  U  @U  U  U  @U  U;(  S    U   @U   U    U   @U   U;%'Child Credit(" S("    S%"'Monthly Federal Income Taxes("UUUUU;@("   %'State Taxable Income(5@TT(5     TT% @+ 'State Tax Before Credits (from table)( zGj@S  U  @U  U  U  @U  U;(   S    U   @U   U    U   @U   U;%!!'State Exemption Credit(*!@[@ @ S(*!    @ S%""'Annual State Income Tax("(\ Z@ !("   ! %# #'Monthly State Income Taxes(#-Œ_\!@"(# "  %^FATHER% ^STEP-M'R%&@&'Filing Status&"S& "S%' ''Number of CHILD Exemptions('d (' d %(('Annual Gross Income(3(@ I 3 T(3( Y3T%))'Standard Deduction($)@&H  ;($) @& H  ;%*@*'Itemized Deductions(*: (* :%++'State Taxes Itemized(+; (+ ;%,,'Exemptions(",@'@ (", @' @ %--'Federal Taxable Income(4-@()*T,T(4- ( ) * T, T%.@(.'Annual Fed Income Tax (from table)(.@&S--  U-  @U-  U--  U-  @U-  U;(. & S- -   U-   @U-   U- -   U-   @U-   U;%//'Child Credit("/.' S("/ . '  S%0"0'Monthly Federal Income Taxes(!0UUUUU@s@./(!0 . / %11'State Taxable Income(51@()*+TT(51 ( ) * + TT%2@+2'State Tax Before Credits (from table)(2zG@&S11  U1  @U1  U11  U1  @U1  U;(2 & S1 1   U1   @U1   U1 1   U1   @U1   U;%33'State Exemption Credit("3@[@'@ ("3 @[@' @ %44'Annual State Income Tax(!4zG.@23T(!4 2 3 T%5 5'Monthly State Income Taxes(5أp= Y@4(5 4  7"FED: 7"Single: 7"Head H:(8? (8@ (8@ (9333333? (9@ (9@@ (:? (:@ (:@@ (;Q? (;A (;pA (<Q? (<XA (<XA (=ffffff?  ="excess ="excess >"STATE: >"Single: >"Head H:(?-C6? (?@ (?@ (@48EG? (@@ (@j@ (A-C6? (A^@ (A@ (B ?  B"excess B"excess%'CALCULATION OF LINE 13 (MOTHER)(    2007v2(d'= # of Children ^MOTHER ^COMBINED ^STEP-FATHER'MONTHLY INCOME:%@ 'Salary(@@(  %'Self-employment(( # %'Other Taxable(3( 3 %'Fringe Benefits(4( 4 %@'Total Monthly Income($@@?PT($ ?  PT'DEDUCTIONS:%  'Federal( UUUUU;@(   %  'State( -Œ_\!@#(  # %  'Taxes( (\A@  (      % @ 'FICA(g  S@ TS T (g     TS   T % # 'CHILD(REN)'S Health Insurance( =(  = %'Retirement(H??@AS;(H ? ? @  Q S;%&'Child Support Previously Ordered(b( b %@('Regular Support for Other Children(GgffffW@@23456708S  "n/a %'Total deductions(q= ףi@? P( ?  P%'MONTHLY NET INCOME(p= ۈ@( p= ۈ@ (   %'PERCENT CONTRIBUTION(? (   'MONTHLY SUPPORT:(6 _L ?   U"(rounded) "(unrounded) "(rounded)%@(#I@  @U'One Child()I@   @U(% ?(9 @;(%   ?%(#I@  U'Two Children()I@   U(% ?(9 ;(%   ?%(#I@  U'Three Children()I@   U(% ?(9 ;(%   ?%(#I@  U'Four Children()I@   U(% ?(9 ;(%   ?%@(#I@  @U'Five Children()I@   @U(% ?(9 @;(%   ?%(#I@  U'Six Children()I@   U(% ?(9 ;(%   ?%'Guideline R Limitation(/xS@ QT T(/ I@  QT  T0'APPENDIX "B" FAMILY BEFORE OTHER CHILDREN:(?'= # of Children ^MOTHER ^COMBINED  ^FATHER'MONTHLY INCOME:% @ 'Salary( @@(  p@ %!!'Self-employment(!(!  %""'Other Taxable("3(" 3 %##'Fringe Benefits(#4(# 4 %$@$'Total Monthly Income($$@@?# PT($$ p@?#  PT%'DEDUCTIONS:%& &'Federal(& (& UUUUU@s@ %' ''State('(' أp= Y@%( ('Taxes((&'(( K~y@& ' %)@ )'FICA(g) S@  !TS  !T (g) l@   ! TS   ! T %*#*'CHILD(REN)'S Health Insurance(*=(* = %++'Retirement(H+??