Oklahoma > Statewide > District Court > General
Child Support And Child Care Computation - Oklahoma
| Child Support And Child Care Computation Form. This is a Oklahoma form and can be used in General District Court Statewide . |
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STATE OF OKLAHOMA ) ) ) ) ) ) ) ) ) ) ) District Court Case Number: Office of Administrative Hearings (OAH) Case Number: Family Group Number (FGN): CHILD SUPPORT COMPUTATION Calculation for number of children in this case Obligor (person who pays) is (Enter "Father" or "Mother") A 1 Base monthly obligation Gross monthly income All sources, except income specifically excluded by 43 O.S. Section 118B(B) a. Amount of self-employment income included in Line 1 b. Deduction for self-employment tax Multiply Line 1a by 7.65% 2 Total gross monthly income Line 1 minus Line 1b a. Amount of SSA Title II benefits paid for the benefit of the children. Do NOT include SSI benefits. (Enter in the column for the disabled or retired parent.) b. Court ordered support alimony actually paid in a prior case c. Court ordered monthly adjustment for marital debt d. Court ordered monthly child support actually paid for out-of-home children In-home Children Deduction Worksheet e. Number of qualified in-home children, excluding children on this case Father Mother Combined Revised 7-1-2009 03EN025E American LegalNet, Inc. www.FormsWorkFlow.com 1 A Base monthly obligation f. Amount for qualified in-home children. Apply Line 2 for each parent to Child Support Guideline Schedule amount using the number of children in Line 2e, and multiply guideline amount by 75% Adjusted gross monthly income (AGI) Amount in Line 2 plus 2a, minus Lines 2b, 2c, 2d, and 2f Percentage share of income AGI for each parent divided by the combined AGI Base monthly obligation Apply combined AGI to Child Support Guideline Schedule and put total in combined base monthly obligation. Multiply the combined total by the percentage share of income for each parent. Parenting time adjustment, if used Number of overnights with each parent If less than 121 for either parent, skip to C. a. Percentage of overnights with each parent Number of overnights for each parent divided by 365 b. Adjusted combined child support obligation Adjustment factor is based on the parent with the fewest overnights. The result in the combined column is the combined monthly obligation in Line 5 multiplied by the adjustment factor. c. Share of adjusted combined child support obligatation. Combined Line 6b multiplied by the percentage share of income in Line 4 d. Respective adjusted base child support obligation. Amount for each parent in Line 6c multiplied by the percentage of the other parent in Line 6a Father Mother Combined 3 4 % % 100% 5 B 6 Father Mother Combined 365 % % 100% Less than 121 = no factor 121-131 = 2 132-143 = 1.75 144-183 = 1.5 Adjustment Factor: 7 Adjusted base monthly obligation Line 6d larger amount minus Line 6d smaller amount and the result is for the parent with the positive amount. If the parent has more than 205 in Line 6, use $0 for that parent. If either parent has less than 121 in Line 6, use the Line 5 amount for both parents. Obligor (person who pays) is (Enter "Father" or "Mother") C Revised 7-1-2009 03EN025E American LegalNet, Inc. www.FormsWorkFlow.com 2 D 8 Work and education-related child care expenses Monthly child care expenses for children in this case Do not include any co-payments being paid by a parent receiving OKDHS child care subsidy. Child care expense percentage share of the total Total child care expenses multiplied by percentage share of income for each parent Multiply Line 8 by Line 4 OKDHS Child Care Subsidy Worksheet a. Total children in each parent's household receiving child care subsidy b. Number of children from Line 10a included in this order c. Parent's actual gross monthly income less self-employment tax from Line 2 d. Base monthly obligation of the obligor Enter Line 7 for obligor into obligee's column, $0 for the obligor indicated in Section C e. Amount treated as OKDHS household income Line 10c plus Line 10d f. Amount treated as each parent's family share co-payment from OKDHS Appendix C-4, page 2 Use Lines 10e & 10a g. OKDHS child care co-payment amount Multiply Line 10f by Line 10b, and divide by Line 10a Father Mother Other Custodian 9 10 11 Child care subsidy co-pay adjustment to child support obligation Child care expense percentage share total Multiply total of Line 10g for both parents by Line 4 Total child care adjustment to base monthly obligation Line 9 plus Line 11, minus Line 8 and Line 10g (amount may be negative) Health insurance premium Monthly health insurance premium costs This premium represents the actual premium cost for any child(ren) in this case only. Insurance Premium Worksheet is available if needed. Use Cash Medical Support if any child is not covered by insurance. Father Mother Other Custodian 12 E 13 Revised 7-1-2009 03EN025E American LegalNet, Inc. www.FormsWorkFlow.com 3 E 14 Health insurance premium Monthly health insurance share for each parent Percentage share of income in Line 4 multiplied by total current insurance cost for all persons in Line 13 Total premium cost adjustment to base monthly obligation Line 14 minus Line 13 (amount may be negative) Other contributions, if agreed or ordered Ongoing medical costs Cash medical support for fixed periodic payments for ongoing medical costs a. Adjusted medical costs share Multiply total of Line 16 for all persons by Line 4 b. Total ongoing medical costs adjustment to base monthly obligation Line 16a minus Line 16 (amount may be negative) Visitation transportation costs a. Adjusted visitation costs share Multiply total of Line 17 for all persons by Line 4 b. Total ongoing visitation costs adjustment to base monthly obligation Line 17a minus Line 17 (amount may be negative) Father Mother Other Custodian 15 F 16 Father Mother Other Custodian 17 G 18 Child Support obligation subtotal Base monthly child support obligation less adjustments for child care and other contributions Add obligor Line 7 to Lines 12, 15 and 17b if positive amounts. Subtract Lines 12, 15 or 17b if negative amounts. SSA Title II benefits paid for th e benefit of the child Line 2a for obligor Total monthly child support obligation less any SSA Title II benefits paid for the benefit of the child Line 18 minus Line 19 (amount may be negative) Cash Medical Support Enter number of children from Line 13 not covered by health insurance. If none, skip to Line 26. Father Mother 19 20 H 21 Father Mother Combined Revised 7-1-2009 03EN025E American LegalNet, Inc. www.FormsWorkFlow.com 4 H 22 Cash Medical Enter the Soonercare or other health care government assistance app
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