IN THE _____________________________ DISTRICT COURT ________________________________ COUNTY, STATE OF UTAH __________________________________________________________________________________ ) ) CHILD SUPPORT OBLIGATION WORKSHEET ) (SOLE CUSTODY AND PATERNITY) vs. ) ) Civil No. ______________________ __________________________________________ ) The Combined Child Support Obligation Table used for ) calculation is: ( ) 78B-12-301(1) and 78B-12-302(1) ) ( ) 78B-12-301(2) and 78B-12-302(2) ) _____________________________________________________________________________________________________________ __________________________________________ MOTHER 1. Enter the # of natural and adopted children of this mother and father for whom support is to be awarded. 2a. Enter the father's and mother's gross monthly income. Refer to Instructions for definition of income. 2b. Enter previously ordered alimony that is actually paid. (Do not enter alimony ordered for this case.) 2c. Enter previously ordered child support. (Do not enter obligations ordered for the children in Line 1.) 2d. OPTIONAL: Enter the amount from Line 12 of the Children in Present Home Worksheet for either parent. 3. Subtract Lines 2b, 2c, and 2d from 2a. This is the Adjusted Gross Income for child support purposes. 4. Take the COMBINED figure in Line 3 and the number of children in Line 1 to the Support Table. Find the Base Combined Support Obligation. Enter it here. 5. Divide each parent's adjusted monthly gross in Line 3 by the COMBINED adjusted monthly gross in Line 3. 6. Multiply Line 4 by Line 5 for each parent to obtain each parent's share of the Base Support Obligation. % % FATHER COMBINED $ _ _ _ $ _ _ _ $ $ $ $ $ $ 7. BASE CHILD SUPPORT AWARD: Bring down the amount(s) from Line 6 or enter the amount(s) from the Low Income table per U.C.A. 78B-12-205. The parent(s) without physical custody of the child(ren) pay(s) the amount(s) all 12 months of the year. 8. 9. Which parent is the obligor? ( ) Mother $ $ ( ) Both ( ) Father Is the support award the same as the guideline amount in Line 7? ( ) Yes ( ) No If NO, enter the amount(s) ordered: $____________(Father) $ ____________ (Mother) and answer number 10. What were the reasons stated by the court for the deviation? ( ) property settlement ( ) excessive debts of the marriage ( ) absence of need of the custodial parent ( ) other: _______________________________________________________________________________ ________________________________________________________________________________________ 10. Attorney Bar No. _______________ 6/09 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR THE SOLE CUSTODY WORKSHEET Line 1. Enter the number of natural and adopted children of the mother and father for whom support is to be determined. Do not include any children of either parent by another partner on this line. If a child for whom support is to be determined is an unemancipated minor who does not live with his parents, use the total number of children, including the unemancipated minor, by that set of parents for Line 1. Line 2a. Enter the mother's and father's gross monthly income. U.C.A. 78B-12-203(1) states: "As used in the guidelines, `gross income' includes prospective income from any source, including earned and nonearned income sources which may include salaries, wages, commissions, royalties, bonuses, rents, gifts from anyone, prizes, dividends, severance pay, pensions, interest, trust income, alimony from previous marriages, annuities, capital gains, Social Security benefits, workers' compensation benefits, unemployment compensation, income replacement disability insurance benefits, and payments from `nonmeans-tested' government programs." U.C.A. 78B-12-203(2) states: "Income from earned income sources is limited to the equivalent of one full-time 40-hour job." Refer to U.C.A. 78B-12-203 for additional information about determining gross income. All income must be verified. Verification includes: year to date pay stubs, employer statements or records, the last year's tax return and documentation of non-earned income appropriate to the source. Line 2b. Enter the amount of alimony either parent is court ordered to pay and actually pays to another parent [U.C.A. 78B-12-204(1)]. Do not include alimony payments for this case. Alimony payments must be verified. Canceled checks or a statement from the recipient of the alimony may be accepted as verification. Line 2c. Enter the amount of support either parent is court ordered to pay for children by another partner [(U.C.A. 78B-12-204(1)]. Previously ordered support may include specifically ordered payments toward a child's medical expenses, child care, or child support [U.C.A. 78B-12-102(7)]. A copy of the order is required for verification. Line 2d. U.C.A. 78B-12-210(6) and (7) state: "(6) (a) Natural or adoptive children of either parent who live in the home of that parent and are not children in common to both parties may at the option of either party be taken into account under the guidelines in setting or modifying a child support award, as provided in Subsection (7). Credit may not be given if: (i) by giving credit to the obligor, children for whom a prior support order exists would have their child support reduced; or (ii) by giving credit to the obligee for a present family, the obligation of the obligor would increase. (b) Additional worksheets shall be prepared that compute the obligations of the respective parents for the additional children. The obligations shall then be subtracted from the appropriate parent's income before determining the award in the instant case. "(7) In a proceeding to adjust or modify an existing award, consideration of natural or adoptive children born after entry of the order and who are not in common to both parties may be applied to mitigate an increase in the award but may not be applied: (a) for the benefit of the obligee if the credit would increase the support obligation of the obligor from the most recent order; or (b) for the benefit of the obligor if the amount of support received by the obligee would be decreased from the most recent order." Use the WORKSHEET TO DETERMINE FATHER'S OBLIGATION TO CHILDREN IN HIS PRESENT HOME and/or the WORKSHEET TO DETERMINE MOTHER'S OBLIGATION TO CHILDREN IN HER PRESENT HOME to compute the obligations of the respective parents for the additional children. Line 3. (See U.C.A. 78B-12-205) If the obligor's income is over $1,050 complet