Worksheet A: BASIC SHARED PARENTING
IN THE FAMILY COURT OF __________ COUNTY, WEST VIRGINIA
CASE NO.________
Mother: _____________________ SS No.: ________________ Primary Custodial parent? ? Yes ? No
Father: ______________________ SS No.: ________________ Primary Custodial parent? ? Yes ? No
Children | SSN | Date of Birth | Children | SSN | Date of Birth |
PART I. CHILD SUPPORT ORDER | Mother | Father | Combin ed |
1. MONTHLY GROSS INCOME (Exclusive of overtime compensation) | $ | $ | |
a. Minus preexisting child support payment | - | - | |
b. Minus maintenance paid | - | - | |
c. Plus overtime compensation, if not excluded, and not to exceed 50%, pursuant to W. Va. Code §48-1-228(b)(6) d. Additional dependents deduction | + | + | |
2. MONTHLY ADJUSTED GROSS INCOME | $ | $ | $ |
3. PERCENTAGE SHARE OF INCOME (Each parent's income from line 2 divided by Combined Income) | % | % | 100% |
4. BASIC OBLIGATION (Use Line 2 combined to find amount from schedule.) | $ | ||
5. ADJUSTMENTS (Expenses paid directly by each parent) a. Work-Related Child Care Costs Adjusted for Federal Tax Credit (0.75 x actual work-related child care costs.) | $ | $ | |
b. Extraordinary Medical Expenses (Uninsured only) and Children's Portion of Health Insurance Premium Costs. | $ | $ | |
c. Extraordinary Expenses (Agreed to by parents or by order of the court.) | $ | $ | |
d. Minus Extraordinary Adjustments (Agreed to by parents or by order of court.) | |||
e. Total Adjustments (For each column, add 5a, 5b, and 5c. Subtract Line 5d. Add the parent's totals together for Combined amount.) | $ | $ | $ |
6. TOTAL SUPPORT OBLIGATION (Add line 4 and line 5e Combined.) | $ | ||
7. EACH PARENT'S SHARE OF THE TOTAL CHILD SUPPORT OBLIGATION (Line 3 x line 6 for each parent.) | $ | $ | |
8. PAYOR PARENT ADJUSTMENT (Enter payor parent's line 5e.) | $ | $ | |
9. RECOMMENDED CHILD SUPPORT ORDER (Subtract line 8 from line 7 for the payor parent only. Leave payee parent column blank.) | $ | $ | |
PART II. ABILITY TO PAY CALCULATION (Complete if the payor parent's adjusted monthly gross income is below $1,550.) | |||
10. Spendable Income (0.80 x line 2 for payor parent only.) | |||
11. Self Support Reserve | $500 | $500 | |
12. Income Available for Support (Line 10 - line 11. If less than $50, then $50) | |||
13. Adjusted Child Support Order (Lessor of Line 9 and Line 12.) |
Comments, calculations, or rebuttals to schedule or adjustments if payor parent directly pays extraordinary expenses. | |
PREPARED BY: | Date: |