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Worksheet A And B Child Support Guidelines Form. This is a Colorado form and can be use in Domestic Relations Statewide.
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COLORADO CHILD SUPPORT GUIDELINE
Revised January 2008
1. PREFACE
The Child Support Guideline for Colorado was developed by the Colorado Child Support Commission and
enacted by the Colorado General Assembly. As specified in the statute, the Guideline has three objectives:
1. To establish as state policy an adequate standard of support for children, subject to the ability of
parents to pay;
2. To make awards more equitable by ensuring more consistent treatment of persons in similar
circumstances; and
3. To improve the efficiency of the court process by promoting settlements and giving courts and the
parties guidance in setting the levels of awards.
The Guideline can be found in §14-10-115, C.R.S, and is consistent with other provisions of that section which
place a duty for child support upon either or both parents based on their respective financial resources, the
financial resources of the child, the needs of the custodial parent, the physical and emotional condition of the
child, and the standard of living the child would have enjoyed had the marriage not been dissolved.
The Colorado Child Support Guideline is based on an Income Shares Model. This model provides an objective
basis for determining the average costs of children in households across a wide range of incomes. Because
household spending on behalf of children is intertwined with spending on behalf of adults for most expenditure
categories, it is difficult to determine the proportion allocated to children in individual cases, even with
exhaustive financial affidavits. However, a number of authoritative economic studies provide estimates of the
average amount of household expenditures on children in intact households. These studies have found that the
proportion of household spending devoted to children is systematically related to the level of household income
and to the number and ages of children.
Based on this economic evidence, the Colorado Child Support Guideline calculates child support based on each
parent’s share of the amount estimated to have been spent on the child if the parents and child were living in an
intact household.1 If one parent has physical care for 273 or more overnights per year, the amount calculated for
that parent is presumed to be spent directly on the child. For the other parent, the calculated amount establishes
the level of child support. For cases with split or third party physical care, or extensive sharing of physical care,
each parent’s calculated share of child support is adjusted by the time spent with the child(ren).
II. USE OF THE GUIDELINE
The Colorado Child Support Guideline applies as a rebuttable presumption to all child support orders in
Colorado, except as discussed below. The Guideline must be used for temporary and permanent orders, and for
separations, dissolutions, and support decrees arising despite non-marriage of the parties. The Guideline must
be used by the Court as the basis for reviewing the adequacy of child support levels in non-contested cases as
well as contested hearings. The Court may exercise broad discretion in deviating from the Guideline in cases
where application would be inequitable to one of the parties or to the child. In cases where the award deviates
from the Guideline, however, the Court must provide written or oral findings of fact to substantiate the deviation.
When either the obligor’s monthly adjusted gross income, or the parents’s combined monthly adjusted gross
income, is less than $850.00, the Guideline provides for a minimum order of $50.00. If the parent with the lesser
number of overnights per year earns $850.00 or more, but less than $1,850.00 per month, he or she is eligible
1
For a detailed explanation of the Income Shares Model and the underlying economic evidence used as the basis for the Colorado Child Support Guideline, see Robert G.
Williams, Development of Guidelines for Child Support Orders (National Center for State Courts: Denver, September 1987)
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for a low income adjustment. The parent pays a basic minimum amount, depending on the number of children,
and pays an additional 40% of every dollar between $900.00 and $1,850.00 of monthly income. If the low
income adjustment results in a child support award that exceeds the amount in the schedule, the schedule
amount should be entered.
The Guideline provides calculated amounts of child support to a combined adjusted gross income level of
$20,000.00 per month ($240,000.00 per year). For cases that exceed this level, the court may decide on a caseby-case basis but may not order less than the amount on the schedule for $20,000.00.
III. DETERMINATION OF CHILD SUPPORT AMOUNT
To calculate child support for children who are under 19 or still in high school, or disabled, use: Worksheet A
when physical care is for 273 or more overnights per year; Worksheet B if shared physical care [see (4)(J)
below].
(A) Income
1. Definition.
For purposes of this Guideline, “income” is defined as actual gross income of the
parent, if employed to full capacity or potential income if unemployed or underemployed. Gross income
of each parent should be determined as specified below and entered on Line 1 of the appropriate
worksheet.
