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"!# @#$@@@@ @#% @ @@ @2&@B@ @B@@B@B@ @@@@@'&2(@B @B @B@B @@@@@)(*)+ @@",@@@@ @@"- @ @@ @@1.@B@ @B@@B@B@ @@@@@@/.10@B @B @B@B @@@@@@102/23@B@ @B@B@ @@B@ @@B@ @@4565768@ @@@.9 @@ @@@ @@@ @@.:B @B@B @@B@ @@B@ @@;:#<B @B@B @@=;><?=.@B @B@B @@B@ @@B@ @@A@€@ @B@ @€@ @'C  @@ @€@ @*D@ @@@@€@ @EDFEGFHGI@€@@J@€@@ @'K  @@@€@ @*L@@@@@€@@MLNMONPO$Q@€@@$R@€@@ @,S  @@@€@ @/T@@@@@€@@UTVUWVXW#Y@€@@@#Z@€@@ @@+[  @@@€@ @@.\@@@@@€@@@]\^]_^`_a@@ b?cad@ @@@ @ecfB@ @B@B@ @gfhi@@@@jik @@  @lB @@B @mlnmonpoqB@ @@B@ @rhsrtB @@B @u@@@v@€@@w@@@xsyx @@'z @ @@?@ @@@ @@@@@@@?@ @@@ @@ @ @@ @ @@ @@$@@@% @@ @ @2 @@@@@  @      @@ @@@ $@@@$@@@;@@@@@@@@@@@,@@@@@0@@@@@@!@ ! 8"@@@ @@@@ @@(#@@@@@$@ @%$&%'&(')@ * *+ @ @+,@@@@@ @-,.-/.0/01@@@@@ @ 21324354(6 @@@@>7@ @@@@@@8@@ 9:9;:<;=<>=?>@?A@BACBDCEDFEGFHGIHJIKJLKMLNMONPOQPRQSRTSUTVUWVXWYXZY[Z\[]\^]_^`_a`bacbdcedfegfhgihjikjlkmlnmonpoqprqsrtsutvuwvxwyxzy{z|{}|~}~ $@@@  @@'@@@@@@@@@@@€@@€          @€@@@€@@@€@@€@€@#@@€@€@€ !"!#"$%@@&@@'@@(€€@)(*)+* ,@€€@-+.€/-0/102.3143546$7(8@@@@98:9;:<@%=@@>7?@@?A@B@ @@'@ @1@ @@@ @@@@@@@@@€@€@€@€@€@€@     €     €@@@€@@€@@-@@@@@@@@@"@@@@@€"@@@@@@€@€@€@@1@@@@@@@@@@@@@ @€@@€! 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A @ B A C B D C E D F E G F H G I H J I K J L K M L N M O N P O Q P R Q S R T S U T V U W V X W Y X Z Y [ Z \ [ ] \ ^ ] _ ^ ` _ a ` b a c b d c e d f e g f h g i h j i k j l k m l n m o n p o q p r q s r t s u t v u w v x w y x z y { z | { } | ~ }  ~                                                                                                                                          @@'Tffffff f f f f fffffffffffff"f#f$f%f&f'f(f8f\`f]`f^`f_`f``fa`fb`fc`fd`fe`ff`f@f@f@f @f!@f"@f#@f$@f%@f&@f'@f(@f)@f*@f+@f,@f-@f.@f/@f0@f1@f2@f3@f4@f5@f6@f7@f8@f@f@f@f @f!@f"@f#@f$@f%@f&@f'@f(@f)@f*@f+@f,@f-@f.@f/@f0@f1@f2@f3@f4@f5@f6@f7@f8@ft(`f)`f*`f+`f,`f-`f.`f/`f0`f1`f2`f3`f4`f5`f'APPENDIX "B" INPUT:"(8  2004v1') ^MOTHER ^FATHER ^STEP-FATHER^STEP-MOTHER$'enter info in BOLD-FACED cells#'(do NOT type in SHADED cells)4"(do NOT use COMMAS in entering dollar amounts)'PARTIES' SSNs:^123-45-6789 ^987-65-4321'CASE SHORT TITLE:'Jones v. Jones 'COUNTY: 'Holt'CASE NUMBER: 'CIxx-x'CHILDREN:)'Number of Children Subject of Case:?^Child name^d/o/b (m/d/y)  ^SSN < "If mother gets custody, insert "Y"; if not, insert "N"& ?; ^youngest @ ^111-11-1111 ^Y  YNY; N ; ^2nd youngest @ ^222-22-2222 ^Y @ YNY; N ; ^3rd youngest @ ^333-33-3333 ^Y  YNY; N ; ^4th youngest @ ^444-44-4444 ^Y  YNY; N  ; ^5th youngest D@ ^555-55-5555 ^Y  YNY; N  ;^6th youngestׁ@^666-66-6666^Y  @YNY; N)'Joint Custody Days with Each Parent@ @ 'INCOME:'Monthly Salary Income  ?'Mother's Recalculated Monthly Net Self-Employment Income:=0'Annual SE Information:*'No. of Years Included. (min=1;max=5)? "Annual:"Sch. C / F Net Inc."Tax Depreciation"S.L. Depreciation"Net SE Income"Average SE Inc.