Full Name of Party Filing this Document Mailing Address (Street or Post Office Box) City, State, and Zip Code Telephone Number IN THE DISTRICT COURT OF THE JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _____________________________________, Plaintiff, vs. _____________________________________, Defendant. Case No.: ___________________ CHILDREN DATE OF BIRTH STANDARD CHILD SUPPORT WORKSHEET FATHER 1. MONTHLY ICSG INCOME (from Affidavit) MOTHER COMBINED $ $ $ % 2. PERCENTAGE SHARE OF INCOME % 100.00% (Each parent’s income on line 1 divided by Combined Income) 3. BASIC CHILD SUPPORT OBLIGATION $ (Apply line 1 Combined to Child Support Schedule) 4. EACH PARENT'S SUPPORT OBLIGATION $ $ $ $ (Multiply line 2 times line 3 for each parent) 5. RECOMMENDED BASE SUPPORT: (Bring down the amount from line 4 for the non-custodial parent) STANDARD CH/ILD SUPPORT WORKSHEET 1 CAO 1-13 Revised 2/25/2005 American LegalNet, Inc. www.USCourtForms.com FATHER MOTHER $ $ a. Work-related childcare expenses (+/-) $ $ $ b. Health insurance premiums and uninsured health care expenses paid by ( ) Mom ( ) Dad (+/-) $ $ $ c. Total tax benefit for all exemptions divided by 12 Multiply benefit by line 2 % for each parent +/- (to off-set any excess benefit) $ $ $ $ 7. Total AMOUNT TO BE ORDERED: $ $ PREPARED ON THIS , 20 6. Other costs to be considered by the Court: DAY OF BY: _________________________________ Signature STANDARD CH/ILD SUPPORT WORKSHEET COMBINED $ . _______________________________ Typed/printed Name 2 CAO 1-13 Revised 2/25/2005 American LegalNet, Inc. www.USCourtForms.com