Page 1 of 7 CHILD SUPPORT COMPUTATION INSTRUCTIONS As of January 1, 2007, Child Support Computation REQUIRES the use of the internet and/or the use of an electronic worksheet downloaded to a computer. The information that you provide on this form will help you complete the required electronic worksheet. YOU MUST COMPLETE THIS FORM FOR ALL CHILD SUPPORT CASES. Go to http://www.georgiacourts.org/csc/ to find your proper electronic worksheet. Parents should use The Guided Electronic Worksheet. Lawyers, Mediators, and other Professionals should use The Practitioner’s Electronic Worksheet. Judges and their staffs should use The Judge’s Electronic Worksheet. Anyone can use The Downloadable Electronic Worksheet. Alternatively, go to https://www.services.georgia.gov/dhr/cspp/do/public/SupportCalc to find your proper electronic worksheet. INSTRUCTIONS: TO FAMILIARIZE YOURSELF WITH THE STATUTORILY REQUIRED CHILD SUPPORT COMPUTATION, PLEASE CAREFULLY READ THIS ENTIRE FORM BEFORE ATTEMPTING TO COMPLETE IT. TYPE OR PRINT NEATLY. WHEN COMPLETING, PLEASE USE: A NUMBER, A PERCENTAGE, A DOLLAR AMOUNT, AN “X”, OR “N/A” (NOT APPLICABLE). SIGN LAST PAGE AS APPROPRIATE. American LegalNet, Inc. www.FormsWorkflow.com Page 2 of 7 IN THE SUPERIOR COURT OF GWINNETT COUNTY STATE OF GEORGIA Plaintiff/Petitioner Civil Action: Number v. Defendant/Respondent CHILD SUPPORT COMPUTATION The above styled case having come before the Court, and the Court enters the following findings and conclusions of law: This form ___ ___ ___ ___ SCHEDULE A: is furnished by both parties who completely agree on the contents as evidenced by both of their signatures hereon; OR is furnished by the Plaintiff only; OR is furnished by the Defendant only; OR is a finding of fact and conclusion of law and fact issued by the trier of fact. GROSS MONTHLY INCOME Mother Father Actual Monthly Earnings Capable of Earning, if applicable Imputed Income, if applicable Other: Other: Other: TOTAL GROSS MONTHLY INCOME PLEASE PRINT AND ATTACH A COPY OF YOUR COMPLETED SCHEDULE A FROM YOUR COMPLETED ELECTRONIC WORKSHEET. MAG 60-42 Child Support Computation.wpd American LegalNet, Inc. www.FormsWorkflow.com Page 3 of 7 SCHEDULE B: ADJUSTED MONTHLY INCOME Mother Father Monthly Self Employment Taxes PAID Pre-Existing Child Support Order Child(ren)’s Name(s): Support Amount Child(ren)’s Name(s): Support Amount TOTAL ADJUSTMENTS TO INCOME PLEASE PRINT AND ATTACH A COPY OF YOUR COMPLETED SCHEDULE B FROM YOUR COMPLETED ELECTRONIC WORKSHEET. SCHEDULE B: COURT’S DISCRETIONARY ADJUSTMENTS TO MONTHLY INCOME Mother Father Are there other children living in your home ? YES or NO YES or NO Are you legally responsible as a Parent for this/these child(ren) ? YES or NO YES or NO Does this child/these children live in your home more than 50% of the time ? YES or NO YES or NO Are you actually supporting this child(ren)? YES or NO YES or NO Is this child/these children subject to a pre-exiting child support order ? YES or NO YES or NO Is this child/Are these children before the Court to set, modify, or enforce child YES or NO YES or NO support ? PLEASE PRINT AND ATTACH A COPY OF YOUR COMPLETED SCHEDULE B FROM YOUR COMPLETED ELECTRONIC WORKSHEET. MAG 60-42 Child Support Computation.wpd American LegalNet, Inc. www.FormsWorkflow.com Page 4 of 7 SCHEDULE C: RESERVED FOR FUTURE USE SCHEDULE D: ADDITIONAL EXPENSES Mother Father Monthly Child Care Expenses Child Child Monthly Health Insurance Premiums Child Child PLEASE PRINT AND ATTACH A COPY OF YOUR COMPLETED SCHEDULE D FROM YOUR COMPLETED ELECTRONIC WORKSHEET. SCHEDULE E: SPECIAL CIRCUMSTANCES Mother Does parent make less than $ 1,850 gross income monthly ? Father YES or NO YES or NO Monthly Dental Insurance Premium Monthly Vision Insurance Premium Monthly Visitation Related Travel Expenses Extraordinary Educational Expenses - Monthly Extraordinary Medical Expenses - Monthly Other Other Other Other PLEASE PRINT AND ATTACH A COPY OF YOUR COMPLETED SCHEDULE E FROM MAG 60-42 Child Support Computation.wpd American LegalNet, Inc. www.FormsWorkflow.com Page 5 of 7 YOUR COMPLETED ELECTRONIC WORKSHEET. PLEASE REVIEW YOUR ELECTRONIC WORKSHEET SCHEDULES A, B, D, & E FOR THEIR ACCURACY AND VERIFY EACH SCHEDULES ATTACHMENT TO THIS FORM. APPLICATION OF CHILD SUPPORT GUIDELINES. The statutory requirements of O.C.G.A. §19-6-15 have been applied in reaching the amount of child