| CHILD
SUPPORT GUIDELINES WORKSHEET |
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Case No.: |
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| Commonwealth
of Virginia Va. Code § 20-108.2 |
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v. |
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DATE |
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MOTHER |
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FATHER |
| 1. |
Monthly Gross Income (see instructions)   |
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$ |
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$ |
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| 2. |
Adjustments for spousal support payments
(see instructions)  |
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a. |
Deduction from payor's income |
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-$ |
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-$ |
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b. |
Addition to recipient's income |
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$ |
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$ |
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| 3. |
Adjustments for support of child(ren)(see
instructions)  |
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-$ |
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-$ |
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| 4. |
Deductions from Monthly Gross Income
allowable by law |
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-$ |
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-$ |
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(see instructions)  |
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| 5. |
a. |
Available monthly income |
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$ |
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$ |
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b. |
Combined monthly available income |
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(combine both available monthly income
fugures from line 5.a.) |
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$ |
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| 6. |
Number of children in the present case
for whom support is sought |
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| 7. |
a. |
Monthly basic child support obligation |
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(from schedule-see instructions) |
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a. |
$ |
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b. |
Monthly amount allowable for health care
coverage |
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(see instructions) |
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b. |
$ |
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c. |
Monthly amount allowable for employment-related
child care expenses |
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(see instructions) |
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c. |
$ |
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d. |
Less actual monthly tax savings from
child-care cost deductions or credits |
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(see instructions) |
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d. |
$ |
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| 8. |
Total monthly child support obligation
(add lines 7.a., 7.b. and 7.c. and subtract 7.d.) |
$ |
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MOTHER |
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FATHER |
| 9. |
Percent obligation of each party (divide "available
monthly income" on |
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% |
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% |
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line 5.a. by line 5.b.) |
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| 10. |
Monthly child support obligation of each
party (multiply line 8 by line 9) |
$ |
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$ |
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| 11. |
Deduction by non-custodial parent for
health care coverage when paid |
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directly by non-custodial parent (from
line 7.b) |
$ |
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$ |
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| 12. |
Adjustments (if any) to Child Support
Guidelines Calculation |
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MOTHER |
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FATHER |
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a. |
Credit for benefits received by or for
the child derived from the parent's |
-$ |
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-$ |
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entitlement to disability insurance
benefits to the extent that such |
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derivative benefits are included in a
parent's gross income |
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b. |
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use +/- |
$ |
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$ |
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c. |
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use +/- |
$ |
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$ |
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| 13. |
Each party's adjusted share (add or subtract
lines 11 and 12 from line 10) |
$ |
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$ |
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Child support payable to custodial parent
(check one): |
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Mother |
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Father |
$ |
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| VA FORM
DC-637 -2004 Demo |
© Support |
Solver™.com |
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