Maine Child Support Worksheet Form

Child Support Worksheet.pdf This form helps determine the money allocated for each spouse for the child support.Download

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SUPERIOR COURT    STATE OF MAINE   DISTRICT COURT    ,ss.       Location   Docket No.           Docket No.           Plaintiff    vs.                        CHILD SUPPORT WORKSHEET                 Defendant  1. a. Primary care provider (parent children live with most of the time):      Plaintiff            Defendant        Both   If parents provide substantially equal care, higher income parent should be shown as the non-primary care provider.      b. Parent providing health insurance for the children:      Plaintiff            Defendant        Neither  2.  Child’s Name     Date of Birth  Child’s Name   Date of Birth                                                                          Yearly Amounts Primary Care Provider Non-Primary Care Provider  Self-support reserve  Below poverty level Combined Income   3. Gross income $ $  4. Minus other obligations     a. Support paid to former spouse  a.  a.       b. Support paid for other children b. b.      c. Other children living with non-primary care                   provider   (See instructions on reverse side.)  c.  5.  Total of 4a, b, & c     6. Adjusted Yearly Gross Income     (Subtract line 5 from line 3) a.  b.  c.  7. Share of Gross Income     (Divide each parent’s income by combined income) a.                             % b.                               %     (Add 6a & 6b)  8.   Basic weekly support for all children up to 18 years (or up to 19 years if still in high school) (See instructions on reverse.)       a. Total number of children         b. Number of children ages 0-11             multiplied by amount from table                     =  $                  c. Number of children ages 12-17            multiplied by amount from table                    =  $                            Total  (add 8b and 8c):     8.   9.  Weekly health insurance cost for children   Name & amount per child per week         $                            $                        Total:  9.    10. Weekly child care expenses   Name & amount per child per week         $                            $                             Total:    10.   11.   Extraordinary medical expenses  Name & amount per child per week         $                          $                            Total:    11.   *If parents provide substantially equal care, continue calculations on supplemental worksheet. 12. TOTAL WEEKLY/BIWEEKLY OBLIGATION(Add lines 8, 9, 10 and 11 and if biweekly, multiply  x 2.)  12.   13.WEEKLY/BIWEEKLY PARENTAL SUPPORT OBLIGATION:   a. Primary Care      | b. Non-Primary Care                   Provider spends directly $            |  Provider’s support obligation  $       (Multiply line 7a by line 12) |        (Multiply line 7b by line 12)           |  Health insurance adjustment  -             |                  (See instructions on reverse side)         |  Non-Prim. Care Provider pays as support    Date:        Prepared by:         FM -040, Rev. 2/09                                      (Attorney for) (Plaintiff) (Defendant) (Judge) (Magistrate)(Mediator)

CALCULATING “AMOUNT FROM TABLE” FOR LINES 8a, 8b,  AND 8c OF THE WORKSHEET       1. Look at the Child Support Table.  It is divided into two age categories.  The one on the left is for children under 12.  The one    on the right is for children 12 and over.  2. Circle the amount in the Table under “Parents’ Combined Annual Income” that is closest to the “Combined  Income” on    Line 6c of the Worksheet.  From that number draw a line across both age categories of the Table.  3. In the “Number of Children” column in each age category, circle the TOTAL number of children in this case.     The number you circle should be the same as the number you wrote on Line 8a of the Worksheet.  If you have children under 12, draw a line from the circled number of children down the column until it meets the line you drew  for  parents’  yearly  combined  income.    Circle  the  number  where  the  lines  meet  and  write  the  number  you  circled  in the space after “amount from table” on Line 8b of the Worksheet.    If  you  have  children  12  or  over, draw  a  line  from  the  circled  number  of  children  down  the  column  until  it  meets  the  line you drew for parents’ yearly combined income.  Circle the number where the lines meet and write the number you circled in the space after “amount from table” on Line 8c of the Worksheet.  4. For example, if you have two children under 12 and two children over 12 and a combined annual gross income of $18,000,    use  the  column  for 4  children  in  both  age  categories.    The  “Parents’  Combined  Annual  Income”  and  the  “Number  of  Children” lines should meet at $30 in the under 12 category.  The lines should meet at $38 in the over 12 category.  Using this example, you would write the following on the Worksheet:  8a.  Total number of children     4      8b.  Number of children ages 0-11   2    multiplied by amount from table $ 30   = $   60      8c.  Number of children ages 12-17   2     multiplied by amount from table $ 38   = $   76     NON-PRIMARY CARE PROVIDERS WITH VERY LOW INCOMES When the non-primary care provider’s income is very low, different rules for calculating child support apply.  These rules are explained  in  the  Child  Support  Guidelines,  19-A  M.R.S.A.  §  2006(5)(C).    If  the  non-primary  care  provider’s  income  falls  in the self-support reserve (the shaded  area of the  Child Support Table), check the box in the non-primary care provider column next  to  “self-support  reserve”  on  the  child  support  worksheet.    If  the  non-primary  care  provider’s  income  is  lower  than  all income  amounts  listed  in  the  Child  Support  Table,  check  the  box  next  to  “below  poverty  level”  on  the  child  support worksheet.   CALCULATING AMOUNT FOR LINE 4c OF THE WORKSHEET      (OTHER CHILDREN LIVING WITH NON-PRIMARY CARE PROVIDER) If  the  non-primary  care  provider  has  a  legal  obligation  to  support  other  children  living  in his/her  home,  the  non-primary  care provider is entitled to a credit.  The amount of the credit is written on line 4c. To determine the credit to be entered on Line 4c, follow  the  steps  in  paragraphs  1,  2,  3,  and  4,  with  some  changes.    In  step  2,  circle  the  amount  in  the  Table  under  “Parents’ Combined  Annual Income” that is closest to the non-primary  care provider’s total gross income after  any deductions on Line 4b.    Do  not  circle  the  combined  yearly  gross  income  of  both  parties  in  this  case.   In  step  3,  in  the  “Number  of  Children” column in each age category, circle the total number of other children living with the non-primary care provider that the non-primary care provider has a legal obligation to support.  Do not circle the total number of children in this case.  Warning: If there is an existing child support order for the children in this case, the credit may not apply.  CALCULATING THE HEALTH INSURANCE ADJUSTMENT  FOR SECTION 13b OF THE WORKSHEET If the non-primary care provider pays the cost of the children’s health insurance, that parent’s weekly support obligation must be  adjusted.    The  amount  of  the  adjustment  is  the  cost  of  the  health  insurance  for  the  children  (line  9).    Put  the  amount  from line  9  on  the  line  next to  “Health  insurance  adjustment.”    Subtract  this  number  from  the  non-primary  care  provider’s  support obligation to determine the amount that must be paid as support.  If the primary care provider pays the cost of the children’s health insurance or if neither parent pays for health insurance, enter 0 on the line next to “health insurance adjustment.”