` @ #";%;0;'Q;%;0;'Q;%;0;'Q;%;0;' Q;?'Father's Recalculated Monthly Net Self-Employment Income:=     ! " 0'Annual SE Information:)'No. of Years Included (min=1;max=5) ? "Annual:"Sch. C / F Net Inc."Tax Depreciation"S.L. Depreciation"Net SE Income "Average SE Inc.` @ #"  ;% ;1 ;'  Q;%  ;   1     ;'   Q;%! ;!!!1! !!!;'!  !Q;%" ;"""1" """;'"   "Q;D#'Step-Father's Recalculated Monthly Net Self-Employment Income:=# $ & ' ( ) * 0$'Annual SE Information:*$'No. of Years Included. (min=1;max=5)$ ? %"Annual:%"Sch. C / F Net Inc.%"Tax Depreciation%"S.L. Depreciation%"Net SE Income% "Average SE Inc.&` @ &&&#&&&&"& $ &;%'$ &;'''1'$ ''';'' $ &'Q;%($ &;(((1($ (((;'( $ &(Q;%)$ &;)))1)$ )));') $ &)Q;%*$ &;***1*$ ***;'* $  &*Q;D+'Step-Mother's Recalculated Monthly Net Self-Employment Income:=+,./0120,'Annual SE Information:*,'No. of Years Included. (min=1;max=5),? -"Annual:-"Sch. C / F Net Inc.-"Tax Depreciation-"S.L. Depreciation-"Net SE Income-"Average SE Inc..` @ ...#....".,.;%/,.;///1/,///;'/,./Q;%0,.;00010,000;'0,.0Q;%1,.;11111,111;'1,.1Q;%2,.;22212,222;'2, .2Q;"3'Monthly Other Taxable Income33 3 34'Monthly Fringe Benefits44 4 46'DEDUCTIONS: 7'Taxes:48'CHILDREN'S income tax exemptions allocated to:8?8 8=9'Parent's Filing Status (S=single ; H=head of household)9"H9 "S9 "S9"S3:'ANNUAL Itemized Income Tax Deductions Claimed:: : :6;'ANNUAL State Taxes Claimed as Itemized Deduction;; ; ;<'Health Insurance:7='Monthly Children's Health Insurance Premiums Paid== = =>'Retirement::?'Monthly Min. Req'd Contribution, Mandatory Ret. Plan?? ? ?7@'Monthly Actual Voluntary Retirement Contributions@@ @ @2A'Mother's Monthly Net Self-Employment Income:=ABDEFGH0B'Net SE Information:B'No. of Years IncludedB? C"Annual:C"Sch. C / F Net Inc.C"Net SE IncomeC"Ave. Net SE Inc.D` @ DDD"DBD;%EBD;E#EBE;'EBDEQ;%FBD;F#FBF;'FBDFQ;%GBD;G#GBG;'GBDGQ;%HBD;H#HBH;'HB DHQ;2I'Father's Monthly Net Self-Employment Income:=I J L M N O P 0J'Net SE Information:J'No. of Years IncludedJ ?  K"Annual:K"Sch. C / F Net Inc.K"Net SE IncomeK "Ave. Net SE Inc.L` @ LLL"L J L;%MJ L;M#MJ M;'M J LMQ;%NJ L;N #NJ N;'N J LNQ;%OJ L;O!#OJ O;'O J LOQ;%PJ L;P"#PJ P;'P J  LPQ;7Q'Step-Father's Monthly Net Self-Employment Income:=Q R T U V W X 0R'Net SE Information:R'No. of Years IncludedR ?