2. Gross income. Gross income includes income from any source and includes, but is not limited to,
income from salaries; wages, including tips declared by the individual for purposes of reporting to the
federal internal revenue service or tips imputed to bring the employee’s gross earnings to the minimum
wage for the number of hours worked, whichever is greater; commissions; payments received as an
independent contractor for labor or services; bonuses; dividends; severance pay; pensions and
retirement benefits; royalties; rents; interest; trust income; annuities; capital gains; and moneys drawn
by a self-employed individual for personal use; social security benefits, including social security
benefits actually received by a parent as a result of the disability of that parent or as the result of the
death of the minor child’s stepparent; workers’ compensation benefits; unemployment insurance
benefits; disability insurance benefits; funds held in or payable from any health, accident, disability, or
casualty insurance to the extent that such insurance replaces wages or provides income in lieu of
wages; monetary gifts; monetary prizes, excluding lottery winnings not required by the rules of the
Colorado Lottery Commission to be paid only at the lottery office; taxable distributions from general
partnerships, limited partnerships, closely held corporations, or limited liablity companies; alimony or
maintenance received; and overtime pay only if the overtime is required by the employer as a condition
of the employment.
For income from self-employment, rents, royalties, proprietorship of a business, or joint ownership of a
partnership or closely held corporation, gross income is defined as gross receipts minus ordinary and
necessary expenses required to produce such income. “Ordinary and necessary expenses” does not include
amounts allowable by the Internal Revenue Service for the accelerated component of depreciation expenses
or investment tax credits or any other business expenses determined by the court to be inappropriate for
determining gross income for purposes of calculating child support. In general, income and expenses from
self-employment or operation of a business should be carefully reviewed to determine an appropriate level of
gross income available to the parent to satisfy a child support obligation. In most cases, this amount will differ
from a determination of business income for tax purposes. Expense reimbursements or in-kind payments
received by a parent in the course of employment, self employment, or operation of a business shall be
counted as income if they are significant and reduce personal living expenses.
Gross income does not include benefits received from means-tested public assistance programs, including but
not limited to assistance provided under the Colorado Works Program, Supplemental Security Income (SSI),
Food Stamps, and General Assistance. Gross income does not include child support payments received;
social security benefits received by a minor child or on behalf of a minor child as a result of the death or
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disability of a stepparent of the child; income from additional jobs that result in the employment of the obligor
more than forty hours per week or more than what would otherwise be considered to be full-time employment.
3. Potential income.
If a parent is voluntarily unemployed or underemployed, child support shall be
calculated based on a determination of potential income, except that a determination of potential
income should not be made for a parent who is physically or mentally incapacitated or is caring for a
child under the age of 30 months for whom the parents owe a joint legal responsibility.
Determination of potential income shall be made by determining employment potential and probable earnings
level based on recent work history, occupational qualifications, and prevailing job opportunities and earnings
levels in the community. If there is no recent work history and no higher education or vocational training, it is
suggested that income be set at least at the minimum wage level. Income shall not be imputed if actual income
is less due to a good faith career choice or if under-employment is temporary and is reasonably intended to
result in higher income within the foreseeable future.
4. Income verification. Income statements of the parents should be verified with documentation of both
current and past income. Suitable documentation of current earnings (at least three full months)
includes pay stubs, employer statements, or receipts and expenses if self-employed. Documentation of
current income must be supplemented with copies of the most recent tax return to provide verification
of earnings over a longer period.
(B) Alimony, Maintenance, Pre-existing Child Support Obligations, Responsibility for Other
Children, and Contributions to Post-secondary Education
The amount of alimony or maintenance actually received (Line 1a), should be added and any amount actually
paid (Line lb), should be deducted from gross income.
The amount(s) of any pre-existing court order(s) for child support (Line lc) should be deducted from gross
income to the extent payment is actually made under such order(s).
The amount of legal responsibility a parent has for children not involved in this action, but living in his/her home,
should be deducted from gross income on Line ld. For children not living at home, documented proof of money
payments for support of those children is required. The adjustment applies to a party’s natural or adopted
children, but not to stepchildren, unless a prior court order has established a party’s legal responsibility for them.
