Child Support Guidelines Worksheet (Shared Custody) - Virginia

CHILD SUPPORT GUIDELINES Case No. ............................................................................

WORKSHEET – SHARED CUSTODY

Commonwealth of Virginia Va. Code § 20-108.2

..........................................................................................

v. ....................................................................................... ..................................................................

DATE

I. GUIDELINE CALCULATION

Mother Father

Combined

A. INCOME

Monthly Gross Income (see instructions on Page 2) (1) $

.................................. (2) $ .................................

Adjustments for spousal support payments

(see instructions on Page 2) (3) $

.................................. (4) $ .................................

Adjustments for support of child(ren)

(see instructions on Page 2) (5) $

.................................. (6) $ .................................

Deductions from Monthly Gross Income

Allowable by law (see instructions on Page 2) (7) $ .................................. (8) $ .................................

______________________ _____________________

Available Gross Income (9) $

.................................. (10) $ ................................... = (11) $ ..................................

Percentage of Combined Gross Income (12) ................................. % (13) ................................... % = 100%

B. CHILD SUPPORT NEEDS

Number of children for whom support is sought (14)

..........................................

Child support from guideline table – apply lines (11) and (14) to table (15) $ .......................................

Total shared support – line (15) x 1.40 (16) $ .......................................

Mother Father

Total days in year each parent has custody (17) .................................... (18) ....................................... = 365

Each parent’s custody share (19) .................................... % (20) ....................................... % = 100%

C. EACH PARENT’S SUPPORT OBLIG AT IO N T O OTHER PARENT

1. Father’s obligation to Mother Mother

Father

Basic support to Mother – lines (19) x (16) (21) $ ...................................

Health care coverage PAID by Mother

or by Mother’s spouse (if any) (22) $ ...................................

Work-related child care of Mother (if any) (23) $

...................................

Total – lines (21) + (22) + (23) (24) $ ...................................

Father’s obligation – lines (24) x (13) = (25) $ ...................................

2. Mother’s obligation to Father

Basic support to Father – lines (20) x (16) (26) $

.................................

Health care coverage PAID by Father

or by Father’s spouse (if any) (27) $ .................................

Work-related child care of Father (if any) (28) $

.................................

Total – lines (26) + (27) + (28) (29) $ .................................

Mother’s obligation – lines (29) x (12) = (30) $ .................................

D. NET MONTHLY CHILD SUP P ORT PAYABLE FROM ONE PARENT TO THE OTHER

Shared custody child support guideline amount – difference between lines (25) and (30) = (31) (31) $ .......................................

(32) Payable to [ ] Mother [ ] Father (see instructions on Page 2)

II. ADJUSTME NTS (IF A NY) TO SHARED CUSTO D Y CH ILD SUPPORT GUI DELINE AMOUNT

A. ADJUSTMENT ITEMS Mother Father

1. Credit for benefits received by or for the child

derived from the parent’s entitlement to disability

insurance benefits to the extent that such derivative

benefits are included in a parent’s gross income (33) $

................................. (34) $ ...................................

2. ....................................................................................... $ ................................ $ ...................................

3. ....................................................................................... $ ................................ $ ...................................

Total adjustments (35) $ ................................. (36) $ ...................................

Net adjustments (difference between lines (35) and (36) (37) $ .........................................

(38) Owed to [ ] Mother [ ] Father (see instructions on Page 2)

B. TOTAL ADJUSTED SUPPORT (see instructions on Page 2) (39) $

.........................................

(40) Payable to [ ] Mother [ ] Father

FORM DC-640 (MASTER, PAGE ONE OF TWO) 07/09

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