State Codes and Statutes

Statutes > Louisiana > Rs > Title9 > Rs9-315.20

§315.20.  Worksheets


Obligation Worksheet A

(The worksheet for calculation of the total support obligation

under R.S. 9:315.8 and 315.10)


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).  



$

 




Comments, calculations, or rebuttals to schedule or adjustments if made under 8 above or if ordering a credit for a joint custodial arrangement:


Prepared by                                                           

Date                                                  



Obligation Worksheet B

(The worksheet for calculation of the total child support

obligation under R.S. 9:315.9)

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))





$





$

 



Comments, calculations, or rebuttals to schedule or adjustments:


Prepared by                                                        

Date                                                  


Acts 2001, No. 1082, §1; Acts 2002, 1st Ex. Sess., No. 62, §1; Acts 2003, No. 617, §1.

State Codes and Statutes

Statutes > Louisiana > Rs > Title9 > Rs9-315.20

§315.20.  Worksheets


Obligation Worksheet A

(The worksheet for calculation of the total support obligation

under R.S. 9:315.8 and 315.10)


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).  



$

 




Comments, calculations, or rebuttals to schedule or adjustments if made under 8 above or if ordering a credit for a joint custodial arrangement:


Prepared by                                                           

Date                                                  



Obligation Worksheet B

(The worksheet for calculation of the total child support

obligation under R.S. 9:315.9)

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))





$





$

 



Comments, calculations, or rebuttals to schedule or adjustments:


Prepared by                                                        

Date                                                  


Acts 2001, No. 1082, §1; Acts 2002, 1st Ex. Sess., No. 62, §1; Acts 2003, No. 617, §1.


State Codes and Statutes

State Codes and Statutes

Statutes > Louisiana > Rs > Title9 > Rs9-315.20

§315.20.  Worksheets


Obligation Worksheet A

(The worksheet for calculation of the total support obligation

under R.S. 9:315.8 and 315.10)


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).  



$

 




Comments, calculations, or rebuttals to schedule or adjustments if made under 8 above or if ordering a credit for a joint custodial arrangement:


Prepared by                                                           

Date                                                  



Obligation Worksheet B

(The worksheet for calculation of the total child support

obligation under R.S. 9:315.9)

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))





$





$

 



Comments, calculations, or rebuttals to schedule or adjustments:


Prepared by                                                        

Date                                                  


Acts 2001, No. 1082, §1; Acts 2002, 1st Ex. Sess., No. 62, §1; Acts 2003, No. 617, §1.