$  S"Annual:S"Sch. C / F Net Inc.S"Net SE IncomeS "Ave. Net SE Inc.T` @ T&TT"T R T;%UR T;U'#UR U;'U R TUQ;%VR T;V(#VR V;'V R TVQ;%WR T;W)#WR W;'W R TWQ;%XR T;X*#XR X;'X R  TXQ;7Y'Step-Mother's Monthly Net Self-Employment Income:=YZ\]^_`0Z'Net SE Information:Z'No. of Years IncludedZ?, ["Annual:["Sch. C / F Net Inc.["Net SE Income["Ave. Net SE Inc.\` @ \.\\"\Z\;%]Z\;]/#]Z];']Z\]Q;%^Z\;^0#^Z^;'^Z\^Q;%_Z\;_1#_Z_;'_Z\_Q;%`Z\;`2#`Z`;'`Z \`Q;a'Prior Order:9b'Child Support Previously Ordered for Other Childrenbb b b7c'"Other Family" Children (App B, L13) (W1, L2.f.):,d'Number of child(ren) in "other" familydd f'Guideline S Limitation:ff g'Guideline T Limitation:gg i'DEVIATIONS:i'reason 1j'reason 2k'reason 3l'One Child/l'(if deviation increases support, enter asll m'Two Childrenm' positive number)mm n'Three Children/n'(if deviation decreases support, enter asnn o'Four Children1o' negative number; start with minus sign)oo p'Five Childrenpp q'Six Childrenqq s'CHILD CARE CREDIT:=t'Monthly Qual'd Child Care Exp. Paid By CUSTODIAL Parenttt )u'Total Monthly Child Care Tax Credituvwu v w .v'Lesser of payment, earned inc., or limitXv tS tS;Xv  t   S t   S;w'Applicable rate of credit7w3333333?A3 - U7w 3333333? I 3  - UA'WORKSHEETS 1 (Basic), 4 (No. of Children), & 5 (Deviations) @8   2004v1?'= # of Children ^MOTHER ^COMBINED  ^FATHER `123-45-6789 `  987-65-4321'MONTHLY INCOME:? 'Salary  @'Self-employment  @'Other Taxable3 3 @'Fringe Benefits4 4 @'Total Monthly Income(?PT( ?  PT 'DEDUCTIONS: '(child exemptions) 8  8  @ 'Federal      @ 'State    @ 'Taxes          @ 'FICAi  TS T i     TS   T @#'CHILD(REN)'S Health Insurance= = @'RetirementH??@ 2A 2S;H ? ? @   2I  2S;@&'Child Support Previously Orderedb b @('Regular Support for Other Childrenfd0S;f d        0S;@'Total deductions? P ?  P@'MONTHLY NET INCOME     @'PERCENT CONTRIBUTION    'MONTHLY SUPPORT:8   U  ^USE"(rounded) "(unrounded) "(rounded)@#@  U'One Child'@ d U ^FINAL) ?9 @;)   ?@#@  U'Two Children'@ d U ^SUPPORT) ?9 ;)   ?@#@  U'Three Children'@ d U ^AMOUNTS) ?9 ;)   ?@#@  U'Four Children'@ d U ^BELOW) ?9 ;)   ?@#@   U'Five Children'@ d  U^AT LINES) ?9  ;)   ?@#@   U'Six Children'@ d  U ^32-37) ?9  ;)   ?@'Guideline R Limitation-@d }T T- @d  }T  T@'Guildeline S Limitationf f  @ 'Guideline T Limitation g  g "'DEVIATIONS:#@#'Deviation for One Child#l# l $@ $'Deviation for Two Children$m$ m %@"%'Deviation for Three Children%n% n &@!&'Deviation for Four Children&o& o '@!''Deviation for Five Children'p' p (@ ('Deviation for Six Children(q( q 3*'MONTHLY SUPPORT AFTER DEVIATIONS/LIMITATIONS: +'Name +"D/O/B  + "SSN ,@,'One Child+,H ; ,youngest*,@ ;,  #TSS#TS;T#TSS#TS;;*, `` ;, 111-11-1111,        # T SS # T S;T   # T SS # T S;;-@-'Two Children"- ;"- ;-  $TSS$TS;T$TSS$TS;;"-  ;-        $ T SS $ T S;T   $ T SS $ T S;;.