Use of the adjustment is appropriate at the time of the establishment of a child support order or in a proceeding
to modify an existing order. However, it may not be used to the extent the adjustment contributes to the
calculation of a support order lower than the previously existing order for the children who are the subject of the
modification proceeding. The amount entered on Line ld should be 75% of the amount listed in the schedule of
basic support obligations which would represent 75% of a support obligation based only on the responsible
parent’s gross income, without any other adjustments, for the number of children for whom the parent is also
responsible, pursuant to §14-10-115(6(b)(I) C.R.S.
If modifying an existing child support order, the amount of each parent’s court-ordered contribution for postsecondary education for a child should be subtracted from each parent’s gross income on Line 1e.
(C) Basic Child Support Obligation (Amount from Schedule)
The basic child support obligation is determined using the Schedule of Basic Child Support Obligations. For
combined monthly adjusted gross income amounts falling between amounts shown in the schedule, basic child
support amounts should be extrapolated. The number of children refers to children for whom the parents share
joint legal responsibility and for whom support is being sought.
(D) Child Care Costs
Child care costs incurred due to employment or job search of either parent (minus federal tax credit if allowed by
the IRS) are entered on Line 6a of Worksheet A and Line 10a of Worksheet B. Child care costs incurred on
behalf of the children due to the education of either parent are entered on Line 6b of Worksheet A and Line 10b
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of Worksheet B. Such costs should not exceed the level required to provide quality care from a licensed source
for the children.
The credit against income tax for child care due to employment or job search is provided under Sec. 44A of the
Internal Revenue Code. The value of this tax credit, if allowed by the IRS, should be subtracted from actual
costs for child care due to employment or job search (refer to IRS Form 2441). The credit is only available to the
parent that has the most overnights scheduled with the child(ren). In situations where the parent with fewer
scheduled overnights pays work related child care, put the actual amount spent in this category on the form. The
credit allows 35 percent of work-related expenses if the taxpayer has $15,000.00 or less in annual adjusted
gross income up to a maximum of $1,050.00 (up to $250.00/mo. in day care expenses) for one child and
$2,100.00 (up to $500.00/mo. in day care expenses) for two or more children. As the taxpayer’s adjusted gross
income increases, the tax credit decreases. For each $2,000.00 (or fraction thereof) increase above the
$15,000.00, the percentage decreases by one percent. The following table illustrates this concept:
Adjusted
Gross Income
Appropriate
Percentage
$0-$15,000
$15,001-$17,000
$17,001-$19,000
$19,001-$21,000
$21,001-$23,000
$23,001-$25,000
$25,001-$27,000
$27,001-$29,000
$29,001-$31,000
$31,001-$33,000
$33,001-$35,000
$35,001-$37,000
$37,001-$39,000
$39,001-$41,000
$41,001-$43,000
$43,001 +
35%
34%
33%
32%
31%
30%
29%
28%
27%
26%
25%
24%
23%
22%
21%
20%
Maximum Credit
One Child
Maximum Credit
Two or More
Children
$1,050
$1,020
$990
$960
$930
$900
$870
$840
$810
$780
$750
$720
$690
$660
$630
$600
$2,100
$2,040
$1,980
$1,920
$1,860
$1,800
$1,740
$1,680
$1,620
$1,560
$1,500
$1,440
$1,380
$1,320
$1,260
$1,200
Let’s see how this credit works in an actual scenario:
There are 2 eligible children (12 or younger & expenses incurred for the child – see IRS form 2441)
$24,000.00 is the annual adjusted gross income.
The parent with the most parenting time spends $360.00/mo. on work related child care.
The $24,000.00 annual income is in the 30% tax bracket for this credit. So, take the $360.00/mo. and multiply
that by 30%. Then subtract the result from the amount spent on work related child care:
$360.00 X .30 (30%) = $108.00
(The max. amount eligible for the tax credit for 2 children is
$500.00/mo. Therefore, we can take the full credit of $108.00/mo.)
$360.00 - $108.00 = $252.00
(This is the net child care cost.)
Enter $252.00 in the appropriate parent’s column for work related child care.
Now, let’s take an example that exceeds the maximum allowable credit:
1 eligible child
$50,000.00 annual income
The parent with the most parenting time spends $500.00/mo on work related child care.
