Hawaii > Local County > 1st Circuit - Oahu > Family Court > Child Support
Child Support Guidelines Worksheet (Attachment A) - Hawaii
| Child Support Guidelines Worksheet (Attachment A) Form. This is a Hawaii form and can be used in Child Support Family Court 1st Circuit - Oahu Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
STATE OF HAWAI`I FAMILY COURT OF THE ____________ CIRCUIT CHILD SUPPORT GUIDELINES WORKSHEET CASE NUMBER FCNO. This document was prepared by Plaintiff Defendant Atty. for Plaintiff Atty. for Defendant PLAINTIFF/PETITIONER vs. Mother Father Name Address City, State, Zip DEFENDANT/RESPONDENT Line 1 2 3 4 Mother Father Telephone BASE PRIMARY SUPPORT $250 X _______ (# of children) Plus Monthly Child Care Expenses Plus Monthly Health/Dental Insurance for the Child(ren) PRIMARY SUPPORT NEED (add lines 1, 2 and 3) FATHER(A) MOTHER(B) + + = TOTAL(C) 5 6 7 8 9 Parents' SOLA Income (from Table) Less PRIMARY SUPPORT NEED (on line 4) Parents' Net SOLA Income (line 5 - line 6) SOLA Percentage, 10% per child, up to 30% SOLA OBLIGATION (line 7 x line 8) + = x % 10 TOTAL SUPPORT NEED (line 4 + line 9) FATHER(A) MOTHER(B) TOTAL(C) 11 Monthly Gross Income 12 Monthly Net Income (from Table) 13 Income Percentage (line 12(A) ÷ line 12(C)) or (line 12(B) ÷ line 12(C)) 14 Support Payable By Each Parent (line 10) x Parent's (line 13) % 15 Less Monthly Child Care Expense for Parent Who Pays 16 Less Monthly Health Insurance Cost for Parent Who Pays 17 18 REMAINING CHILD SUPPORT PAYABLE BY EACH PARENT (Round to nearest $10.00) Mother per month). % + % = = Father pays to Mother Father in child support for a total of $__________ per month ($___________ per child Mother Father pays health insurance. Mother Father pays child care expenses. For Court Use Only I ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT. Father Date Mother Date For exceptional circumstances see attached Exceptional Circumstance Form. For joint physical custody calculations or visitation 143 days or over per year, see Child Support Guidelines Worksheet For Joint Custody/Extensive Visitation and enter amounts on line 18 ATTACHMENT A-1 American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
