Nebraska Child Support Guidelines Worksheet 4 NUMBER OF CHILDREN CALCULATION Mother Father Combined 1. Percent contribution of each Parent (line 6 from worksheet 1 (from line 8, worksheet 1) _____ 2. Heath insurance premium (line 8 from worksheet 1) _____ ______ ______ ______ (column A) Number of Children 3. 4. 5. 6. 7. 8. Six Five Four Three Two One (column B) (column C) (column D) (column E) (column F) Table Amount Total Obligation (column A plus Combined line 2) Mother’s Monthly Share of Total Obligation (column B times mother’s line 1) Father’s Monthly Share of Total Obligation (column B times father’s line 1) Mother’s Final Share of Obligation (column C minus mother’s line 2) Father’s Final Share of Obligation (column D minus father’s line 2) ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ ____________ The court order should specify the amount due for each possibility and the amount due should be decreased as the number of supported children decreases. Worksheet 4 amended October 24, 2007. - 6.13 American LegalNet, Inc. www.FormsWorkflow.com