The $50,000.00 annual income is in the 20% tax bracket for this credit. In this case, the $500.00/mo. is more
than what is authorized for the credit ($250.00/mo. for one child). Therefore, take the $250.00 times 20% to
arrive at the credit. Then, subtract the result from the work related child care expense of $500.00:
$250.00 X .20 (20%) = $50.00
$500.00 - $50.00 = $450.00
(This is the net child care cost.)
Enter $450.00 in the appropriate parent’s column for work related child care.
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(E) Health Insurance
Amounts paid by parties or by a parties’ spouse for health insurance premiums which cover the child(ren)
subject to the order are apportioned between the parties. The amount included in the child support calculation is
the amount of the health insurance premium actually attributable to the child(ren) subject to the order. If this
amount is not available or cannot be verified, the total cost of the premium is divided by the total number of
persons covered by the policy and then multiplied by the number of children covered by the policy who are
subject to the order. This result is entered on Line 6c on Worksheet A or Line 10c on Worksheet B. A space to
assist in this calculation is provided on page 2 of each worksheet.
Health insurance includes medical, or medical and dental insurance carried by either parent or by the parties’
spouse. The parent requesting an adjustment for health insurance premium costs must submit proof that the
child(ren) is enrolled in an insurance plan and proof of the cost of the premium.
(F) Extraordinary Medical Expenses
Any extraordinary medical expenses are entered on the worksheet (Line 6d on Worksheet A, Line 10d on
Worksheet B) and added to the basic child support obligation. Extraordinary medical expenses, including
copayments and deductible amounts, are uninsured expenses in excess of $250.00 per child per year.
Extraordinary medical expenses include, but are not limited to, such costs as are reasonably necessary for
orthodontia, dental treatment, asthma treatments, physical therapy, vision care and any uninsured chronic
health problem. At the discretion of the Court, professional counseling or psychiatric therapy for diagnosed
mental disorders may also be considered as an extraordinary medical expense.
(G) Extraordinary Expenses
Other extraordinary expenses are entered on the worksheet (Line 6e on Worksheet A, Line 10e on Worksheet
B) and added to the basic child support obligation. Other extraordinary expenses include:
1. Any expenses for attending any special or private elementary or secondary schools to meet the
particular educational needs of the child;
2. Any expenses for transportation of the child, or the child and an accompanying parent if the child is
less than 12 years old, between the homes of the parents.
(H) Extraordinary Factors actually diminishing the basic needs of the child.
Any additional factors that actually diminish the basic needs of the child may be considered for deductions from
the basic child support obligation. The amount of any such factor is entered on the worksheet (Line 6f on
Worksheet A, Line 10f on Worksheet B) and subtracted from the basic child support obligation.
(I) Computation of Child Support—Sole Physical Care for 273 or more overnights per year (use
Worksheet A)
To determine child support using Worksheet A, calculate monthly adjusted gross income on Line 2 and each
parent’s percentage share of the total adjusted gross income on Line 3. Select the amount of child support from
the Child Support Schedule based on the combined income on Line 2 and multiply that amount times each
parent’s percentage share in Line 3 to determine each parent’s share of the basic obligation. If the monthly
adjusted gross income of the parent with fewer overnights is less than $1850, use the worksheet on page 2 to
determine any low-income adjustment.
The total adjustments allowed for each parent are calculated by: i) adding the amount of expenses paid directly
by each parent, as discussed in (D) through (G) above (Lines 10a through 10e); ii) subtracting any
extraordinary adjustments discussed in (I) above (Line 10f); and iii) adding each parent’s column. Calculate
each parent’s fair share of the adjustments by multiplying the amount in Line 7’s Combined column by Line 3 for
each parent.
Add each parent’s basic obligation (Line 4b, or Line 5 for the parent receiving any low-income adjustment) and
each parent’s share of adjustments (Line 8) to determine each parent’s share of the total obligation.
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On Line 10, bring down the amount from Line 7 of the parent with the least parenting time only. This is that
parent’s share of the adjustments. On Line 11, subtract Line 10 from Line 9. This is the amount payable as a
child support order. Although a monetary obligation is computed for each parent as child support, the receiving
parent’s share is not entered on Line 11 because it is not payable to the other parent as child support. Instead,
the receiving parent’s share is presumed to be spent directly on the child.
