SHARED, SPLIT, MIXED CUSTODY CHILD SUPPORT WORKSHEET PAGE 1 CAO GCS 1 - 12 07 / 01 / 20 1 7 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 . State of Idaho, Department of Health and Welfare Case No. SHARED, SPLIT, OR MIXED CUSTODY WORKSHEET BIRTH BIRTH BIRTH CHILDREN DATE CHILDREN DATE CHILDREN DATE 1. 2. 3. 4. 5. YOUR NAME: OTHER PARENT: COMBINED 1. MONTHLY I.C.S.G. INCOME (from Affidavit) $ $ $ 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. (line 2 multiplied by line 3 for each parent) $ $ 5. OBLIGATION ALLOCATION (line 4 divided by the number of children) $ $ American LegalNet, Inc. www.FormsWorkFlow.com SHARED, SPLIT, MIXED CUSTODY CHILD SUPPORT WORKSHEET PAGE 2 CAO GCS 1 - 12 07 / 01 / 20 1 7 6. ALLOCATION TO CHILD 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. CHILD 1 You Other Parent CHILD 2 You Other Parent CHILD 3 You Other Parent CHILD 4 You Other Parent CHILD 5 You Other Parent $ $ $ $ $ $ $ $ $ $ 7. PROPORTIONAL OBLIGATION Number of overnights with other parent Divided by 365. If .75, enter 1. If .25, enter 0. (For example, if child 1 lives with you goes u nder Other Parent 8. Line 6 times line 7 for each child. $ $ $ $ $ $ $ $ $ $ (total from all boxes) YOU $ OTHER PARENT $ 1 0. RECOMMENDED BASE SUPPORT ( subtract the lesser amount from the greater in 9 and enter the difference under parent with greater obligation) $ $ OTHER COSTS TO BE CONSIDERED BY THE COURT: A. Work - related childcare expenses (+/ - ) $ B. Health insurance premiums (+/ - ) $ C. Total TAX BENEFIT for all exemptions divided by 12 Multiply benefit by % for each parent (+/ - to off - set any excess benefit) $ Total AMOUNT T O BE ORDERED $ COMMENTS, CALCULATIONS AND/OR REBUTTALS: . Date: Typed/printed Signature American LegalNet, Inc. www.FormsWorkFlow.com