DHS ORS CSS GWSL

10/94 Rev. 06/00

IN THE _____________________________ DISTRICT COURT

 

________________________________ COUNTY,  STATE OF UTAH

 

__________________________________________________________________________________

)

______________________________________________)            CHILD SUPPORT OBLIGATION WORKSHEET

)                     (SOLE CUSTODY AND PATERNITY)

       vs.                                                    )

)                    Civil  No. ______________________

__________________________________________            )

_____________________________________________________________________________________________________________

               

 MOTHER       FATHER         COMBINED

 

1. Enter the # of natural and adopted children of this mother and father for whom support is to be awarded.

 

 

 

 

 

 

 

2a. Enter the father's and mother's gross monthly income. Refer to Instructions for definition of income.

 

$

 

$

 

 

 

2b. Enter previously ordered alimony that is actually paid. (Do not enter alimony ordered for this case).

 

_

 

_

 

 

 

2c. Enter previously ordered child support. (Do not enter obligations ordered for the children in Line 1).

 

_

 

_

 

 

 

2d. OPTIONAL: Enter the amount from Line 12 of the Children in Present Home Worksheet for either parent.

 

_

 

_

 

 

 

3. Subtract Lines 2b, 2c, and 2d from 2a. This is the Adjusted Gross Income for child support purposes.

 

$

 

$

 

$

 

4. Take the COMBINED figure in Line 3 and the number of children in Line 1 to the Support Table. Find the Base Combined Support Obligation. Enter it here.

 

 

 

 

 

$

 

5. Divide each parent's adjusted monthly gross in Line 3 by the COMBINED adjusted monthly gross in Line 3.

 

%

 

%

 

 

 

6. Multiply Line 4 by Line 5 for each parent to obtain each parent's share of the Base Support Obligation.

 

$

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

7. BASE CHILD SUPPORT AWARD: Bring down the amount(s) from Line 6 or enter the amount(s) from the Low Income table  per U.C.A. 78-45-7.7. The parent(s) without physical custody of the child(ren) pay(s) the amount(s) all 12 months of the year.

 

$

 

$

 

 

 

8.             Which parent is the obligor?   (   )  Mother                            (   )  Father                    (   ) Both

 

9.             Is the support award the same as the guideline amount in line 7?          (   )  Yes                  (   )  No

If NO, enter the amount(s) ordered: $____________(Father)       $ ____________ (Mother)  and answer number 10.

 

10.   What were the reasons stated by the court for the deviation?

(   ) property settlement

(   ) excessive debts of the marriage

(   ) absence of need of the custodial parent

(   ) other: _______________________________________________________________________________

________________________________________________________________________________________

 

 

Attorney Bar No. _______________                   (   ) Electronic Filing                               (   ) Manual Filing                       6/2000

INSTRUCTIONS FOR THE SOLE CUSTODY WORKSHEET

 

Line 1.  Enter the number of natural and adopted children of the mother and father for whom support is to be determined.  Do not include any children of either parent by another partner on this line.  If a child for whom support is to be determined is an unemancipated minor who does not live with his parents, use the total number of children, including the unemancipated minor, by that set of parents for Line 1.

 

Line 2a.  Enter the mother's and father's gross monthly income.  Definition of gross monthly income - prospective income from any source, salaries, wages, commissions, royalties, bonuses, rents, gifts, prizes, dividends, severance pay, pensions, interest, trust income, alimony from previous marriages, annuities, capital gains, social security benefits, workers' compensation benefits, unemployment compensation, disability insurance benefits and payments for "non-means-tested" government programs.  Income from earned sources is limited to the equivalent of one full time job.  For self-employed parents, see UCA 78-45-7.5(4)(a) and (b).

 

Excluded from gross income are: assistance provided under Title 35A, Chapter 3, Part 3, Family Employment Program, benefits from: the housing subsidy program, the Job Training Partnership Act, S.S.I., S.S.D.I., Medicaid, Food Stamps, General Assistance, and other "means-tested" benefits received by a parent; earnings or benefits of a child who is subject to this award.

 

All income must be verified.  Verification includes: year to date pay stubs, employer statements or records, the last year's tax return and documentation of non-earned income appropriate to the source.

 

Line 2b.  Enter the amount of spousal support either parent is court ordered to pay and actually pays to another parent.  Do not include alimony payments for this case.  Alimony payments must be verified.  Canceled checks or a statement from the recipient of the alimony may be accepted as verification.

 

Line 2c. Enter the amount of support either parent is court ordered to pay for children by another partner.  Previously ordered support may include specifically ordered payments toward a child's medical expenses, child care, or child support.  A copy of the order is required for verification.

 

Line 2d.  Natural or adoptive children of either parent who live in the home of that parent and are not children in common to both parties, may at the option of either party be taken into account under the guidelines in setting or adjusting a child support award.  Use the WORKSHEET TO DETERMINE FATHER'S OBLIGATION TO CHILDREN IN HIS PRESENT HOME and/or the WORKSHEET TO DETERMINE MOTHER'S OBLIGATION TO CHILDREN IN HER PRESENT HOME to compute the obligations of the respective parents for the additional children.  Consideration of natural or adoptive children other than those in common to both parties may be applied to lessen an increase in the award, but may not be applied to justify a decrease in the award.

 

Line 3.  If the obligor's income is over $1,050 complete the calculation as directed.  If the obligor's income is $650 to $1,050 then calculate the child support award using the "Combined Child Support Obligation Table" and the "Low Income Table".  The child support award will be the lesser of the two amounts. Enter the lesser of the two amounts on line 7. If the obligor's income is $649 or less, then refer to UCA 78-45-7.7(5). 

 

Line 4.  The amount on the "Combined Child Support Obligation Table" shows the amount BOTH parents combined should contribute for the support of their children.

 

Line 5.  Calculate each parent's share of the amount in Line 4. as a percentage figure.

 

Line 6.  Calculate each parent's share of the amount in Line 4 as a dollar amount. 

 

Line 7.  The Base Child Support Award is the amount the obligor pays to the obligee. This is the amount the parent(s) without physical custody of the child(ren) pays all 12 month(s) of the year. See the Insurance Premium and Child Care Adjustment Worksheet to determine how insurance premiums and child care expenses may change the amount the obligor pays to the obligee.

 

Lines 8 and 9. Complete lines 8 and 9.

 

 Line 10.  Complete Line 10 if the obligor will not be ordered to pay the guideline amount from either the "Combined Child Support Obligation Table", "Low Income Table" or in accordance with UCA 78-45-7.7.