(J) Computation of Child Support—Shared Physical Care (use Worksheet B)
Where each parent exercises extensive physical care, (that is, spends at least 93 overnights per year) the
Guideline provides that a child support obligation be computed for each parent by multiplying that parent’s child
support obligation by the percentage of time the child spends with the other parent. The respective child support
obligations are then offset, with the parent owing more child support paying the difference between the two
amounts.
Child support for cases with shared physical care is calculated using Worksheet B. An adjustment for shared
physical care is made only when each parent has the child for more than ninety-two overnights per year. The
proportion of time with each parent is computed on Lines 7 and 8. On Line 7 is entered the number of overnights
spent with each parent. These must total 365. If the child spends part of the time in the physical care of another
person (e.g. a grandparent), that time should be credited to the parent responsible for the child during that time.
If neither parent or both parents have responsibility, the time should be divided between the parents. On Line 8,
the percentage of time with each parent is calculated by dividing the number of overnights with each parent by
365.
On Line 4, the basic child support obligation from the child support schedule is entered. This amount is then
multiplied by 1.5 to calculate the shared care basic obligation. This amount is entered on Line 5. Each parent’s
share of the shared care support obligation based on the parent’s percentage share of total income is calculated
on Line 6 by multiplying the income share of each parent from Line 3 times the shared care support obligation
from Line 5. The next step is to calculate the support obligation of each parent for the time the child(ren) spends
with the other parent. This is done on Line 9 by multiplying the amount from Line 6 by the percentage found in
Line 7 for the OTHER parent.
Adjustments to the shared care support obligation are entered on Line 10. The costs, directly paid by each
parent or by a parent’s spouse, for work-related net child care costs are entered on Line 10a, education-related
child care on Line 10b, health insurance premiums on Line 10c, extraordinary medical expenses on Line 10d,
extraordinary expenses on Line 10e, and extraordinary adjustments on Line 10f. The amounts from Lines 10a
through 10e are added while the amount from Line 10f is subtracted, and the total is entered on Line 11. The
amounts entered on Line 11 for each parent are multiplied by each parent’s income share from Line 3 and
entered on Line 12 as each parent’s fair share of the directly paid expenses. Subtracting the amount on Line 12
from Line 11 results in the amount each parent has paid in excess of their share of these expenses. This result
is entered on Line 13, except that if the result is a negative number, zero is entered. By subtracting this excess
amount from each parent’s support obligation on Line 9, each parent’s adjusted support obligation is entered on
Line 14. Line 14 can be a negative number if a parent’s excess direct payments of extraordinary expenses is
greater than that parent’s proportionate share of basic support.
The child support order is listed on Line 15 by subtracting the lesser amount in Line 14 from the greater amount
and entering the result in the column of the parent with the greater amount.
Note that this shared physical care adjustment is an annual adjustment only and should not be used when the
proportion of overnights exceeds twenty-five percent for a shorter period, e.g., a month. For example, child
support is not reduced during a month long summer visitation.
If either of the parents is directly paying a disproportionate amount of the Basic Support Obligation (clothing,
housing, food, ordinary medical expenses, for example) the Recommended Child Support Order amount may be
deviated from in accordance with Section 14-10-115(8)(e), C.R.S.
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(K) Computation of Child Support—Split Physical Care
Split care refers to a situation in which there is more than one child and each parent has physical care of at least
one of the children or they share care of some, but not all, children. In a split care situation, the support is
calculated by using two Worksheets A, or a combination of Worksheets A and B, to determine the support each
parent owes the other. The resulting obligations are then offset, with one parent owing the other the difference
as a child support order.
Begin by working a Worksheet A calculation for one parent. List the child(ren) for whom the other parent has
sole physical care. Enter each parent’s income and the appropriate deductions to determine a combined
adjusted gross income figure. On Line 4, enter the amount from the support schedule for the combined income
level for the number of children living with the other parent only. Other expenses should be entered only to the
extent that they are related to that child(ren). For example, consider a parent who covers all three children on
his health insurance plan, the children’s portion of which is $150.00 per month. If that parent has sole physical
care of one child, $100.00 is entered on Line 6c on the worksheet for his obligation, while $50.00 is entered on
the same line when calculating the other parent’s obligation on a separate Worksheet A.
