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Virginia Child Support Guidelines Worksheet Form

Once fulfilled by both parties in a divorce case, this form will serve as the Court’s basis for determining the spouse who will be required to pay for child support after the finalization of the divorce.Download

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CHILD SUPPORT GUIDELI	NE	S WORKSHEET	                    	Case No.:	 ........................................................................\
.......................................................	... 	
Commonweal	th of	 Vi	rginia   Va. 	Code 	 § 2	0-108.2 	
 
........................................................................\
.......................................................	................	 v. 	........................................................................\
.......................................................	......        	........................................................................\
...	 	            D	ATE 	
 	 	          	            MOTHER	          	      	      	      	    FATH	ER   	         	    	     	
1. 	Mont	hly Gr	oss	 Incom	e (see i	nstruct	ions 	on reverse	) 	$ ..........................................	 $ 	................................................	 	
 
2. 	Ad	justments fo	r spousal	 supp	ort	 pay	ment	s (see i	nstructions on reve	rse	) 	$ ..........................................	 	$..................................................	 	 	
3. 	Ad	justm	ents fo	r support of chi	ld(re	n) (see ins	tructio	ns 	on	 re	verse	) 	$ ..........................................	 $	..................................................	
 	  	
4. 	Ded	uctions 	from M	ont	hly Gr	oss 	Inc	ome allowa	ble by	 law     	                        	             -$............................................	  	-$..................................................	 	
(see in	structi	ons on reve	rse	) 	
 
5. 	a.  	Avai	lable m	ont	hly incom	e 	$ ..........................................	 $ 	................................................	 	
 	b. C	ombined 	mont	hly avai	lable income  	
 	    	(com	bine b	oth avai	lable m	ont	hly incom	e figures	 from	 line 	5.a.	) 	 $  	 	
 
6. 	Num	ber 	of chi	ldre	n in the present	 case 	for whom	 su	pp	ort	 is so	ug	ht: 	 	 	 	 	
 
7. 	a.  M	ont	hly ba	sic chi	ld supp	ort obligation 	
 	    	 (from	 schedule — 	see inst	ructions 	on re	verse) 	a. 	$.....................................................	 	
 
 	b. 	 M	onthly amount	 allowa	ble fo	r heal	th ca	re c	ove	rage	 	b. 	$.....................................................	 	
    	        (see ins	tructions 	on re	verse	) 	
 
 	c.  M	ont	hly am	ou	nt allowabl	e for em	ploy	ment-rel	ated c	hild care e	xpense	s 	c. 	$.....................................................	 	
    	        (see ins	tructions 	on re	verse	)  	 	 	 	 	 	
 
8. 	Tot	al m	ont	hly chi	ld supp	ort	 obligation (a	dd lines 	7.a.	, 7.b.,	 and	 7.c.) 	$ 	   	
 	 	 	 	 	     	  	         	         	  MOTH	ER      	          	      	      	      	      	      FATH	ER  	 	
 	
9. 	Perce	nt obligation 	of eac	h par	ty (di	vide “a	vailable m	ont	hly incom	e” on	 	...............................................	%	  	...............................................	%	 	
line 5.a	. by	 line 5.	b.) 	
 
10	. Mont	hly chi	ld sup	port obligation 	of eac	h par	ty (m	ultiply line 8 	by	 line 9) 	$                          	               $   	
 
11	. Ded	uction by	 no	n-cust	odi	al pare	nt for heal	th ca	re c	ove	rage when pai	d direct	ly by	 	
 	no	n-cust	odi	al pare	nt (from line 7.	b.)  	$ ..........................................	 	$ ..........................................	
 	  	MOTHER	           	      	          	      	      	      	      	FATHER	 	
12. Adju	stm	ents (if an	y) to Ch	ild 	Sup	port Gu	idelines Calcu	lation 	 	
(see in	structi	ons on reve	rse	) 	 	
a.  Cre	dit for benefits 	receive	d by or	 for t	he child 	deri	ved from	 the pa	rent	’s  	              -$...........................................	 	-$................................................	 	
    	        en	titlemen	t to	 disab	ility in	suran	ce 	ben	efits to th	e ex	ten	t th	at su	ch derivativ	e 	
    	        bene	fits are i	ncluded i	n a parent’s 	gross i	ncom	e 	
 b. 	........................................................................\
.......................................................	.....................................................................	 $	............................................	 	$...............................................	 	
 c. 	 ........................................................................\
.......................................................	....................................................................	 	$............................................	 	$...............................................	
  
13.	 Each 	party’s	 adjuste	d share	       	              	$                 	     	                    $ 	
FORM DC-637 (PAGE ONE OF TWO) 07/04 PDF

FORM DC-637 (PAGE TWO OF TWO)  07/04 PDF
CHILD SUPPORT GUIDELINES WORKSHEET INSTRUCTIONS 
General — Use monthly financial information rounded to the nearest dolla r in making these calculations. To convert data to monthly figures,    • multiply weekly financial data by 4.33   • multiply bi-weekly financial data by 2.167   • multiply semi-monthly financial data by 2   • divide annual financial data by 12  Amounts of $.50 or more should be rounded up to the nearest do llar; amounts less than $.50 should be rounded down to the neares t dollar.  Line 1 — Gross income is defined by Virginia Code § 20-108.2(C). 	 a. 	Gross income “shall mean all income from a ll sources, and shall include, but not be limited to, income from salaries, wages, co mmissions, royalties, 
bonuses, dividends, severance pay, pensions, interest, trust income, annuities, capital gains, social security benefits, worker’s compensation benefits, 
disability insurance benefits, veterans’ benefits, spousal support,  rental income, gifts, prizes or awards. If a parent’s gross income includes disability 
insurance benefits, it shall also include any amounts paid to or for the child who is the subject of the order and derived by t he child from the parent’s 
entitlement to disability insurance benefits.” 
 	