@AS;(H+ ? ? @  I S;%,&,'Child Support Previously Ordered(,b(, b %-@(-'Regular Support for Other Children -"n/a  - "n/a %..'Total deductions(. S@?-(P(. &X@?- ( P%//'MONTHLY NET INCOME(/܌@$.(/ 6i]@// (/ 6i]p@$ . %00'PERCENT CONTRIBUTION(0?// (0 x?/ / 1'MONTHLY SUPPORT:(610~g?/ /  U1"(rounded)1 "(unrounded)1 "(rounded)%2@(#2h@/  @U2'One Child()2@/   @U(%2k@2 0?(92 DG@@2221;(%2 @2 0 ?%3(#3h@/  U3'Two Children()3@/   U(%33 0?(93 3331;(%3 3 0 ?%4(#4L@/  U4'Three Children()4@/   U(%44 0?(94 4441;(%4 4 0 ?%5(#5@/  U5'Four Children()5@/   U(%55 0?(95 5551;(%5 5 0 ?%6@(#6H@/  @U6'Five Children()6@/   @U(%66 0?(96 @6661;(%6 6 0 ?%7(#7d@/  U7'Six Children()7Ȝ@/   U(%77 0?(97 7771;(%7 7 0 ?%88'Guideline R Limitation(/8gffffW@ /QT/ T(/8 l@ / QT/  T:'APPENDIX "B", Page ___(: :SEWARD:' County Case No.(:  : CIxx-x%'CALCULATION OF LINE 13 (FATHER)(    2007v2(d '= # of Children^STEP-MOTHER ^COMBINED  ^FATHER'MONTHLY INCOME:%@ 'Salary(( p@ %'Self-employment(+(  %'Other Taxable(3( 3 %'Fringe Benefits(4( 4 %@'Total Monthly Income($?PT($ p@?  PT'DEDUCTIONS:%  'Federal( 0 (  UUUUU@s@0%  'State( 5 (  أp= Y@5%  'Taxes(   (  K~y@    % @ 'FICA(g  TS T (g  l@   TS   T % # 'CHILD(REN)'S Health Insurance( =(  = %'Retirement(H??@YS;(H ? ? @  I S;%&'Child Support Previously Ordered(b( b %@('Regular Support for Other Children "n/a (G @@2 3 4 5 6 7 08 S%'Total deductions(? P( _,Eے@?  P%'MONTHLY NET INCOME(( m@ ( m@  %'PERCENT CONTRIBUTION( ( ?  'MONTHLY SUPPORT:(6>L_?   U"(rounded) "(unrounded) "(rounded)%@(#{@  @U'One Child()|@   @U(% ?(9 @;(%   ?%(#@  U'Two Children()x@   U(% ?(9 ;(%   ?%(#@@  U'Three Children()0@   U(% ?(9 ;(%   ?%(#@  U'Four Children()@   U(% ?(9 ;(%   ?%@(#@  @U'Five Children()@   @U(% ?(9 @;(%   ?%(#0@  U'Six Children()X@   U(% ?(9 ;(%   ?%'Guideline R Limitation(/I@ QT T(/ @ tq@  QT  T0'APPENDIX "B" FAMILY BEFORE OTHER CHILDREN:(?'= # of Children ^MOTHER ^COMBINED  ^FATHER'MONTHLY INCOME:% @ 'Salary( @@(  p@ %!!'Self-employment(!(!  %""'Other Taxable("3(" 3 %##'Fringe Benefits(#4(# 4 %$@$'Total Monthly Income($$@@?# PT($$ p@?#  PT%'DEDUCTIONS:%& &'Federal(& (& UUUUU@s@ %' ''State('(' أp= Y@%( ('Taxes((&'(( K~y@& ' %)@ )'FICA(g) S@  !TS  !T (g) l@   ! TS   ! T %*#*'CHILD(REN)'S Health Insurance(*=(* = %++'Retirement(H+??@AS;(H+ ? ? @  I S;%,&,'Child Support Previously Ordered(,b(, b %-@(-'Regular Support for Other Children -"n/a  - "n/a %..'Total deductions(. S@?-(P(. &X@?- ( P%//'MONTHLY NET INCOME(/܌@$.(/ 6i]@// (/ 6i]p@$ . %00'PERCENT CONTRIBUTION(0?// (0 x?/ / 1'MONTHLY SUPPORT:(610~g?/ /  U1"(rounded)1 "(unrounded)1 "(rounded)%2@(#2h@/  @U2'One Child()2@/   @U(%2k@2 0?(92 DG@@2221;(%2 @2 0 ?%3(#3h@/  U3'Two Children()3@/   U(%33 0?(93 3331;(%3 3 0 ?%4(#4L@/  U4'Three Children()4@/   U(%44 0?(94 4441;(%4 4 0 ?%5(#5@/  U5'Four Children()5@/   U(%55 0?(95 5551;(%5 5 0 ?%6@(#6H@/  @U6'Five Children()6@/   @U(%66 0?(96 @6661;(%6 6 0 ?%7(#7d@/  U7'Six Children()7Ȝ@/   U(%77 0?(97 7771;(%7 7 0 ?%88'Guideline R Limitation(/8gffffW@ /QT/ T(/8 l@ / QT/  T:'APPENDIX "B"(::MONTHLY INCOME:(: :SEWARD:' County Case No.