Worksheet A is then completed for that parent. Next, calculate a Worksheet A amount for the other parent
based on the number of children living with the first parent or do a Worksheet B for any children whose physical
care is shared. Then subtract the lesser of the two total amounts from the greater, and use the difference
between these two obligations as the child support order for the parent with the larger of the two obligations.
(L) Post-Secondary Educational Expenses
For child support orders established on or after July 1, 1997, post-secondary education expenses can be
ordered by the court only upon written agreement by the parents and approval by the Court. These approved
expenses should be included on the Support Order on the line for monthly current support.
However, child support orders entered between July 1, 1991 and July 1, 1997 that provide for post-secondary
education expenses may be modified pursuant to §14-10-115(15)(c), C.R.S.
IV. MODIFICATION
The provisions of a child support order may be modified only if there is a substantial and continuing change of
circumstances. If application of the Guideline would result in a new order that is less than ten percent different,
then the circumstances are considered not to be a substantial and continuing change.
____________________
This form is a synopsis only of the Guideline. For additional information, please refer to the entire text of the
Guideline found in §14-10-115, C.R.S., as amended, or consult legal counsel.
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SCHEDULE OF BASIC CHILD SUPPORT OBLIGATIONS
NUMBER OF CHILDREN
Monthly
Gross
Income
($850$10,400)
Incomes of
less than
$850
850
900
950
1000
1050
1100
1150
1200
1250
1300
1350
1400
1450
1500
1550
1600
1650
1700
1750
1800
1850
1900
1950
2000
2050
2100
2150
2200
2250
2300
2350
2400
2450
2500
2550
2600
2650
2700
2750
2800
2850
2900
2950
3000
3050
3100
3150
3200
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2
3
4
5
NUMBER OF CHILDREN
Monthly
Gross
More
Income
than 5
($10,450$20,000)
1
2
3
4
5
More than 5
1215
1219
1223
1227
1231
1235
1239
1243
1247
1251
1255
1259
1263
1267
1271
1275
1279
1283
1287
1291
1295
1299
1303
1307
1311
1315
1319
1322
1326
1330
1334
1338
1342
1346
1349
1353
1357
1360
1364
1367
1371
1375
1378
1382
1386
1389
1393
1397
1749
1755
1761
1767
1773
1778
1784
1790
1796
1802
1808
1813
1819
1825
1831
1837
1842
1848
1854
1860
1866
1871
1877
1883
1889
1895
1900
1906
1912
1918
1923
1929
1935
1940
1945
1951
1956
1961
1967
1972
1977
1983
1988
1993
1998
2004
2009
2014
2050
2056
2063
2070
2077
2084
2091
2098
2104
2111
2118
2125
2132
2139
2146
2152
2159
2166
2173
2180
2187
2194
2201
2208
2215
2222
2229
2235
2242
2249
2256
2263
2270
2276
2283
2289
2295
2302
2308
2315
2321
2327
2334
2340
2347
2353
2359
2366
2265
2272
2280
2288
2295
2303
2310
2318
2325
2333
2341
2348
2356
2363
2371
2378
2386
2394
2401
2409
2417
2424
2432
2440
2447
2455
2463
2470
2478
2486
2493
2501
2508
2515
2522
2529
2536
2543
2551
2558
2565
2572
2579
2586
2593
2600
2607
2614
2455
2463
2471
2480
2488
2496
2504
2513
2521
2529
2537
2545
2554
2562
2570
2578
2586
2595
2603
2611
2619
2628
2636
2644
2653
2661
2669
2678
2686
2694
2703
2711
2719
2726
2734
2742
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2757
2765
2772
2780
2788
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2803
2811
2818
2826
2834
2627
2636
2644
2653
2662
2671
2680
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2715
2724
2732
2741
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2759
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2803
2812
2821
2830
2838
2847
2856
2865
2874
2883
2892
2901
2909
2917
2925
2934
2942
2950
2958
2966
2975
2983
2991
2999
3007
3016
3024
3032
A payment of $50.00 a month is
required
184
193
202
211
220
228
237
246
255
264
273
281
290
298
307
315
324
333
341
350
358
367
375
383
391
399
407
415
423
431
439
447
455
462
470
479
487
495
503
511
519
527
533
540
547
554
560
567
R1/08
269
282
294
307
320
333
346
359
372
385
397
410
422
435
447
460
472
485
497
510
522
535
547
558
570
581
592
604
615
626
638
649
660
672
683
694
706
718
729
741
752
763
772
782
792
801
811
821
319
334
349
364
379
395
410
425
440
456
471
486
500
515
530
545
559
574
589
604
619
633
648
661
674
687
700
714
727
740
753
766
779
793
806
819
833
846
859
873
886
898
910
921
932
943
954
965
352
369
386
402
419
436
453
470
487
504
520
537
553
569
586
602
618
634
651
667
683
700
716
730
745
759
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789
803
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832
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861
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964
979
993
1005
1017
1030
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1054
1067
382
400
418
436
455
473
491
509
528
546
564
