Kansas > Local District Court > 7th Judicial District (Douglas County) > Trustee - Pro-Se
Child Support Worksheet - Kansas
| Child Support Worksheet Form. This is a Kansas form and can be used in Trustee - Pro-Se 7th Judicial District (Douglas County) Local District Court . |
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IN THE DISTRICT COURT OF DOUGLAS COUNTY, KANSAS In the Matter of ) ) , ) Cas e No. DG Petitioner, ) Division 3 and ) , ) Respondent. ) ) CHILD SUPPORT WORKSHEET A. INCOME COMPUTATION - WAGE EARNER PETITIONER R E S PONDENT 1. Domestic Gross Income (Insert on Line C.1.) B. INCOME COMPUTATION - SELF-EMPLOYED 1. Self-Employment Gross Income 2. Reasonable Business Expenses - 3. Domestic Gross Income (Insert on Line C.1.) = 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.) = D. COMPUTATION OF CHILD SUPPORT 1. Child Support Income + Combined Income = Total: 2. Proportionate Shares of Combined Income % % 3. Gross Child Support Obligation Age of Children 0-6 7-15 16-18 a. Number Per Age Category b. Per Child From Tables c. Total (3.a. x 3.b.) + + = * Cost of Living Differential Adjustment? Yes No ** Multiple Family Adjustment? Yes No 1 <<<<<<<<<********>>>>>>>>>>>>> 2 PE TITIONER R E S PONDENT 4. Health and Dental Insurance Premium + = Total: 5. Work-Related Child Care Costs a. x % = b. Maximum IRS credit: c. KS credit: 25% x = d. Amount less tax credits + = Total: 6. Parents Total Child Support Obligation Combined Total: (Line D.3. plus Lines D.4. and 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 payments for items D.4. and D.5.) 9. Basic Parental Child Support Obligation = (Line D.7. minus Line D.8.; Insert on Line F.1.) E. CHILD SUPPORT ADJUSTMENTS AP NA CATE GOR Y PETITIONER RESPONDENT 1. [_] [_] Long Distance Visitation Costs + - + - 2. [_] [_] Visitation Adjustment + - + - 3. [_] [_] Income Tax Considerations + - + - 4. [_] [_] Special Needs + - + - 5. [_] [_] Payment Past Minority + - + - 6. [_] [_] Overall Financial Condition + - + - 7. [_] [_] + - + - 8. Total Adjustments (Insert on Line F.2.) + - + - F. DEVIATIONS FROM REBUTTABLE PRESUMPTION AMOUNT 1. Basic Parental Child Support (Line D.9.) 2. Total Child Support Adjustments (Line E.8.) + - + - 3. Adjusted Subtotal (Line F.1 +/- Line F.2) = = 4. Enforcement Fee Allowance Percentage (Applied only to Noncustodial Parent) Flat Fee ((Line F.3. x Collection Fee %) x .5 or (Monthly Flat fee x .5) + + 5. Net parental Child Support Obligation Prepared by: District J udge Pro Tem (Your signature here) 2
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