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Parents Worksheet For Child Support Amount DRS12f - Arizona
| Parents Worksheet For Child Support Amount Form. This is a Arizona form and can be used in Superior Court Yavapai Local County . |
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PARENT'S WORKSHEET FOR CHILD SUPPORT AMOUNT Prepared By (1): [ ] Petitioner [ ] Respondent [ ] Judiciary [ ] Court Staff [ ] IV-D Agency Name of person filing (2): Date prepared (3) Petitioner (4) (6) Case No. Respondent (5) (7) Atlas No. Time-sharing arrangement (8): [ ] Mostly with Father [ ] Mostly with Mother (9) Child(ren)'s names (first, middle initial and last name) Date of Birth (mo/day/year) Age Presumptive termination date Number of minor children Actual termination date Number of children age 12 or over Youngest grade Father Mother Gross Income (10) Spousal maintenance paid (11) Spousal maintenance received (12) Legal decision-making parent of other children subject of court order(s) (13) [ ] Father [ ] Mother Court-ordered child support paid for children of other relationships (14) Other natural or adopted children not subject of court order(s) (15) [ ] Father [ ] Mother Standard deduction Alternate Deduction (only if less than standard deduction) Adjusted Gross Income (16) Combined Adjusted Gross Income (17) Basic Child Support Obligation (18) Additions: Children age 12 or over [ ] adjustment 10% (19) Medical, dental and vision insurance paid (20) Monthly childcare costs (21) for ______ child(ren) Less federal tax credit allowed to legal decision-maker Extra education expenses (22) Extraordinary (gifted or handicapped) child expenses paid (23) Subtotal (24) Total Adjustments for Costs (25) Total Child Support Obligation (26) Each parent's proportionate percentage of combined income (27) Each parent's proportionate share of the total support obligation (28) Less paying parent's costs (29) Superior Court of Arizona in Yavapai County January 2013 Page 1 of 2 $ $$+ $$$$$$ $ $ $ $ $ $ $ $ $ $ $ % $ $ $ $$+ $$$$$$ $ $ $ $ $ $ % $ $ DRS12f American LegalNet, Inc. www.FormsWorkFlow.com PARENT'S WORKSHEET FOR CHILD SUPPORT AMOUNT Costs associated with parenting time (30): Table A [ ] No. of days Line (18) x Adjustments subtotal (31) Preliminary Child Support Amount (32) Self Support Reserve Test for Payor (33) Line (16) $ Less paid arrears $ % Table B [ ] $ $ $ $ $ $ Less $903 [ ] Mother $ $ % % $ $ % % Child support amount to be paid by (34): [ ] Father Travel related to parenting time (35) Medical, dental, and vision costs not paid by insurance (36) Superior Court of Arizona in Yavapai County January 2013 Page 2 of 2 DRS12f American LegalNet, Inc. www.FormsWorkFlow.com
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