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Worksheet B - Shared Responsibility - New Mexico

Worksheet B - Shared Responsibility Form. This is a New Mexico form and can be used in Child Support 1st Judicial District Local District Court .
 Fillable pdf Last Modified 10/6/2005
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WORKSHEET B SHARED RESPONSIBILITY Mother Father Combined Part 1 - Basic Support 1. Gross Monthly Income $_______ + $_______ = $_______ 2. Percentage of Combined Income _______% + _______% = _______% (each parents income divided by combined income) 3. Number of Children: _______ 4. Basic support from Schedule = $_______ (use combined income from Line 1) 5. Shared Responsibility Basic Obligation = $_______ (Line 4 x 1.5) 6. Each Parents Share $_______ + $_______ (Line 5 x each parents Line 2) 7. Number of 24-hr days with _______ + _______ = _______ each parent (must total 365) 8. Percentage with each parent _______% + _______% = _______% (Line 7 divided by 365) 9. Amount retained $_______ + $_______ (Line 6 multiplied by Line 8 for each parent) 10. Each Parents Obligation $_______ + $_______ (Subtract Line 9 from Line 6) 11. Amount Transferred $_______ + $_______ (subtract smaller amount on Line 10 from larger amount on Line 10; Parent with larger amount on Line 10 pays other parent the difference) <<<<<<<<<********>>>>>>>>>>>>> 2 Mother Father Combined Part 2 - Additional Payments 12. Childrens Health and Dental $_______ + $_______ = $_______ Insurance Premiums 13. Work-Related Child Care $_______ + $_______ = $_______ 14. Additional Expenses $_______ + $_______ = $_______ 15. Total Additional Payments $_______ + $_______ = $_______ (Add Lines 12, 13 and 14 for each parent and combined column) 16. Each Parents Obligation $_______ + $_______ = $_______ (combined Column Line 15 multiplied by each parents Line 2) 17. Amount transferred $_______ + $_______ (Subtract each parents Line 6 from his/her Line 15. Parent with minus figure pays that amount to the other parent. Part 3 - Net Amount Transferred 18. Combine Lines 11 and 17 $_______ (by addition if same parent pays on both lines; otherwise, by subtraction) _________________________ pays _________________________ EACH MONTH $_______ __________________________________ __________________________________ Petitioners Signature Respondents Signature Date: _____________________
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