(:  : CIxx-x "WORKSHEET 1.'BASIC NET INCOME AND SUPPORT CALCULATION "MOTHER  "FATHER"COMBINED'1.)'Total month income from all sources,'(except payments received for children- 'of prior marriages and all means-tested" 'public assistance benefits)*( @@(  p@  '2. 'Deductions** 'a. 'Taxes***(  (  K~y@ 'b. 'FICA( S@ ( l@  'c.'Health insurance ****(=( = 'd.'Retirement((  'e.'Child support previously 'ordered for other children((  'f.'Regular support'for other children((  'g.'Total deductions( S@? P( &X@?  P'3.'Monthly net income(܌@ ( 6i]p@   '(line 1 minus line 2g)'4.!'Combined monthly net income(6i]@ '5. 'Combined annual net income((\…=@'6."'Percent contribution of each"'parent (line 3, each parent, 'divided by line 4)*****( ?(  x? "'7.""'Monthly support from table 1(I"DG@# U##($#h@ U(*#@  U(2#0~g? U$'8.!$'Each parent's monthly share %'(line 7, times line 6, for&'each parent)(&(jk@" (& hl@"  ('* Court will require copies of last 2 years' tax returns to verify "total income" figures and copies of present wage stubs to verify the pattern of)'present wage earnings, except where a party is claiming an allowance of depreciation as a deduction from income, in which case a *'minimum of 5 years' tax returns shall be required. Income should be annualized and divided by 12 to arrive at monthly amounts.f,'** All claimed deductions should be annualized and divided by 12 to arrive at monthly amounts.u.'*** Deductions for taxes will be based on the annualized income and the number of exemptions provided by law.0'**** The increased cost to the parent for health insurance for the child(ren) of the parent shall be allowed as a deduction from gross income.u1'The parent requesting an adjustment for health insurance premiums must submit proof of the cost of the premium.3'***** In the event of substantial fluctuations of annual earnings of either party during the immediate past 3 years, the income may be averaged4'to determine the percent contribution of each parent as shown in item 6. The calculation of the average income shall be attached to this5'worksheet.7'APPENDIX "B", Page ___ "WORKSHEET 2!' SPLIT CUSTODY CALCULATION'1.'Show combined'Show each'monthly share'parent's share'from line 7,'(apply percent'worksheet 1,'from line 6, ^Custody'divided by total'worksheet 1) 'Child's Name ^(M or F) ^number of children ^Mother  ^Father('    ; youngest(4 , YMF;M; M(5 DG@";(.  F  ;(.  hl@ M   ;(# @ ;(0 4@ YMF;M; M(1 @";(.  F  ;(.   M   ;(# ;(0< YMF;M;M(1";(.F ;(. M  ;(# ;(0D YMF;M;M(1";(.F ;(. M  ;(# ;(0L YMF;M;M(1";(.F ;(. M  ;(#@;(0T@YMF;M;M(1@";(.F ;(. M  ;'2.+'Total amount owed to father by mother,'mother's share from above for children'in father's custody)(? P'3.+'Total amount owed to mother by father-'(father's share from above for children'in mother's custody)( hl@?  P '4.) 'Support to be paid by mother/father(!'(difference between lines 2 and 3)(!! T(!! hl@ T #'Rounded(#!?