RS 9:315.20 Worksheets

Court ______________________

Case Number ________________

___________________________

Petitioner             

Parish _______________________Louisiana

Div/CtRm _____________________

and ___________________________

       Respondent

Children

Date of Birth

_____________________________

_____________________________

_____________________________

Children

Date of Birth

____________________________________

____________________________________

____________________________________

A.  Petitioner

B.  Respondent

C. Combined

1.

MONTHLY GROSS INCOME (R.S. 9:315.2(A))

a.  Preexisting child support payment.

b.  Preexisting spousal support payment.

$                   

-                   

-                     

$                   

-                    

-                      

2.

MONTHLY ADJUSTED GROSS INCOME      (Line 1 minus 1a and 1b).  

$

$

3.

COMBINED MONTHLY ADJUSTED GROSS INCOME (Line 2 Column A plus Line 2 Column B). (R.S. 9:315.2(C))

$

4.

PERCENTAGE SHARE OF INCOME (Line 2 divided by line 3). (R.S. 9:315.2(C))

%

%

5.

BASIC CHILD SUPPORT OBLIGATION (Compare line 3 to Child Support Schedule). (R.S. 9:315.2(D))

$

a.

Net Child Care Costs (Cost minus Federal Tax Credit). (R.S. 9:315.3)

b.

Child's Health Insurance Premium Cost. (R.S. 9:315.4)

c.

Extraordinary Medical Expenses (Uninsured Only). (Agreed to by parties or by order of the court). (R.S. 9:315.5)

d.

Extraordinary Expenses (Agreed to by parties or by order of the court). (R.S. 9:315.6)

e.

Optional.  Minus extraordinary adjustments (Child's income if applicable). (R.S. 9:315.7)

+               

+               

+                  

+                

-                   

6.

TOTAL CHILD SUPPORT OBLIGATION (Add lines 5, 5a, 5b, 5c, and 5d; Subtract line 5e). (R.S. 9:315.8)

$

7.

EACH PARTY'S CHILD SUPPORT OBLIGATION (Multiply line 4 times line 6 for each parent).

$

$

8.

DIRECT PAYMENTS made by the noncustodial parent on behalf of the child for work-related net child care costs, health insurance premiums, extraordinary medical expenses, or extraordinary expenses.

-

9.

RECOMMENDED CHILD SUPPORT ORDER (Subtract line 8 from line 7).  

$

Court ______________________

Case Number________________

___________________________

Petitioner             

Parish ________________  Louisiana

Div/CtRm  _____________________

and ___________________________

       Respondent

Children

Date of Birth

_____________________________

_____________________________

_____________________________

Children

Date of Birth

___________________________________

___________________________________

___________________________________

A. Petitioner

B. Respondent

C. Combined

1.

MONTHLY GROSS INCOME (R.S. 9:315.2(A))

a.  Preexisting child support payment.

b.  Preexisting spousal support payment.

$                  

-                  

-                    

$                   

-                   

-                   

2.

MONTHLY ADJUSTED GROSS INCOME   (Line 1 minus 1a and 1b).  

$

$

3.

COMBINED MONTHLY ADJUSTED GROSS INCOME (Line 2 Column A plus Line 2 Column B) (R.S. 9:315.2(C))

$

4.

PERCENTAGE SHARE OF INCOME (Line 2 divided by line 3)  (R.S. 9:315.2(C))

%

%

5.

BASIC CHILD SUPPORT OBLIGATION (Compare line 3 to Child Support Schedule)    (R.S. 9:315.2(D))

$

6.

SHARED CUSTODY BASIC OBLIGATION (Line 5 times 1.5) (R.S. 9:315.9(A)(2))

$

7.

EACH PARTY'S THEORETICAL CHILD SUPPORT OBLIGATION (Multiply line 4 times line 6 for each party)(R.S. 9:315.9(A)(2))

 $

  $

  8.

PERCENTAGE with each party (Use actual percentage of time spent with each party, if percentage is not 50%) (R.S. 9:315.9(A)(3))

            %

                  %

9.

BASIC CHILD SUPPORT OBLIGATION FOR TIME WITH OTHER PARTY (Cross Multiply line 7 for each party times line 8 for the other party) (R.S. 9:315.9(A)(3)) (For Line 9 Column A, multiply Line 7 Column A times Line 8 Column B) (For Line 9 Column B, multiply Line 7 Column B times Line 8 Column A)

$

$

a.

Net Child Care Costs (Costs minus Federal Tax Credit)  (R.S. 9:315.3)

+                 

b.

Child's Health Insurance Premium Cost (R.S. 9:315.4)

+                 

c.

Extraordinary Medical Expenses (Uninsured only) (Agreed to by parties or by order of court)  (R.S. 9:315.5)

+                 

d.

Extraordinary Expenses (Agreed to by parties or by order of the court) (R.S. 9:315.6)

e.

Optional: Minus extraordinary adjustments (Child's income if applicable) (R.S. 9:315.7)

+                

-                   

10.

TOTAL EXPENSES/EXTRAORDINARY ADJUSTMENTS (Add lines 9a, 9b, 9c, and 9d; Subtract line 9e)

$

11.

EACH PARTY'S PROPORTIONATE SHARE of Expenses/Extraordinary Adjustments (Line 4 times line 10) (R.S. 9:315.9(A)(4))

$

$

12.

DIRECT PAYMENTS made by either party on behalf of the child for work-related net child care costs, health insurance premiums, extraordinary medical expenses, or extraordinary expenses. Deduct each party's proportionate share of an expense owed directly to a third party. If either parent's proportionate share of an expense is owed to the other parent, enter zero. (R.S. 9:315.9(A)(5))

-

-

13.

EACH PARTY'S CHILD SUPPORT OBLIGATION (Line 9 plus line 11 and minus line 12) (R.S. 9:315.9(A)(4) and (5))

$

$

14.

RECOMMENDED CHILD SUPPORT ORDER (Subtract lesser amount from greater amount in line 13 and place the difference in the appropriate column) (R.S. 9:315.9(A)(6))

$

$