Child Support Worksheet

In the case of wanting to determine which parent will be responsible for child support after a divorce in the State of Kansas, the following form has to be completed and submitted.

Extracted Text for Proper Search

Admin. Order #216, Rev. 11/30/07 
 
 
Child Support Worksheet	
 	
 
 
IN THE       	
 JUDICIAL DISTRICT 
   	
 COUNTY, KANSAS 
 
IN THE MATTER OF: 
 
     	
 
 
   and        CASE NO.  	
 
 
     	
 
 
CHILD SUPPORT WORKSHEET OF         	
   
(name) 
           
          MOTHER	
      FATHER	 
A.  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 DO MESTIC 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 parent’s income divided by combined income) 
  3.  Gross Child Support Obligation** 
    (Using the combined income from Line D.1., 
    find the amount for each child and enter total for  
  all children) 
 
 Age of Children   0-5  6-11  12-18   Total 
  Number Per Age Category   	
  	  	 
 Total Amount    	
     +   	     +   	 =    	 
 
* Interstate Pay Differential Adjustment?      	
Yes  	No 
 
**Multiple Family Application?     	
Yes  	No

Admin. Order #216, Rev. 11/30/07 	
Case No.    	 
 
            
          MOTHER	
   FATHER	 
 
  4.  Health and Dental Insurance Premium        $     	
 + $     	 
                =    
 
 5. 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%)))  6.  Parents’ Total Child Support Obligation                     
  
  (Line D.3. plus Lines 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.  Basic 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                                     MOTHER          FATHER                 
 
1.      Long Distance Parenting Time Costs  (+/-)    	
   (+/-)    	 
2.                 Parenting Time Adjustment  (if b.  %___) (+/-)         	
    (+/-)      	 
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 RE BUTTABLE PRESUMPTION AMOUNT	
 
          AMOUNT ALLOWED 
         MOTHER   FATHER  
  1.  Basic Parental Child Support Obligation           	
  	 
  (Line D.9. from above)      
  2.  Total Child Support Adjustments     (+/-)     	
     	 
  (Line E.7. from above)     
  3.  Adjusted Subtotal (Line F.1. +/- Line F.2.)         	
     	 
 4. 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)      (+)       
 (+)    	 
  5.  Net Parental Child Support Obligation           	
     	 
    (Line F.3. + Line F.4.) 
 
**Parent with nonprimary residency 
 
             
 
        Judge/Hearing Officer Signature 
 
            	
 
         Date Signed 
 
      	
      	 
 Prepared By       Date Approved