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617
635
652
670
688
705
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807
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886
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1103
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409
428
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467
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506
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812
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847
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1033
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10550
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10650
10700
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11350
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11450
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11550
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11650
11700
11750
11800
11850
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11950
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12050
12100
12150
12200
12250
12300
12350
12400
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12500
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12650
12700
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12800
INSTRUCTIONS FOR COMPLETING WORKSHEETS A AND B MANUALLY
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5100
5150
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5300
5350
5400
5450
5500
5550
5600
5650
5700
5750
5800
5850
5900
5950
6000
6050
JDF 1822
574
581
589
596
603
610
617
624
631
638
645
652
660
667
673
677
682
686
691
695
700
704
708
713
717
722
726
731
735
739
742
745
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751
755
758
761
764
768
771
774
777
781
784
787
790
792
795
798
801
804
807
809
812
815
818
820
R1/08
831
841
851
862
872
882
892
903
913
923
934
944
954
964
973
980
987
993
1000
1006
1013
1020
1026
1033
1039
1046
1053
1059
1066
1071
1075
1079
1083
1088
1092
1096
1100
1105
1109
1113
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1122
1126
1130
1135
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1160
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977
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1014
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1038
1050
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1122
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1080
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1214
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13000
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13100
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13450
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1566
1570
1574
1578
1582
1586
1590
1594
1598
1602
1606
1610
1613
1615
1618
1621
2020
2026
2032
2038
2044
2050
2056
2062
2068
2074
2080
2086
2092
2098
2104
2110
2116
2122
2128
2134
2140
2146
2152
2158
2164
2170
2176
2181
2187
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2199
2205
2211
2217
2223
2229
2235
2241
2247
2253
2259
2265
2271
2277
2283
2289
2295
2301
2307
2313
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2342
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2380
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2394
2402
2409
2416
2423
2430
2437
2445
2452
2459
2466
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2481
2488
2495
2502
2509
2517
2524
2531
2538
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2560
2567
2574
2581
2589
2596
2603
2610
2617
2624
2632
2639
2646
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2660
2668
2675
2682
2689
2696
2704
2711
2718
2725
2732
2740
2746
2750
2755
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INSTRUCTIONS FOR COMPLETING WORKSHEETS A AND B MANUALLY
2622
2630
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2646
2654
2662
2670
2678
2685
2693
2701
2709
2717
2725
2733
2741
2749
2757
2765
2773
2781
2789
2797
2805
2813
2821
2829
2836
2844
2852
2860
2868
2876
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2900
2908
2916
2924
2932
2940
2948
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2972
2980
2987
2995
3003
3011
3019
3027
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2868
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2902
2911
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2963
2971
2980
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2997
3006
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3023
3032
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3058
3066
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3101
3109
3118
3126
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3213
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Page 9 of 11
American LegalNet, Inc.