@.'Three Children". ;". ;.  %TSS%TS;T%TSS%TS;;".  ;.        % T SS % T S;T   % T SS % T S;;/@/'Four Children"/ ;"/ ;/  &TSS&TS;T&TSS&TS;;"/  ;/        & T SS & T S;T   & T SS & T S;;0@0'Five Children"0 ;"0 ;0  'TSS'TS;T'TSS'TS;;"0  ;0        ' T SS ' T S;T   ' T SS ' T S;;1@1'Six Children"1 ;"1 ;1  (TSS(TS;T(TSS(TS;;"1  ;1        ( T SS ( T S;T   ( T SS ( T S;;3'CHILD CARE EXPENSES:4@'4'Max. Monthly Amt. by NONCUSTODIAL24t t ;24 tt ;5@/5'Monthly Tax Credit (other party earnings)25t u ;25 tu ;7'APPENDIX "B"7x7Jones v. Jones7@( 7Holt7' County Case No.7 8 7 CIxx-x'INCOME TAX CALCULATIONS:8  2004v1 ^MOTHER ^FATHER?'Filing Status9H 9 S@ 'Number of CHILD Exemptions?88 @'Annual Gross Income5A3T5 I 3 T@'Standard Deduction&p @H  ;& @H  ;@'Itemized Deductions:: @'State Taxes Itemized;; @'Exemptions" @ " @  @ 'Federal Taxable Income8 TT8 TT @( 'Annual Fed Income Tax (from table) S    U   U   U    U   U   U; S    U   U   U    U   U   U; @ 'Child Credit$   S$   S @" 'Monthly Federal Income Taxes"   !    @ 'State Taxable Income9 TT9 TT@+'State Tax Before Credits (from table)S    U   U   U    U   U   U;S    U   U   U    U   U   U;@'State Exemption Credit* S* S@'Annual State Income Tax@ 'Monthly State Income Taxes ^MOTHER ^STEP-F'R?'Filing Status"S "S@ 'Number of CHILD Exemptionsd d@'Annual Gross Income5A3T6  Q 3 T@'Standard Deduction& @H  ;& @ H  ;@'Itemized Deductions: : @'State Taxes Itemized; ; @'Exemptions" @ " @  @'Federal Taxable Income8TT8    T T@('Annual Fed Income Tax (from table)S  U  U  U  U  U  U;  S    U   U   U    U   U   U;@'Child Credit$ S$    S@"'Monthly Federal Income Taxes""   @'State Taxable Income9TT9     TT @+ 'State Tax Before Credits (from table) S  U  U  U  U  U  U;   S    U   U   U    U   U   U;!@!'State Exemption Credit*!  S*!     S"@"'Annual State Income Tax" !"   ! #@ #'Monthly State Income Taxes#"# "  %^FATHER% ^STEP-M'R&?&'Filing Status&"S& "S'@ ''Number of CHILD Exemptions'd ' d (@('Annual Gross Income5( I 3 T5( Y3T)@)'Standard Deduction&) @&H  ;&) @& H  ;*@*'Itemized Deductions*: * :+@+'State Taxes Itemized+; + ;,@,'Exemptions", @' ", @'  -@-'Federal Taxable Income8-()*T,T8- ( ) * T, T.@(.'Annual Fed Income Tax (from table).&S--  U-  U-  U--  U-  U-  U;. & S- -   U-   U-   U- -   U-   U-   U;/@/'Child Credit$/.' S$/ . '  S0@"0'Monthly Federal Income Taxes!0./!0 . / 1@1'State Taxable Income91()*+TT91 ( ) * + TT2@+2'State Tax Before Credits (from table)2&S11  U1  U1  U11  U1  U1  U;2 & S1 1   U1   U1   U1 1   U1   U1   U;3@3'State Exemption Credit"3@' "3 @'  4@4'Annual State Income Tax!4 23T!4  2 3 T5@ 5'Monthly State Income Taxes545 4  7"FED: 7"Single: 7"Head H:8? 