Kansas > Local District Court > 3rd Judicial District (Shawnee County) > Domestic
Child Support Worksheet - Kansas
| Child Support Worksheet Form. This is a Kansas form and can be used in Domestic 3rd Judicial District (Shawnee County) Local District Court . |
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IN THE DISTRICT COURT OF SHAWNEE COUNTY, KANSAS IN THE MATTER OF THE MARRIAGE OF/OR: ) ) __________________________________________ ) Petitioner / Plaintiff, ) ) and / vs. ) Case No. ____________________ ) __________________________________________ ) Respondent / Defendant. ) _____________________________________________) CHILD SUPPORT WORKSHEET Petitioner RespondentA. INCOME COMPUTATION-WAGE EARNER 1. Domestic Gross Income (Insert on Line C.1 below)* $________ $________B. INCOME COMPUTATION-SELF-EMPLOYED 1. Self-Employment Gross Income __________ __________ 2. Reasonable Business Expenses (-) __________ __________ 3. Domestic Gross Income (Insert on Line C-1 below) $_________ $_________C. ADJUSTMENTS TO DOMESTIC GROSS INCOME 1. Domestic Gross Income __________ __________ 2. Court-Ordered Child Support Paid (-) __________ __________ 3. Court-Ordered Maintenance Paid (-) __________ __________ 4. Court-Ordered Maintenance Received (+) __________ __________ 5. CHILD SUPPORT INCOME __________ __________ (Insert on Line D.1. below) $_________ $_________D. COMPUTATION OF CHILD SUPPORT 1. Child Support Income $_________ + $_________ =$_________ 2. Proportionate Shares of Combined Income (Each parents income divided by combined income) ________% ________% 3. Basic Child Support Obligation** (Using combined income from Line D.1., find amount for each child and enter total for all children) Age of Children 0 - 6 7 - 15 16 - 18 Number Per Age Category _____ _____ ______ Total Amount $______ $______ $______ = $_________ *Cost of Living Differential Adjustment? ____yes _____no **Multiple Family Adjustment? _____yes _____no <<<<<<<<<********>>>>>>>>>>>>> 2 Part 2, page 2 Case No. _____________________ PETITIONER RESPONDENT 4. Health and Dental Insurance Premium $__________ $___________ =$___________ 5. Work-Related Child Care Costs $__________ $___________ (__x__%+[.25 x __ x __%] = ___) =$___________ Child Care Tax Credit Formula 6. Parents Total Child Support Obligation $___________ (Line D.3 plus D.4 & D.5.) 7. Parental Child Support Obligation $___________ $___________ (Line D.2 times Line D.6. for each parent) 8. Adjustment for Insurance and Child Care $___________ $___________ (Subtract for actual payment made for items D.4. and D.5.) (-) 9. Net Parental child Support Obligation $___________ $___________ (Line D.7. minus Line D.8.; Insert on Line F.1. below) E. CHILD SUPPORT ADJUSTMENTS AMOUNT ALLOWED APPLICABLE N/A CATEGORY PETITIONER RESPONDENT 1. [ ] [ ] Long Distance Visitation Costs (+/-) __________ __________ 2. [ ] [ ] Visitation Adjustment (+/-) __________ __________ 3. [ ] [ ] Income Tax Considerations (+/-) __________ __________ 4. [ ] [ ] Special Needs (+/-) __________ __________ 5. [ ] [ ] Agreement Past Majority (+/-) __________ __________ 6. [ ] [ ] Overall Financial Condition (+/-) __________ __________ 7. TOTAL (Insert on Line F.2. below) (+/-) $_________ $_________F. DEVIATION(S) FROM REBUTTABLE PRESUMPTION AMOUNT 1. Net Parental Child Support Obligation $__________ $__________ (Line D.9. from above) 2. Total Child Support Adjustments $__________ $__________ 3. Adjusted Child Support Obligation $__________ $__________ 4. Child Support Fee $__________ $__________ 5. Shawnee County Family Law Child Support Guideline Amount $__________ $__________ 6. *Estimated amount of arrears:$__________ 7. Monthly payment towards arrears $__________ $__________ 8. Total Monthly Support Due $__________ $__________ PREPARED BY: ____________________________ * As shown by the records of the collecting agency. Arrears does not in clude interest. Attorneys or parties appearing pro se are expected to check arrearage am ount with SRS for IV-D case, and DCT for privatecases prior to submitting Worksheet.
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