PETITIONER222S /RESPONDENT222S MANDATORY CHILD SUPPORT DISCLOSURES PAGE 1 CAO FL 5-1 12/01/2018 Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Email Address (if any) IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF , Petitioner, vs. , Respondent. Case No. PETITIONER222S RESPONDENT222S MANDATORY CHILD SUPPORT DISCLOSURES Petitioner Respondent provides the following disclosures required by IRFLP 401.A: (check all that apply) 1. Affidavit Verifying Income and a Child Support Worksheet, see attached Exhibit 1. 2. Proof of my income from all sources, see attached: Exhibit 2a: W-2, 1099 and/or K-1 forms for the past two (2) years, and Exhibit 2b: Proof of year-to-date income from all sources. 3. Proof of court-ordered child support and spousal maintenance that I pay in other cases, see attached Exhibit 3. 4. Proof of all medical, dental, and vision insurance premiums that I pay for any child listed or referenced in the petition, see attached Exhibit 4. 5. Proof of any childcare expense that I pay for any child listed or referenced in the petition; see attached Exhibit 5. 6. Proof of any expenses that I pay for private or special schools or other particular education needs of any child listed or referenced in the petition, see attached Exhibit 6. American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER222S /RESPONDENT222S MANDATORY CHILD SUPPORT DISCLOSURES PAGE 2 CAO FL 5-1 12/01/2018 7. Proof of any expenses that I pay for the special needs of any gifted or handicapped child listed or referenced in the petition, see attached Exhibit 7. CERTIFICATION UNDER PENALTY OF PERJURY I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct. Date: Typed/printed Signature American LegalNet, Inc. www.FormsWorkFlow.com