|
| 1. |
BASIC
ORDER |
|
a. Non
custodial gross weekly income (less prior
support orders actually paid for child/family
other than the family seeking this order)
|
_______ |
|
|
b. Basic
Child Support Order from chart
(Attachment
A  ) |
|
(A)
_______ |
| 2. |
ADJUSTMENT
FOR AGE OF CHILDREN |
|
a.
If age of oldest child is 13 - 18,
calculate 10% times (A)
|
_______ |
|
|
b.
Adjusted order (A) + (2a) |
|
(B)_______ |
| 3. |
CUSTODIAL
PARENT INCOME ADJUSTMENT |
|
a.
Custodial parent gross income (annual) |
$ ______ |
|
|
b.
Less $20,000 |
-$20,000 |
|
|
c.
Less annual child care cost |
-$
______ |
|
|
d.
Custodial adjusted gross |
_______ |
|
|
e.
Non-custodial gross (annual) |
_______ |
|
|
f.
Total available gross (d) + (e) |
_______ |
|
|
g.
Line 3(d)_______ Line 3(f) _______ |
|
|
|
h.
3(d) divided by 3(f) _______ % |
|
|
|
i.
Adjustment for custodial income
(Line 3h %) X (B) |
|
(C)_______ |
| 4. |
CALCULATION
OF FINAL ORDER |
|
a.
Adjusted order, (B) above |
(B)_______ |
|
|
b.
Less adjustment for (C) above |
(C)-______ |
|
|
c.
Less 50% weekly cost to obligor of family
group health insurance [Section G. 1] |
-$
______ |
|
|
Or
|
|
|
|
Plus
50% weekly cost of obligee's family
group health insurance [Section G. 1] |
+$
______ |
|
|
WEEKLY
SUPPORT ORDER (B) - (C) ± 4(c) |
|
($)_______ |