b. 	Gross income “shall not include benefits from public assistance pr ograms as defined in Virginia Code § 63.2-100 [Temporary Assistance to Needy 
Families, auxiliary grants to the aged, b lind and disabled, medical assistance, ener gy assistance, food stamps, employment serv ices, child care, general 
relief] federal Supplemental Security benefits,  child support r eceived, or income received by the payor from secondary employm ent income not previously 
included in “gross income,” where the payor obtained the income to discharge a child support arrearage established by a court o r administrative order and 
the payor is paying the arrearage pursuant to the order.” 	
 Line 2  — If spousal support is being paid by a party pursuant to an existing court or administrative order or written agreement, rega rdless of whether it is being paid to 
the other party or to a person not a party to this proceeding, subtract that amount under the payee’s column. If spousal support is being received by a party pursuant to 
an existing court or administrative order or written agreement, regardless of whether it is being paid by the other party to th is proceeding, add the amount under the 
payee’s column. Use plus and minus signs a ppropriately. If a party is not paying or receiving spousal support, insert “none” in  the appropriate column(s). 
 Line 3 — When a party is paying child support payments pursuant to an  existing court or administrative order or written agreement for a child or children who are not 
the subject of the proceeding, subtract this amount from gross income. When a party has a child or children who are not the sub ject of the proceeding in their 
household or primary physical custody, subtract the amount as shown on the schedule of  Monthly Basic Child Support Obligations that represents that party’s support 
obligation for that child or children based  solely on the party’s income as the total income available. If these provisions are  inapplicable, insert “none” in the 
appropriate column(s). There is only a presumption  that these amounts will be deducted from gross income. 
 Line 4 (Virginia Code § 20-108.2(C)) — If either parent has income from self-e mployment, a partnership or a closely-held business, subtract reasonable business 
expenses under the column of the party with  such income. Include one-half of any self-employment tax paid, if applicable. If no ne, insert “none.” 
 Line 5.a. — As applicable, add to and subtract from line 1 the figures in lines 2, 3 and 4 and enter the total for each column.  NOTE: Any adjustments to gross income shall not create or reduce a support obligation to an amount which seriously impairs the  custodial parent’s ability 
to maintain minimal adequate housing and provide other basic necessities for the child. 
 Line 7.a.  — Using § 20-108.2(B) SCHEDULE OF MONTHLY BASIC CHILD SUPPORT OB LIGATIONS, use line 5.b. (combined monthly available income) to 
find the applicable income level under COMBINED GROSS INCOME, th en use line 6 (number of children) to determine the basic child support obligation under the 
appropriate column at the applicable income level. 
 Line 7.b. (Virginia Code §§ 20-108.2(E) and 63.2-1900)  — Insert costs for “health care coverage” when actually being paid by a parent, to the extent such costs are 
directly allocable to the child or children, and which are th e extra costs of covering the child or children beyond whatever coverage the parent providing the coverage 
would otherwise have. “Health care coverage” means any plan providing hospital, medical or surgical care coverage for dependent  children provided such coverage is 
available and can be obtained by a person obligated under Virginia law for support of a dependent child or the child’s caretake r at a reasonable cost (such as through 
employers, unions or other groups  without regard to service delivery mechanism). This item should also include the cost of any  dental care coverage for the child or 
children paid by a parent. 
 Lines 7.c. (Virginia Code § 20-108.2(F))  — Insert actual cost or the amount required to provide quality child care, whichever is less. If applicable, allocate ratably 
between employment-related child care and ot her child care based on custodian’s activities while child care is being provided. 
 Line 12(a) — If amounts paid to or for the child who is the subject of the order and derived by the child from the parent’s entitlement to  disability insurance benefits 
have been included in a parent’s gross income, that amount s hould be subtracted from that parent’s child support obligation. 
 Line 12 (b-c) (Virginia Code § 20-108.1(B)) —  If applicable, describe adjustment to child support for factors not addressed in guidelines calculation, then show 
amount to be added to or subtracted from  each party-parent’s child support obligation (u se plus and minus signs appropriately). 
 Line 13— If additional items are entered in lines 12 (a-c), add and su btract such items from line 10 and enter the totals on this line. In cases involving split custody, 
the amount of child support to be calculated using these guide lines shall be the difference between the amounts owed by each pa rent as a noncustodial parent, 
computed in accordance with these guidelines, with the noncustodi al parent owing the larger amount paying the difference to the other parent. 
 For the purpose of applying these provisions, split custody shall be limited to those situations where each parent has physical  custody of a child or children born of the 
parents, born of either parent and adopted by the other parent  or adopted by both parents. For the purposes of calculating a ch ild support obligation where split custody 
exists, a separate family unit exists for each parent, and child  support for that family unit shall be calculated upon the numb er of children in that family unit who are 
born of the parents, born of either parent and adopted by the  other parent or adopted by both parents. Where split custody exis ts, a parent is a custodial parent to the 
children in that parent’s family unit and  is a noncustodial parent to the children in the other parent’s family unit.
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