Worksheet 5 - Deviations To Child Support Guidelines
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Worksheet 5 - Deviations To Child Support Guidelines Form. This is a Nebraska form and can be use in General Statewide.
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
Nebraska Child Support Guidelines
:
Calendar No.
Worksheet 5
:
DEVIATIONS TO CHILD SUPPORT GUIDELINES
JUDICIAL SUBPOENA
Plaintiff(s)
This worksheet may be completed by the court and filed with the clerk in the event of a
-against:
deviation or deviations under paragraph C of the child support guidelines.
Mother
:
1.
Net income of the parties as
computed under worksheet 1
Father
$ :
$
Defendant(s)
2.
Combined monthly income
:
......................................................
3.
Monthly support for
from table 1
$
child(ren)
$
THE PEOPLE OF THE STATE OF NEW YORK
4.
Percent contribution of each
parent
TO
5.
%
Each parent's monthly share
(line 3 times line 4)
%
$
$
GREETINGS:
6.
Further deviations (specify)
WE a.
COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
(+/-)
$
$
,
the Honorable
at the
Court
(+/-)
$
$
b.
located at
County of
c. , on the
(+/-) , 20
in room
day of
, at$
o'clock in the
noon,$ at any recessed
and
or adjourned date, to testify and give evidence as a witness in this action on the part of the
d.
Total
(+/-)
$
$
7.
Each parent's monthly share
$
(line 5 above)
$
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
$
(+/-)
$
result8. your (+/-) Line comply.
of
failure to 6D
9.
Adjusted child support
Witness, Honorable
obligations
Court in
County,
day of
Dated:
, 20
, one of the Justices of the
$
$
Judge
(Attorney must sign above and type name below)
Worksheet 5 adopted Dec. 23, 1992; Worksheet 5 amended effective Sept. 1, 2002.
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
-6.10-
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