Combined Worksheet Rev. 3/1 /19 (ch. 269 and ch. 387, L. 2015) SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ---------------------------------- ---------------------- X Plaintiff, Index No.: - against - COMBINED WORKSHEET FOR - POST - DIVORCE MAINTENANCE GUIDELINES AND, IF APPLICABLE, CHILD SUPPORT STANDARDS ACT (FOR CONTESTED CASES) Rev. 3/1/19 Defendant ----------------------------------- ---------------------- X This Worksheet was prepared by Plaintiff Defendant, and applies to: Post - Divorce Maintenance Child Support See Instructions at p. 6 followed by List of Appendices NOTE: If your Divorce Action was c ommenced before January 25, 2016 , Do not fill out this Worksheet. 1 To assist you in making the calculations on this Worksheet, you may use the Maintenance/Child http://www.nycourts.gov/divorce/ MaintenanceChildSupportTools.shtml . They are provided for your convenience as a tool. They have been tested with many scenarios to assure accuracy with appropriate entry of data. You may wish to make the calculations yourself on the Appendices to this Worksheet. Neither this Worksheet nor the Calculators are meant to predict what the court will order as to maintenance or child support in your case. Comments and qu estions about this Worksheet or the Calculators should be sent to NYMatCalc@nycourts.gov If you decide to use the Calculator, you must copy your work onto the applicable Appendix. 1. ENTER INCOME OF PARTIES: CHECK THE BOX TO INDICATE HOW YOU MADE THE CALCULATION Use the Calculator OR Use Appendix A to make the calculation A. Enter Annual Income from Line 18 of Appendix A or Line 18 of Part A of the Calculator $ B. Enter Annual Income from Line 18 of Appendix A or Line 18 of Part A of the Calculator $ NOTE: If you do not know your 1 The Maintenance Guidelines Law and Amendments to the Child Support Standards Act enact by Chapters 269 and 387, Laws of 2015, apply only to divorce actions commenced on or after January 25, 2016. American LegalNet, Inc. www.FormsWorkFlow.com Combined Worksheet Rev. 3/1 /19 (ch. 269 and ch. 387, L. 2015) 2. DETERMINE WHO IS THE PAYOR AND WHO IS THE PAYEE A. Enter the higher of Lines 1A and 1B . The person with the higher income is the MAINTENANCE PAYOR. . . . . . . . . . $ B. Enter the lower of Lines 1A and 1B . The person with the lower income is the MAINTENANCE PAYEE . . . . . . . . . . . $ 3. CALCULATE GUIDELINE MAINTENANCE AWARD ON INCOME UP TO AND INCLUDING $ 184,000 A. Check the box to indicate how you made the calculation: Use the Calculator and enter the Annual Guideline Maintenance Award from Line 19 of Part B of the Calculator in Line 3B . OR Use App endix B to make the calculation and enter the amount from Line 19 of Appendix B in Line 3B below B. The Guideline Award of Maintenance (based on Maintenance Income up to $ 184,000 ) is: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4a. THE COURT WILL DETER MINE HOW LONG THE MA INTENANCE AWARD WILL BE PAYABLE. 2 Please enter: i) The number of years you were married ii)The range tha t maintenance would be payable according to the Advisory Schedule in Appendix E Note: Multiply the number of years you have been married by the percentages in Appendix E to give the range for that number of years married. For example, if you have been married 10 years on the date your action was commenced, the Advisor y Schedule advises a duration of 15% - 30% times the number of years married. Multiply 10 x 15% = 1.5; Multiply 10 x 30%= 3. Write 1.5 3 years on line ii) above. iii) How many years are you asking the Court to order that maintenance shall be payable? iv) Please describe retirement assets, benefits and retirement eligibility (age and other requirements) of you and your spouse if you can on the lines below. If you do not 2 The court must determine how long the maintenance award will be paid using the 15 Factors for P ost - Divorce Maintenance in App. D, , and the court may also consider the Advisory Schedule for Duration of Award in App.E setting forth percentages of the length of the marri age for which maintenance may be