___________________________________, Pro Se Plaintiff’s Name ___________________________________ Address ___________________________________ Zip _______________________ Phone IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _________________ _______________________________________ ) ) __________________________________, ) Plaintiff, ) -vs) ) ) __________________________________, ) Defendant. ) _______________________________________) CASE NO. CV-__________________ SHARED, SPLIT, OR MIXED CUSTODY WORKSHEET CHILDREN BIRTH DATE CHILDREN BIRTH DATE 1._____________________ ____________ 2.___________________ ____________ 3._____________________ ____________ 4.___________________ ____________ 5._____________________ ____________ MOTHER FATHER $_________ $_________ ________ COMBINED ________ 1. MONTHLY I.C.S.G. INCOME (from Affidavit Verifying Income) $________ 2. SHARE OF INCOME FOR EACH PARENT (line 1 for each parent divided by Combined Income) 3. BASIC COMBINED CHILD SUPPORT OBLIGATION $________ (apply line 1 Combined to Child Support Schedule) 4. EACH PARENT’S CHILD SUPPORT OBLIGATION (line 2 multiplied by line 3 for each parent) $_________ $_________ $_________ $_________ 5. OBLIGATION ALLOCATION (line 4 divided by the number of children) SHARED, SPLIT, OR MIXED CUSTODY WORKSHEET Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com CHILD 1 Mom/Dad CHILD 2 Mom/Dad CHILD 3 Mom/Dad CHILD 4 Mom/Dad CHILD 5 Mom/Dad For each standard-custody child enter the amount from line 5. For each shared or split-custody child multiply line 5 by 1.5 and enter in the appropriate box. $___$___ $___$___ $___$___ $___$___ $___$___ 7. PROPORTIONAL OBLIGATION Number of overnights with other parent divided by 365. If > .75, enter 1. If < .25, enter 0.* ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ $___$___ $___$___ $___$___ $___$___ 6. ALLOCATION TO CHILD 8. PARENT’S OBLIGATION Line 6 times line 7 for each child $___$___ 9. EACH PARENT’S TOTAL SUPPORT (total from all boxes) Mother $________ 10. RECOMMENDED SUPPORT (subtract the lesser amount from the greater in 9 and enter the difference under parent with greater obligation) $_________ Father $________ $________ _________________ * For example, if child 1 lives with Mom 40% of the time, “.40” goes under “Dad” for child 1. “>” means “greater than or equal to.” “