| 1. |
BASIC ORDER |
|
|
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a) Non-custodial gross weekly income
(less prior support orders actually paid,
for child/family other than the family
seeking this order) |
$______________ |
|
| 2. |
ADJUSTMENT FOR AGES OF CHILDREN |
|
|
|
a) If age of oldest child is 13-18 calculate
10 times adjusted order |
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|
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b) Adjusted order (A) + (2a) |
|
(B)_______ |
| 3. |
CUSTODIAL PARENT INCOME ADJUSTMENT |
|
|
a) Custodial parent gross income |
$__________ |
|
|
b) Less $20,000 |
-$20,000 |
|
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c) Less day care cost (annual) |
-$_________ |
|
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d) Custodial adjusted gross |
_______ |
|
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e) Non-custodial gross (annual) |
_______ |
|
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f) Total available gross (d) + (e) |
_______ |
|
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g) Line 3(d)_______ Line 3(f) |
_______ |
|
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h) 3(d) divided by 3(f) _______per cent |
|
|
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i) Adjustment for custodial income
(Line 3h %) x (B) |
|
(C)_______ |
| 4. |
CALCULATION OF FINAL ORDER |
|
|
|
a) Adjusted order
(B)above |
(B)_______ |
|
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b) Less adjustment for
(C) above |
(C)-______ |
|
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c) Less 50% weekly cost of
family group health insurance
[under the provisions of
section G(1)] |
-$___________ |
|
|
or |
|
|
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Plus 50% weekly cost of obligee's family group
health
insurance [under the provisions of section G(1)] |
+$__________ |
|
|
WEEKLY SUPPORT ORDER (B) - (C) ±
4(c) |
|
($)_______ |