payable. American LegalNet, Inc. www.FormsWorkFlow.com Combined Worksheet Rev. 3/1 /19 (ch. 269 and ch. 387, L. 2015) 4b. I NDICATE FACTORS FOR COURT TO CONSIDER IN ORDERING MAINTENANCE ON INCOME IN EXCESS OF $ 184,000 PER YEAR 1 , ADJUSTING AWARD OF MAINTE NANCE ON INCOME UP TO $ 184,000 BECAUSE IT IS UNJUST OR INAPPROPRIATE 2 , OR SETTING THE DURA TION OF POST - DIVORCE MAINTENANCE AWARD 3 List any factors you would like the Court to consider in i ts decision after reviewing the 15 post - divorce maintenance factors : Attach an additional page if needed and check the box below: Additional Page Attached NOTES: 1 Maintenance Award on Portion of Maintenance Income above $ 184,000 : If the Maintenance in - come exceeds $ 184,000 , the Court may award an additional amount of maintenance. In making such decision, the Court shall consider the 15 factors for post - divorce maintenance. 2 Unjust or Inappropriate Awards: If a party believes that the Guideline Maintenance Award on income up to $ 184,000 is unjust or inappro priate, the party can ask the Court to order the Maintenance Payor to pay an adjusted amount. In making such decision, the Court shall consider the 15 factors for post - divorce maintenance . 3 Duration of Award of Maintenance: The court must determine how long the maintenance award will be paid using the 15 Post - Divorce Maintenance Factors, and the court may also consider the Advisory Schedule for Duration of Award setting forth percentages of the length of the marriage for which maintenance may be payable. The 15 factors for post - divorce maintenance pursuant to DRL247 236(B)(6)(e)(1)are set forth in Appendix D The Advisory Schedule for Post - Divorce Maintenance pursuant to DRL247 236(B) (6) (f) (1) Is set forth in Appendix E American LegalNet, Inc. www.FormsWorkFlow.com Combined Worksheet Rev. 3/1 /19 (ch. 269 and ch. 387, L. 2015) 5. CALCULATE BASIC ANNUAL CHILD SUPPORT OBLIGATION If there are unemancipated children of the marriage, calculate the amount of child support that must be paid to the custodial parent (CP) by the non - custodial parent (NCP). A. Check the box to indicate how you made the calculation: Use the Calculator and enter the amount from Part C - IV, Line 1 of the Calculator in Line 5B below OR Use Appendix G to make the calculation and enter the amount from Section IV Line 1 of Appendix G in Line 5B below B. T he Annual Basic Child Support Obligation. . . . . . . . . . . . . . . . . . . . . . . . $ B. LIST ANY FACTORS YOU WOULD LIKE THE COURT TO CONSIDER IN ORDERING CHILD SUPPORT ON INCOME IN EXCESS OF $ 148,000 1 , OR ADJUSTING AN AWARD OF CHILD SUPPORT BECAUSE IT IS UNJUST OR INAPPROPRIATE, 2 AFTER REVIEWING THE 10 CHILD SUPPORT ADJUSTMENT FACTORS LISTED ON APPENDIX F: NOTES: 1 Child Support on Combined Parental Income above $ 148,000 : If the Combined Parental Income exceeds $ 148,000 , the Court may award an additional amount of child support. In making such decision, the Court will consider the 10 child support adjustment factors and/or the child support percentage . 2 If a party believes that Annual Child Support Obligation is unjust or inappropriate, the party can ask the Court to order the NCP to pay an adjusted amount after considering the 10 child support adjustment factors. The 10 child support adjustment factors pursuant to DRL 247240(1 - b) (f) are listed on Appendix F. American LegalNet, Inc. www.FormsWorkFlow.com Combined Worksheet Rev. 3/1 /19 (ch. 269 and ch. 387, L. 2015) Signature of Plaintiff Defendant 6. CONTINUED Attach an additional page if needed and check the box below: Additional Page Attached I have carefully read this statement and attest that it is true and accurate to the best of my knowledge. Subscribed and Sworn to before me on Print or type name NOTARY PUBLIC Signature of Attorney, if any Print or type name Address Number American LegalNet, Inc. www.FormsWorkFlow.com Combined Worksheet Rev. 3/1 /1 9 (ch. 269 and ch. 387, L. 2015) INSTRUCTIONS FOR COMBINED WORKSHEET FOR POST - DIVORCE MAINTENANCE GUIDELINES AND, IF APPLICABLE, CHILD SUPPORT STANDARD