8p @ 8` @ 9? 9 @ 9@ :? :g@ :J@ ;)\(\? ;O@ ;@ <(\? <ϛ@ <ϛ@ =3333333?  ="excess ="excess >"STATE: >"Single: >"Head H:?,eX? ? @ ? @ @ y):? @Є @ @ @ A,eX? A @ A@ B_L?  B"excess B"excess%'CALCULATION OF LINE 13 (MOTHER) 8   2004v1d'= # of Children ^MOTHER ^COMBINED ^STEP-FATHER'MONTHLY INCOME:? 'Salary  @'Self-employment # @'Other Taxable3 3 @'Fringe Benefits4 4 @'Total Monthly Income(?PT( ?  PT'DEDUCTIONS: @ 'Federal     @ 'State #  #  @ 'Taxes          @ 'FICAi  TS T i     TS   T  @# 'CHILD(REN)'S Health Insurance =  = @'RetirementH??@ 2A 2S;H ? ? @   2Q  2S;@&'Child Support Previously Orderedb b @('Regular Support for Other ChildrenG23456708S  "n/a @'Total deductions? P ?  P@'MONTHLY NET INCOME     @'PERCENT CONTRIBUTION    'MONTHLY SUPPORT:8   U "(rounded) "(unrounded) "(rounded)@#  U'One Child' d U) ?9 ;)   ?@#  U'Two Children' d U) ?9 ;)   ?@#  U'Three Children' d U) ?9 ;)   ?@#  U'Four Children' d U) ?9 ;)   ?@#   U'Five Children' d  U) ?9  ;)   ?@#   U'Six Children' d  U) ?9  ;)   ?@'Guideline R Limitation-d }T T- @d  }T  T0'APPENDIX "B" FAMILY BEFORE OTHER CHILDREN:?'= # of Children ^MOTHER ^COMBINED  ^FATHER'MONTHLY INCOME: ? 'Salary    !@!'Self-employment!!  "@"'Other Taxable"3" 3 #@#'Fringe Benefits#4# 4 $@$'Total Monthly Income($?# PT($ ?#  PT%'DEDUCTIONS:&@ &'Federal& &  '@ ''State'' (@ ('Taxes(&'( & ' )@ )'FICAi)  !TS  !T i)    ! TS   ! T *@#*'CHILD(REN)'S Health Insurance*=* = +@+'RetirementH+??@ 2A 2S;H+ ? ? @   2I  2S;,@&,'Child Support Previously Ordered,b, b -@(-'Regular Support for Other Children -"n/a  - "n/a .@.'Total deductions.?-(P. ?- ( P/@/'MONTHLY NET INCOME/$./ // / $ . 0@0'PERCENT CONTRIBUTION0// 0 / / 1'MONTHLY SUPPORT:81/ /  U 1"(rounded)1 "(unrounded)1 "(rounded)2@#2@/  U2'One Child'2@/ d U)22 0?92 @2221;)2 2 0 ?3@#3@/  U3'Two Children'3@/ d U)33 0?93 3331;)3 3 0 ?4@#4@/  U4'Three Children'4@/ d U)44 0?94 4441;)4 4 0 ?5@#5@/  U5'Four Children'5@/ d U)55 0?95 5551;)5 5 0 ?6@#6@/   U6'Five Children'6@/ d  U)66 0?96  6661;)6 6 0 ?7@#7@/   U7'Six Children'7@/ d  U)77 0?97  7771;)7 7 0 ?8@8'Guideline R Limitation-8@d/ }T/ T-8 @d/  }T/  T:'APPENDIX "B", Page ___:@( :Holt:' County Case No.: 8 : CIxx-x%'CALCULATION OF LINE 13 (FATHER) 8   2004v1d '= # of Children^STEP-MOTHER ^COMBINED  ^FATHER'MONTHLY INCOME:? 'Salary  @'Self-employment+  @'Other Taxable3 3 @'Fringe Benefits4 4 @'Total Monthly Income(?PT( ?  