s)s): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .GUIDELINESWORKSHEET:ChildSupportComputation;SoleResidentialorSharedParentingRev.3/01(Guidelinesworksheet3.2001)NameofParties:CaseNo.:No.ofMinorChildren:Names&Dates(1)(2)THE PEOPLE OF THE STATE OF NEW YORK TOTHE PEOPLE OF THE STATE OF NEW YORK TOofbirth:(3)(4)Thefollowingparentwasdesignatedasresidentialparentandlegalcustodian: Mother SharedFatherIIIIIICombinedMotherFatherGREETINGS:GREETINGS:1a.Annualgrossincomefromemploymentor,whendeterminedappropriatebythe CourtorAgency,averageannualgrossincomefromemploymentovera reasonableperiodofyears(excludeovertime,bonuses,self-employment incomeorcommissions)...........................WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable$$$,,b.Amountofovertime,bonuses,andcommissions(year1representing themostrecentyear)located at County oflocated at County of, on the, 20, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomo'clock in the day of, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomo'clock in the day of$$$Yr.3(3yrs.ago)$$$Yr.2(2yrs.ago)$$$Yr.1Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.(lastcal.yr.)$$$Average(includeinColumnIand/orColumnIItheaverageofthethreeyearsortheyear1amount,whicheverislessifthereexistsareasonable expectationthatthetotalearningsfromovertimeand/orbonusesduringthecurrentcalendaryearwillmeetorexceedtheamountthatisthe loweroftheaverageofthethreeyearsortheyear1amount., one of the Justices of the, one of the Justices of theIf,however,thereexistsareasonableexpectationthatthetotalearningsfromovertime/bonusesduringthecurrentcalendaryearwillbelessthantheloweroftheaverageofthethreeyearsortheyear1amount,include onlytheamountreasonablyexpectedtobeearnedthisyear.)Court in Witness, HonorableCourt in Witness, Honorable, 20 County,day of, 20 County,day of2.Forself-employmentincome:(Attorney must sign above and type name below)(Attorney must sign above and type name below)a.Grossreceiptsfrombusiness.......................$$b.Ordinaryandnecessarybusinessexpenses.................$$c.5.6%oftheadjustedgrossincomeortheactualmarginaldifferencebetween theactualratepaidbytheself-employedindividualandtheF.I.C.A. rate...................................Attorney(s) forAttorney(s) for$$d.Adjustedgrossincomefromself-employment(subtractthesumof2b and2cfrom2a).............................$$3.Annualincomefrominterestanddividends(whetherornottaxable)....$$Office and P.O. AddressOffice and P.O. Address4.Annualincomefromunemploymentcompensation..................$$5.Annualincomefromworkers'compensation,disabilityinsurancebenefits orSocialSecuritydisability/retirementbenefits...............Telephone No.: Facsimile No.: E-Mail Address:Telephone No.: Facsimile No.: E-Mail Address:$$6.Otherannualincome(identify)$$...7.$$Totalannualgrossincome(addlines1a,1b,2d,and3-6)...........Mobile Tel. No.:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comAmerican LegalNet, Inc. www.USCourtForms.coms): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .GUIDELINESWORKSHEET:ChildSupportComputation;SoleResidentialorSharedParentingpage-2-IIIIIIFatherMotherCombined8.Adjustmentforminorchildrenborntooradoptedbyeitherparentandanother parent,whoarelivingwiththisparent;adjustmentdoesnotapplyto stepchildren(numberofchildrentimesfederalincometaxexemptionless childsupportreceived,nottoexceedthefederaltaxexemption)........THE PEOPLE OF THE STATE OF NEW YORK TO$$9.Annualcourt-orderedsupportpaidforotherchildren..............$$10.Annualcourt-orderedspousalsupportpaidtoanyspouseorformerspouse....$$11.Amountoflocalincometaxesactuallypaidorestimatedtobepaid.......$$GREETINGS:12.Mandatorywork-relateddeductionssuchasuniondues,uniformfees,etc., (notincludingtaxes,SocialSecurity,orretirement).............$$WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,13.Totalgrossincomeadjustments(addlines8-12)................$$located at County of14.Adjustedannualgrossincome(subtractline13fromline7)..........$$, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomo'clock in the day of15.Combinedannualincomethatisbasisforchildsupportorder(addline14, Col.IandCol.II)..............................$$$16.Percentageparent'sincometototalincomea.Father(divideline14,Col.Ibyline15,Col.III)............%Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.b.Mother(divideline14,Col.IIbyline15,Col.III)............%17.Basiccombinedchildsupportobligation(Referschedulefirstcolumn, locatetheamountnearesttotheamountonline15,Col.III,thenrefer toColumnfornumberofchildreninthisfamily.Iftheincomeofthe parentsismorethanonesumbutlessthananother,youmaycalculate thedifference)................................, one of the Justices of the$Court in Witness, Honorable, 20 County,day of18.Annualsupportobligationperparent:a.Father(multiplyline17,Col.III,byline16a).............$(Attorney must sign above and type name below)b.Mother(multiplyline17,Col.III,byline16b).............$19.Annualchildcareexpensesforchildrenwhoarethesubjectofthisorder thatarework-,employmenttraining-,oreducation-related,asapprovedbythe courtoragency(deducttaxcreditfromannualcost,whetherofnotclaimed)A
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