Child Support Guidelines Worksheet (Split Custody) - Virginia
CHILD SUPPORT GUIDELINES Case No. ...............................................................
WORKSHEET ― SPLIT CUSTODY
Commonwealth of Virginia Va. Code § 20-108.2
....................................................................... v. ................................................................... ....................................
DATE
MOTHER FATHER
1. Monthly Gross Income (see instructions on Page 2) $ ........................... $ .........................
2. Adjustments for spousal support payments (see instructions on Page 2) $
........................... $ ........................
3. Adjustments for support of child(ren) (see instructions on Page 2) $ ........................... $ ........................
4. Deductions from Monthly Gross Income allowable by law -$
........................... $ ........................
(see instructions on Page 2)
5. a. Available monthly income $
........................... $ ........................
b. Combined monthly available income
(combine both available monthly income figures from line 5.a.)
$
6. Percent obligation of each party (divide “available monthly income” on line
Line 5.a. by line 5.b.) %
.......................... % .......................
7. Number of children for which that person is the noncustodial
parent.
MOTHER FATHER
8. a. Monthly basic child support obligation for number of children listed above
(from schedule — see instructions on Page 2) $
........................... $ ........................
b. Monthly amount allowable for health care coverage paid by other
parent $ ........................... $ ........................
or that other parent’s spouse (see instructions on Page 2)
c. Monthly amount allowable for employment-related child care expense paid $
........................... $ ........................
by other
parent (see instructions on Page 2)
9. Total monthly child support obligation of each parent (add lines 8.a.,
$ $
8.b., and 8.c. for each parent)
10. Total monthly child support obligation of each party (multiply line 6 by line 9)
$ $ wo)
MOTHER FATHER
11. Adjustments (if any) to Child Support Guidelines Calculation
(see instructions on Page 2)
a. 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
b.
........................................................................................... $ ........................... $ ........................
c.
........................................................................................... $ ........................... $ ........................
12. Each party’s adjusted obligation to other party
$ $
13. Net payment $ $
FORM DC-638 (MASTER, PAGE 1 OF 2) 07/09
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