Kansas > Local District Court > 10th Judicial District (Johnson County) > Divorce > With Children
Child Support Worksheet - Kansas
| Child Support Worksheet Form. This is a Kansas form and can be used in With Children Divorce 10th Judicial District (Johnson County) Local District Court . |
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Instructions to complete the Child Support Worksheet may be found on the Kansas Judicial Branch website, http://www.kscourts.org/programs/Child-Support-Guidelines/default.asp, or by visiting your local law library. The Child Support Worksheet must be completed prior to your hearing. Child Support Worksheet IN THE JUDICIAL DISTRICT COUNTY, KANSAS IN THE MATTER OF: and CASE NO. CHILD SUPPORT WORKSHEET OF (name) MOTHER A. INCOME COMPUTATION WAGE EARNER 1. Domestic Gross Income (Insert on Line C.1. below)* INCOME COMPUTATION SELF-EMPLOYED 1. 2. 3. Self-Employment Gross Income* Reasonable Business Expenses Domestic Gross Income (Insert on Line C.1. below) $ FATHER $ B. (-) C. ADJUSTMENTS TO DOMESTIC GROSS INCOME 1. 2. 3. 4. 5. Domestic Gross Income Court-Ordered Child Support Paid Court-Ordered Maintenance Paid Court-Ordered Maintenance Received Child Support Income (Insert on Line D.1. below) (-) (-) (+) D. COMPUTATION OF CHILD SUPPORT 1. 2. 3. Child Support Income Proportionate Shares of Combined Income (Each parent's income divided by combined income) Gross Child Support Obligation** (Using the combined income from Line D.1., find the amount for each child and enter total for all children) 0-5 + 6-11 + Yes Yes 1 of 2 No No American LegalNet, Inc. www.FormsWorkFlow.com + = % % Age of Children Number Per Age Category Total Amount * Interstate Pay Differential Adjustment? **Multiple Family Application? Rev. 02/09 by KSJC 12-18 = Total Case No. MOTHER 4. 5. Health and Dental Insurance Premium Work-Related Child Care Costs Formula: Amt. ((Amt. X %) + (.25 x (Amt. x %))) for each child care credit Example: 200 ((200 x .30%) + (.25 x (200 x .30%))) Parents' Total Child Support Obligation (Line D.3. plus Lines D.4. & D.5.) Parental Child Support Obligation (Line D.2. times Line D.6. for each parent) Adjustment for Insurance and Child Care (Subtract for actual payment made for items D.4. and D.5.) Basic Parental Child Support Obligation (Line D.7. minus Line D.8.; Insert on Line F.1. below) $ FATHER +$ = = 6. 7. 8. (-) 9. E. CHILD SUPPORT ADJUSTMENTS N/A CATEGORY AMOUNT ALLOWED MOTHER FATHER (+/-) (+/-) (+/-) (+/-) (+/-) (+/-) APPLICABLE 1. 2. 3. 4. 5. 6. 7. F. Long Distance Parenting Time Costs (+/-) Parenting Time Adjustment (if b. %___) (+/-) Income Tax Considerations (+/-) Special Needs (+/-) Agreement Past Majority (+/-) Overall Financial Condition (+/-) TOTAL (Insert on Line F.2. below) DEVIATION(S) FROM REBUTTABLE PRESUMPTION AMOUNT AMOUNT ALLOWED MOTHER FATHER 1. 2. 3. 4. Basic Parental Child Support Obligation (Line D.9. from above) Total Child Support Adjustments (+/-) (Line E.7. from above) Adjusted Subtotal (Line F.1. +/- Line F.2.) Enforcement Fee Allowance** Percentage (Applied only to Nonresidential Parent) Flat Fee $ ((Line F.3. x Collection Fee %) x .5) or (Monthly Flat Fee x .5) (+) Net Parental Child Support Obligation (Line F.3. + Line F.4.) % (+) 5. **Parent with nonprimary residency Judge/Hearing Officer Signature Date Signed Prepared By Rev. 02/09 by KSJC Date Approved 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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