PT'DEDUCTIONS: @ 'Federal 0   0 @ 'State 5   5 @ 'Taxes          @ 'FICAi  TS T i     TS   T  @# 'CHILD(REN)'S Health Insurance =  = @'RetirementH??@ 2Y 2S;H ? ? @   2I  2S;@&'Child Support Previously Orderedb b @('Regular Support for Other Children "n/a G 2 3 4 5 6 7 08 S@'Total deductions? P ?  P@'MONTHLY NET INCOME     @'PERCENT CONTRIBUTION    'MONTHLY SUPPORT:8   U "(rounded) "(unrounded) "(rounded)@#  U'One Child' d U) ?9 ;)   ?@#  U'Two Children' d U) ?9 ;)   ?@#  U'Three Children' d U) ?9 ;)   ?@#  U'Four Children' d U) ?9 ;)   ?@#   U'Five Children' d  U) ?9  ;)   ?@#   U'Six Children' d  U) ?9  ;)   ?@'Guideline R Limitation-@d }T T- d  }T  T0'APPENDIX "B" FAMILY BEFORE OTHER CHILDREN:?'= # of Children ^MOTHER ^COMBINED  ^FATHER'MONTHLY INCOME: ? 'Salary    !@!'Self-employment!!  "@"'Other Taxable"3" 3 #@#'Fringe Benefits#4# 4 $@$'Total Monthly Income($?# PT($ ?#  PT%'DEDUCTIONS:&@ &'Federal& &  '@ ''State'' (@ ('Taxes(&'( & ' )@ )'FICAi)  !TS  !T i)    ! TS   ! T *@#*'CHILD(REN)'S Health Insurance*=* = +@+'RetirementH+??@ 2A 2S;H+ ? ? @   2I  2S;,@&,'Child Support Previously Ordered,b, b -@(-'Regular Support for Other Children -"n/a  - "n/a .@.'Total deductions.?-(P. ?- ( P/@/'MONTHLY NET INCOME/$./ // / $ . 0@0'PERCENT CONTRIBUTION0// 0 / / 1'MONTHLY SUPPORT:81/ /  U 1"(rounded)1 "(unrounded)1 "(rounded)2@#2@/  U2'One Child'2@/ d U)22 0?92 @2221;)2 2 0 ?3@#3@/  U3'Two Children'3@/ d U)33 0?93 3331;)3 3 0 ?4@#4@/  U4'Three Children'4@/ d U)44 0?94 4441;)4 4 0 ?5@#5@/  U5'Four Children'5@/ d U)55 0?95 5551;)5 5 0 ?6@#6@/   U6'Five Children'6@/ d  U)66 0?96  6661;)6 6 0 ?7@#7@/   U7'Six Children'7@/ d  U)77 0?97  7771;)7 7 0 ?8@8'Guideline R Limitation-8@d/ }T/ T-8 @d/  }T/  T:'APPENDIX "B"::MONTHLY INCOME::( :Holt:' County Case No.: 8 : CIxx-x "WORKSHEET 1.'BASIC NET INCOME AND SUPPORT CALCULATION "MOTHER  "FATHER"COMBINED'1.)'Total month income from all sources,'(except payments received for children- 'of prior marriages and all means-tested" 'public assistance benefits)*     '2. 'Deductions** 'a. 'Taxes***     'b. 'FICA    'c.'Health insurance ****= = 'd.'Retirement  'e.'Child support previously 'ordered for other children  'f.'Regular support'for other children  'g.'Total deductions? P ?  P'3.'Monthly net income     '(line 1 minus line 2g)'4.!'Combined monthly net income '5. 'Combined annual net income'6."'Percent contribution of each"'parent (line 3, each parent, 'divided by line 4)*****    "'7.""'Monthly support from table 1G"@#  U ##&#@ U*#@d U0#  U $'8.!