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6100
6150
6200
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7300
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7800
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840
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858
863
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877
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887
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912
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937
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1002
1006
1011
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1020
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1043
1048
1053
1057
1062
1066
1070
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R1/08
1188
1193
1199
1206
1212
1219
1225
1232
1238
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1251
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1800
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1755
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1772
1780
1789
1797
1805
1814
1822
1830
1839
1847
1856
1864
1872
1881
1889
1898
1906
1914
1923
1931
1939
1948
1956
1965
1973
1981
1989
1670
1677
1686
1695
1704
1713
1722
1731
1740
1749
1758
1767
1775
1785
1795
1805
1815
1825
1835
1845
1855
1865
1875
1884
1893
1902
1912
1921
1930
1939
1948
1957
1966
1975
1984
1993
2002
2011
2021
2030
2039
2048
2057
2066
2075
2084
2093
2102
2111
2121
2130
2139
2148
2157
1787
1794
1804
1813
1823
1833
1842
1852
1861
1871
1881
1890
1900
1910
1921
1932
1942
1953
1963
1974
1985
1995
2006
2016
2026
2036
2045
2055
2065
2075
2084
2094
2104
2113
2123
2133
2143
2152
2162
2172
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2240
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2259
2269
2279
2288
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15750
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15850
15900
15950
16000
16050
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16550
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16850
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16950
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17550
17600
17650
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17750
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17850
17900
17950
18000
18050
18100
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18300
18350
1624
1626
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1654
1656
1659
1662
1665
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1681
1684
1686
1689
1692
1695
1697
1700
1703
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1708
1711
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1738
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1746
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1763
1766
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2350
2353
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2891
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2932
2937
2941
2946
2950
2955
2959
2964
2968
2973
2978
2982
2987
2991
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3005
3009
INSTRUCTIONS FOR COMPLETING WORKSHEETS A AND B MANUALLY
3059
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3094
3099
3104
3109
3114
3119
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3607
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3641
3647
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3659
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3671
3676
3682
3688
3694
3700
3706
3711
3717
3723
3729
3735
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3746
3752
3758
3764
3770
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Page 10 of 11
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10000
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10350
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1079
1083
1088
1092
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1101
1105
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1127
1131
1136
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1149
1153
1157
1162
1166
1170
1175
1179
1183
1187
1191
1195
1199
1203
1207
1211
JDF 1822
R1/08
1546
1552
1558
1565
1571
1577
1583
1590
1596
1602
1609
1615
1621
1628
1634
1640
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1653
1659
1666
1672
1678
1685
1691
1697
1703
1709
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1720
1726
1732
1738
1744
1808
1815
1823
1830
1838
1845
1853
1860
1868
1875
1883
1890
1898
1905
1913
1920
1928
1935
1943
1950
1958
1965
1973
1981
1988
1995
2002
2008
2015
2022
2029
2036
2043
1998
2006
2014
2023
2031
2039
2048
2056
2064
2072
2081
2089
2097
2106
2114
2122
2130
2139
2147
2155
2164
2172
2180
2188
2197
2204
2212
2219
2227
2234
2242
2250
2257
2166
2175
2184
2193
2202
2211
2220
2228
2237
2246
2255
2264
2273
2282
2291
2300
2309
2318
2327
2336
2345
2354
2363
2372
2381
2389
2398
2406
2414
2422
2430
2439
2447
2317
2327
2336
2346
2356
2365
2375
2384
2394
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2413
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2433
2442
2452
2461
2471
2481
2490
2500
2510
2519
2529
2538
2548
2557
2565
2574
2583
2592
2601
2609
2618
18400
18450
18500
18550
18600
18650
18700
18750
18800
18850
18900
18950
19000
19050
19100
19150
19200
19250
19300
19350
19400
19450
19500
19550
19600
19650
19700
19750
19800
19850
19900
19950
20000
1771
1774
1776
1779
1782
1785
1787
1790
1793
1796
1798
1801
1804
1807
1809
1812
1815
1817
1820
1823
1826
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1831
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1837
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1847
1850
1853
1856
1858
2560
2564
2568
2572
2576
2580
2584
2588
2592
2595
2599
2603
2607
2611
2615
2619
2623
2627
2631
2634
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2642
2646
2650
2654
2658
2662
2666
2670
2674
2677
2681
2685
3014
3018
3023
3027
3032
3037
3041
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3055
3059
3064
3068
3073
3077
3082
3087
3091
3096
3100
3105
3109
3114
3118
3123
3127
3132
3137
3141
3146
3150
3155
3159
INSTRUCTIONS FOR COMPLETING WORKSHEETS A AND B MANUALLY
3330
3335
3340
3345
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3365
3370
3376
3381
3386
3391
3396
3401
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3921
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3997
4003
4008
4014
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