Worksheet A - Monthly Child Support Obligation Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Worksheet A - Monthly Child Support Obligation Form. This is a New Mexico form and can be use in 1st Judicial District Local District Court.
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Tags: Worksheet A - Monthly Child Support Obligation, New Mexico Local District Court, 1st Judicial District
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
WORKSHEET A:
Plaintiff(s)
Index No.
Calendar No.
JUDICIAL SUBPOENA
-against:
MONTHLY CHILD SUPPORT OBLIGATION
Custodial :
Parent
Other
Parent
Combined
$_______ =
$_______
_______% =
_______%
:
1.
Gross Monthly Income
$_______ +
Defendant(s)
:
......................................................
2.
Percentage of Combined Income
(each parent’s income divided
by combined income)
_______% +
THE PEOPLE OF THE STATE OF NEW YORK
3.
TO
Number of Children: _______
4.
Basic support from Schedule
(use combined income from
Line
GREETINGS: 1)
=
$_______
5.
Children’s Health & Dental
WE COMMAND YOU, that all business and$_______ + laid$_______ and each of you attend before
excuses being
aside, you = $_______
,
the Honorable
at the
Court
Insurance Premium
located at
County of
in6.
room Work-Related Child Careof
, on the
day
, 20
, at
$_______ + o'clock in the = noon, and at any recessed
$_______
$_______
or adjourned date, to testify and give evidence as a witness in this action on the part of the
7.
Additional Expenses
$_______ +
$_______ =
$_______
8.
Total Support (add Lines this
$_______ = $_______
Your failure to comply with 4, subpoena is $_______ as a contempt of court and will make you liable to
punishable +
5, 6 and 7behalf thisparent
for each subpoena was issued for a maximum penalty of $50 and all damages sustained as a
the party on whose
and for combined column)
result of your failure to comply.
9.
Each Parent’s Obligation
Witness, Honorable
(combined Column Line day of
8
Court in
County,
multiplied by each parent’s Line 2)
$_______ +
$_______ the Justices of the
, one of = $_______
, 20
10.
Enter Amount for each parent
from Line 8
$_______ +
$_______ =
$_______
11.
Each Parent’s Net Obligation
(subtract Line 10 from Line 9)
$_______ +
$_______ =
$_______
(Attorney must sign above and type name below)
Attorney(s) for
_________________________ pays _________________________ EACH MONTH $_______
__________________________________
Petitioner’s Signature
Date: _____________________
Office and P.O. Address
__________________________________
Respondent’s Signature
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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