Child Support Guidelines Worksheet

CJD 304 (8/1/13 rev.) CSG
CHILD SUPPORT GUIDELINES WORKSHEET
All amounts are $ / week, rounded to the nearest dollar
INCOME
1.
Gross Weekly income
a.
Recipient
Payor
Minus Child Care cost paid
b.
$ (
)
$
$
$ (
)
Minus Health insurance cost paid
c.
$ (
)
$ (
)
Minus Dental/Vision insurance cost paid
d.
$ (
)
$ (
)
e.
$ (
)
$ (
)
Available income
f.
$
$
$
Combined Available Income Recipient 1(f) + Payor 1(f)
g.
=
CHILD SUPPORT CALCULATION
2.
b.
Combined support amount for one child from Table A of Guidelines Chart for 2(a)
c.
Adjustment for number of children covered by this order from Table B
d.
Total combined support amount 2(b) x 2(c)
e.
Minus Recipient's proportional share of support 2(d) x Recipient 1(h)
f.
Payor's proportional weekly support amount 2(d) - 2(e)
x
$
=
$
TABLE A:
CHILD SUPPORT OBLIGATION SCHEDULE
All amounts are $ / week, rounded to the nearest dollar
COMBINED
AVAILABLE INCOME
FROM LINE 1(g)
CHILD SUPPORT AMOUNT (1 CHILD)
Minimum
Maximum
$-
$151
$320
$751
$1251
$2,001
$3,001
$4,001
$150
$319
$750
$1250
$2,000
$3.000
$4,000
$4,808
$70
$165
$270
$413
$563
$683
At court discretion, but not less than $80/month
+
+
+
+
+
+
22%
22%
21%
19%
15%
12%
11%
above
above
above
above
above
above
$319
$750
$1250
$2,000
$3,000
$4,000
TABLE B:
ADJUSTMENT FOR
NUMBER OF CHILDREN
CHILDREN
ADJUSTMENT
1
2
3
4
5
1.00
1.25
1.38
1.45
1.48
.
=
Number of children
$ (
)
=
Date Prepared
Name of Preparer
Docket Number
Case Name
Weekly support amount as % of Recipient income 2(f) √∑ Recipient 1(f)
g.
%
Payor's adjusted weekly support amount
h.
=
$
Percent of Combined Available Income 1(f) / 1(g)
h.
=
%
%
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)
a.
Maximum combined available income maximum 1(g) but not more than $4,808
AVAILABLE INCOME ABOVE $4,808 (If applicable.)
3.
Combined Maximum of $0 or 1(g)-$4,808
a.
Proportional share for the Recipient and Payor 3(a) x 1(h)
b.
=
$
$
$
(Considered at the discretion of the Court.)
=
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