§9:315.20 Worksheet A
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Obligation Worksheet A |
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| (The worksheet for calculation of the total support obligation under R.S. 9:315.8 and 315:10) | |
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Court ___________
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Parish ___________, Louisiana |
| Case Number __________
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Div/CtRm ___________ |
| ______________________ | ______________________ |
| Petitioner | Respondent |
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Children & Dates of Birth |
Children & Dates of Birth |
| ______________________ | ______________________ |
| ______________________ | ______________________ |
| ______________________ | ______________________ |
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A. Petitioner |
B. Respondent |
C. Combined |
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| 1. MONTHLY GROSS INCOME (R.S. 9:315.2(A)) | |||
| 2. MONTHLY ADJUSTED GROSS INCOME (Line 1 minus 1a and 1b). | $_________ | $_________ | $_______ |
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3. COMBINED MONTHLY ADJUSTED GROSS INCOME (Line 2 Column A plus Line 2 Column B). (R.S. 9:315.2(C)) |
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4. PERCENTAGE SHARE OF INCOME (Line 2 divided by line 3). (R.S. 9:315.2(C)) |
%_________ |
%_________ |
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5. BASIC CHILD SUPPORT OBLIGATION (Compare line 3 to Child Support Schedule). (R.S. 9:315.2(D)) |
$_______ |
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| a. Child Care Costs . (R.S. 9:315.3) | |||
| b. Child’s Health Insurance Premium Cost. (R.S. 9:315.4) | |||
| c. Extraordinary Medical Expenses (Uninsured Only). (Agreed to by parties or by order of the court). (R.S. 9:315.5) | |||
| d. Extraordinary Expenses (Agreed to by parties or by order of the court). (R.S. 9:315.6) | |||
| e. Optional. Minus extraordinary adjustments (Child’s income if applicable). (R.S. 9:315.7) | |||
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6. TOTAL CHILD SUPPORT OBLIGATION (Add lines 5, 5a, 5b, 5c, and 5d; Subtract line 5e).(R.S. 9:315.8) |
$_______ |
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7. EACH PARTY’S CHILD SUPPORT OBLIGATION (Multiply line 4 times line 6 for each parent). |
$_________ |
$_________ |
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8. DIRECT PAYMENTS made by the noncustodial parent on behalf of the child for child care costs, health insurance premiums, extraordinary medical expenses, or extraordinary expenses. |
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9. RECOMMENDED CHILD SUPPORT ORDER (Subtract line 8 from line 7). |
$_________ |
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| Comments, calculations, or rebuttals to schedule or adjustments if made under 8 above or if ordering a credit for a joint custodial arrangement: | |||
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Prepared by: ___________________ |
Date: ______________ |
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