Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Worksheet B - Shared Responsibility Form. This is a New Mexico form and can be use in 1st Judicial District Local District Court.
Loading PDF...
Tags: Worksheet B - Shared Responsibility, New Mexico Local District Court, 1st Judicial District
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
WORKSHEET B:
Plaintiff(s)
Index No.
Calendar No.
JUDICIAL SUBPOENA
-against- SHARED RESPONSIBILITY
:
Mother :
Father
Combined
:
Part 1 - Basic Support
Defendant(s)
:
. .1.. . . . . Gross .Monthly .Income . . . . . . . . . . . . . . . . $_______. . +
.
..... ....... ......
........
2.
Percentage of Combined Income
(each parent’s income divided
THE PEOPLE OF THE STATE OF NEW YORK
by combined income)
_______% +
$_______ =
$_______
_______% =
_______%
TO
3.
Number of Children: _______
4.
Basic support from Schedule
=
$_______
GREETINGS: combined income from
(use
Line 1)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at
Court
5.
Shared Responsibility Basic Obligation the
= $_______
located at
County of(Line 4 x 1.5)
in room
, on the
day of
, 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
6.
Each Parent’s Share
(Line 5 x each parent’s Line 2)
$_______ +
$_______
7.
Number of to comply with this
_______
_______
Your failure 24-hr days with subpoena is _______ + a contempt of court=and will make you liable to
punishable as
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
each parent (must total 365)
result of your failure to comply.
8.
Court in
9.
10.
11.
Percentage with each parent
Witness, Honorable
(Line 7 divided by 365)
County,
day of
_______% +
_______% =
_______%
, one of the Justices of the
, 20
Amount retained
(Line 6 multiplied by Line 8
for each parent)
$_______ +
Each Parent’s Obligation
(Subtract Line 9 from Line 6)
$_______ +
Amount Transferred
(subtract smaller amount on Line 10
from larger amount on Line 10;
Parent with larger amount on Line 10
pays other parent the difference)
$_______ +
$_______
(Attorney must sign above and type name below)
$_______
Attorney(s) for
$_______
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
Plaintiff(s)
-against-
Calendar No.
JUDICIAL SUBPOENA
:
Mother
Father
Combined
$_______ =
$_______
$_______ +
$_______ =
$_______
Additional Expenses
$_______ +
$_______ =
$_______
Total Additional Payments
(Add Lines 12, 13 and 14 for
each parent and combined column)
$_______ +
$_______ =
$_______
$_______ +
$_______ =
$_______
:
Part 2 - Additional Payments
:
12.
Children’s Health and Dental Defendant(s)
$_______ : +
. . . . . . . . Insurance. Premiums . . . . . . . . . . . . . . . . . . . . . . . . . . . .
........ .........
13.
Work-Related Child Care
THE PEOPLE OF THE STATE OF NEW YORK
14.
TO
15.
GREETINGS:
16.
Each Parent’s Obligation
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
(combined Column Line 15
,
the Honorable
Court
multiplied by each parent’s Line 2) at the
located at
County of
in room
on the
, 20
, at
noon, and at any recessed
17.
Amount , transferred day of
$_______ + o'clock in the
$_______
or adjourned date, to testify and give evidence as a witness in this action on the part of the
(Subtract each parent’s
Line 6 from his/her Line 15.
Parent with “minus” figure
pays that amount to the
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
other parent.
result of your failure to comply.
Part 3 - Net Amount Transferred
Witness, Honorable
18.
Court in Combine Lines 11 and 17 of
County,
day
(by addition if same parent pays
on both lines; otherwise, by
subtraction)
, one of the Justices of the
$_______
, 20
(Attorney must sign above and type name below)
_________________________ pays _________________________ for
EACH MONTH $_______
Attorney(s)
__________________________________
Petitioner’s Signature
Date: _____________________
__________________________________
Respondent’s Signature
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