(# @! ? $"(mother$ ^/ $ 'father)&'APPENDIX "B", Page ___"WORKSHEET 3,'CALCULATION FOR JOINT PHYSICAL CUSTODY "Mother  "Father '1.!'Each parent's monthly share '(from line 8, worksheet 1)((jk@&(hl@&  '2. 'Number of days annually! 'child(ren) is in custody of 'each parent( f@( f@  '3.# 'Percentage of year child(ren)"'is in custody of each parent'(line 2 divided by 365)(8 ? @[(`? @['4.#'Mother's obligation to father'(% line 3, father column,"'times line 1, mother column)(dI[@'5.#'Father's obligation to mother'(% line 3, mother column,"'times line 1, father column)(< q@'6."'Father/mother obligation for!'support (difference between'lines 4 and 5)(!T(!R8峱e@T 'Rounded(?(e@? 'APPENDIX "B", Page ___"WORKSHEET 4$'NUMBER OF CHILDREN CALCULATION'Number of^Combined ^Table ^Payor's ^Child'Children^Net Income ^Amount^Percentage ^Support ^Due '1. 'Six(% @;(= @ #  ; ^X(% x?Y   ; ^=(   (# I@  U() I@   U '2. 'Five(% ;(=  #  ; ^X(% x? Y   ; ^=(   (# I@  @U() I@   @U '3. 'Four(% ;(= #; ^X(% x? Y   ; ^=(   (#I@  U()I@   U'4. 'Three(%;(=#;^X(%x? Y   ;^=((#I@ U()I@  U'5. 'Two(%@;(=@#;^X(%x? Y   ;^=((#I@ U()I@  U'6. 'One(%6i]@;(=DG@#;^X(%x? Y   ;^=(hl@(#h@ @U()@  @Ub'The court order should specify the amount due for each possibility and the amount due shouldA'be decreased as the number of supported children decreases.'APPENDIX "B", Page ___ "WORKSHEET 5, 'DEVIATIONS TO CHILD SUPPORT GUIDELINES] 'This worksheet may be completed by the court and filed with the clerk in the event of aP 'deviation or deviations under paragraph C of the child support guidelines.  ^Mother  ^Father '1." 'Net income of the parties as 'computed under worksheet 1( ܌@( 6i]p@  '2. 'Combined monthly income( 6i]@ '3. 'Monthly support for ( ? 'child(ren) from table 1(I DG@    U  ($ h@  U(* @   U '4." 'Percent contribution of each  'parent( ? ( x?   '5.! 'Each parent's monthly share '(line 3 times line 4)( (jk@  ( hl@   '6." 'Further deviations (specify)  "a. ( \ i  reason 1(F @lmnopq0(F @l m n o p q 0  "b. ( h j  reason 2% %   "c. ( t k  reason 3% %   "d.   'Total(   P(   P '7.! 'Each parent's monthly share '(line 5 above)( (jk@ ( hl@  '8. '(+/-) Line 6d(  (  ! '9.! 'Adjusted child support" 'obligations(" (jk@  (" DG@" " (" hl@  *$ ' Dated: _______________________&' '________________________________ ( 'Judge+ 'APPENDIX "B", Page ___ 'Single Fed 'Single State% % Q% % % @% % @% ( t@  % X% TY( QN@  % A% R(* @"@    % +% (* GzĂ@    % % (* `@    % % (* q= ף@    % A% R(* @    % %&% Bj% (* @    % %& 'HH Fed 'HH State% % Q% % % @% % % ( @  % % TY( RQX@  % A*% R(* Ͷ@    % C% (* )\@    % B% (* +@    % ."% (* GzX@    % j% R(* @j@    % %&% Bj% (* 8@    % %& "Last Year =%  "S Standard Deduction =%  "FICA rate =%  "HH Standard Deduction =% A "SE Tax Rate =% T$ "Personal Exemption =%  "Max FICA wages =% @ "Child Credit =% %  "State Exemp. Credit =% @ "Version # =  "2007v2 "Guideline R amount =% " 'Child Care Credit Percentage "Max Ch. Care Exp. (1) =% % %  "Max Ch. Care Exp. 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