$'Each parent's monthly share %'(line 7, times line 6, for&'each parent)&" & "  ('* Court will require copies of last 2 years' tax returns to verify "total income" figures and copies of present wage stubs to verify the pattern of)'present wage earnings, except where a party is claiming an allowance of depreciation as a deduction from income, in which case a *'minimum of 5 years' tax returns shall be required. Income should be annualized and divided by 12 to arrive at monthly amounts.f,'** All claimed deductions should be annualized and divided by 12 to arrive at monthly amounts.u.'*** Deductions for taxes will be based on the annualized income and the number of exemptions provided by law.0'**** The increased cost to the parent for health insurance for the child(ren) of the parent shall be allowed as a deduction from gross income.u1'The parent requesting an adjustment for health insurance premiums must submit proof of the cost of the premium.3'***** In the event of substantial fluctuations of annual earnings of either party during the immediate past 3 years, the income may be averaged4'to determine the percent contribution of each parent as shown in item 6. The calculation of the average income shall be attached to this5'worksheet.7'APPENDIX "B", Page ___ "WORKSHEET 2!' SPLIT CUSTODY CALCULATION'1.'Show combined'Show each'monthly share'parent's share'from line 7,'(apply percent'worksheet 1,'from line 6, ^Custody'divided by total'worksheet 1) 'Child's Name ^(M or F) ^number of children ^Mother  ^Father+ H ; youngest8 ` YMF;M; M; @";2  F  ;2   M   ;#  ;0  YMF;M; M3 ";2  F  ;2   M   ;# ;0 YMF;M;M3";2F ;2 M  ;# ;0  YMF;M;M3";2F ;2 M  ;# ;0` YMF;M;M3";2F ;2 M  ;# ;0 YMF;M;M3 ";2F ;2 M  ;'2.+'Total amount owed to father by mother,'mother's share from above for children'in father's custody)? P'3.+'Total amount owed to mother by father-'(father's share from above for children'in mother's custody) ?  P '4.) 'Support to be paid by mother/father(!'(difference between lines 2 and 3)!!  T!!   T #'Rounded#! ?# !  ? $"(mother$ ^/ $ 'father)&'APPENDIX "B", Page ___"WORKSHEET 3,'CALCULATION FOR JOINT PHYSICAL CUSTODY "Mother  "Father '1.!'Each parent's monthly share '(from line 8, worksheet 1)&&  '2. 'Number of days annually! 'child(ren) is in custody of 'each parent @ @  '3.# 'Percentage of year child(ren)"'is in custody of each parent'(line 2 divided by 365)|Y? OsL? '4.#'Mother's obligation to father'(% line 3, father column,"'times line 1, mother column)'5.#'Father's obligation to mother'(% line 3, mother column,"'times line 1, father column)'6."'Father/mother obligation for!'support (difference between'lines 4 and 5)! T! T 'Rounded ? ? 