support. PLEASE REVIEW THE FIRST TWO PAGES OF YOUR ELECTRONIC WORKSHEET, “CHILD SUPPORT WORKSHEET” AND ATTACH THAT WORKSHEET TO THIS FORM. THE FOLLOWING FIGURES AND CALCULATIONS COME FROM THE “CHILD SUPPORT WORKSHEET”. From LINE 1: the MOTHER’S MONTHLY GROSS INCOME is $ . the FATHER’S MONTHLY GROSS INCOME is $ . From LINE 3: the PRO RATA SHARES OF COMBINED INCOME, Mother’s Percentage is the PRO RATA SHARES OF COMBINED INCOME, Father’s Percentage is From Line 4: the BASIC CHILD SUPPORT OBLIGATION is From Line 5: Mother’s PRO RATA SHARE of Line 4 immediately above (BASIC CHILD SUPPORT OBLIGATION) is . Father’s PRO RATA SHARE of Line 4 immediately above (BASIC CHILD SUPPORT OBLIGATION) is . CHECK ONE OF THE FOLLOWING: _____ No Deviation - It has been determined that none of the Deviations allowed under O.C.G.A. §19-6-15 applies in this case, as shown by the attached Schedule E. The amount of support in Paragraph 4 above is the Presumptive Amount of Child Support shown on the attached Child Support Worksheet. _____ Deviation - It has been determined that one or more of the Deviations allowed under O.C.G.A. §19-6-15 applies in this case, as shown by the attached Schedule E. The Presumptive Amount of Child Support that would have been required under O.C.GA. §19-6-15 if the deviations had not been applied is $ per month, as shown on the attached Child Support Worksheet. The attached Schedule E explains the reasons for the deviation, how the application of the guidelines would be unjust or inappropriate considering the relative ability of each parent to provide support, and how the best interest of the children who are subject to this child support determination is served by deviation from the presumptive amount of child support. MAG 60-42 Child Support Computation.wpd American LegalNet, Inc. www.FormsWorkflow.com Page 6 of 7 FINAL CALCULATION AND AWARD OF CHILD SUPPORT Taking into consideration all of the applicable data from The Child Support Worksheet the final award of child support which shall pay to for support of the child(ren) is _______________________dollars per _____ (a) week, OR _____ (b) month, OR _____ (c) other period: ______________________________________, beginning on the _______ day of ____________________, 20_______, and payable thereafter on a _____ (a) weekly, or _____ (b) bi-weekly, or _____ (c) monthly, or _____ (d) other period:_______________________________, basis until the child becomes 18 years of age, dies, marries, or otherwise becomes emancipated, except that if the child becomes 18 years of age while enrolled in and attending secondary school on a full-time basis, then such support shall continue until the child completes secondary school provided that such support shall not be required after the child attains 20 years of age.(However, child support payments entered pursuant to the Family Violence Act, O.C.G.A. 19-13-1 shall terminate upon expiration, termination or modification of that judgment by any court of competent jurisdiction.) Accident and Sickness Insurance ____ (Check if applicable) ____ (a) father, OR ____ (b) mother, OR ____ (c) both parents, shall provide accident and sickness insurance for the child(ren) for so long as child support continues. UNINSURED MEDICALS _______________________________ shall pay % and _______________________________ shall pay % of all expenses incurred for the children’s health care (including medical, dental, mental health, hospital and vision care) that are not covered by insurance. The party who incurs such out of pocket, uninsured, expenses shall provide documentation thereof to the other party within thirty days of said expenditure together with a short note explaining the details, the reasons, et cetera, of said expenditure. Such documentation shall be submitted by hand delivery or by regular mail to the other party. That party shall reimburse the incurring party (or pay the health care provider directly) for the appropriate percentage of the expense. All such uninsured expenses shall be paid within thirty days of the date said expenses were submitted to that respective party. MAG 60-42 Child Support Computation.wpd American LegalNet, Inc. www.FormsWorkflow.com Page 7 of 7 Sign as appropriate: PLAINTIFF DATE DEFENDANT DATE TRIER OF FACT: _____ (a) JUDGE, OR _____ (b) DATE MAG 60-42 Child Support Computation.wpd American LegalNet, Inc. www.FormsWorkflow.com