'APPENDIX "B", Page ___"WORKSHEET 4$'NUMBER OF CHILDREN CALCULATION'Number of^Combined ^Table ^Payor's ^Child'Children^Net Income ^Amount^Percentage ^Support ^Due '1. 'Six#   ;;   #   ; ^X' Y   ; ^=   # @   U' @ d  U '2. 'Five#  ;;  #   ; ^X'  Y   ; ^=   # @   U' @ d  U '3. 'Four#  ;; # ; ^X'  Y   ; ^=   #@  U'@ d U'4. 'Three# ;;# ;^X' Y   ;^=#@ U'@d U'5. 'Two# ;;# ;^X' Y   ;^=#@ U'@d U'6. 'One#  ;;@ # ;^X' Y   ;^=#@ U'@d Ub'The court order should specify the amount due for each possibility and the amount due shouldA'be decreased as the number of supported children decreases.'APPENDIX "B", Page ___ "WORKSHEET 5, 'DEVIATIONS TO CHILD SUPPORT GUIDELINES] 'This worksheet may be completed by the court and filed with the clerk in the event of aP 'deviation or deviations under paragraph C of the child support guidelines.  ^Mother  ^Father '1." 'Net income of the parties as 'computed under worksheet 1    '2. 'Combined monthly income  '3. 'Monthly support for  ? 'child(ren) from table 1G @     U   & @  U* @ d U '4." 'Percent contribution of each  'parent      '5.! 'Each parent's monthly share '(line 3 times line 4)       '6." 'Further deviations (specify)  "a.  Hi  reason 1F lmnopq0F l m n o p q 0  "b.  @Hj  reason 2    "c.  Hk  reason 3    "d.   'Total   P   P '7.! 'Each parent's monthly share '(line 5 above)     '8. '(+/-) Line 6d    ! '9.! 'Adjusted child support" 'obligations"   " " " "   *$ ' Dated: _______________________&' '________________________________ ( 'Judge+ 'APPENDIX "B", Page ___ 'Single Fed 'Single State  ?   ,eX?  p @ ? @    @  y):? (\@   @ ?,  @     Є @ ,eX?, = ףp=@     g@ )\(\?,  @      @ _L?, Q롅 @     O@ (\?, @     #@ ϛ@ 3333333?, @ش@     #@ 'HH Fed 'HH State  ?   ,eX?  ` @ ? @    @  y):? \(\@   @ ?, h @      @ ,eX?, zG@     J@ )\(\?,  @     @ _L?, ףp= ׳ @     @ (\?, @     #@ ϛ@ 3333333?, L@     #@ "Last Year = ` @ "S Standard Deduction =  @ "FICA rate = ʡE? "HH Standard Deduction = p @ "SE Tax Rate =  rh? "Personal Exemption =  @ "Max FICA wages =  @  "Child Credit = @ @ "State Exemp. Credit = @ "Version # =  "2004v1 "Guideline R amount = @" 'Child Care Credit Percentage "Max Ch. Care Exp. (1) =  @  3333333? "Max Ch. Care Exp. (2+) =  @ ` @ {Gz? Є @ (\? p @  ףp= ף?!  @! 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Cassel William B. Cassel  I /* I#aDoc Info AuthorDoc Info CommentsDoc Info Creation DateDoc Info Editing TimeDoc Info Last Revision DateDoc Info Last RevisorDoc Info ObjectDoc Info PropertyDoc Info Revisions CountFM3FM3 PropertyLotus:TOOLS:DataRouted RangeRouted Range PropertyWK3WK3 Property     1 1|  x      ƿۿ/\F CMHdr