Schedule A-Sole Custody Child Support Worksheet Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Schedule A-Sole Custody Child Support Worksheet Form. This is a Virginia form and can be use in Newport News Local County.
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Schedule A
SOLE CUSTODY CHILD SUPPORT WORKSHEET
Case:
Date:
Judge:
INCOME
Custodial Parent:
Father’s Gross Monthly Income:
Percentage:
Mother’s Gross Monthly Income:
Percentage:
Parents’ Combined Gross Monthly Income:
CHILD/CHILDREN INFORMATION
Number of Children From Marriage:
Medical Insurance For Children:
Extraordinary Medical/Dental Expenses for Child/Children:
Work Related Child/Day Care:
State Guideline Support Required:
Total Child Support Required:
CHILD SUPPORT PAYMENTS
Medical Insurance Paid By Non-Custodial Parent:
Father’s Proportional Share:
Mother’s Proportional Share:
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JOINT CUSTODY SUPPORT GUIDELINE WORKSHEET
Case:
Date:
Judge:
GROSS INCOME OF PARTIES
FATHER
MOTHER
FATHER
MOTHER
Gross Monthly Income of
Each Party:
Parents’ Combined Gross
Monthly Income:
Each Parties Percent of
Combined Income:
Number of Children From Marriage:
Child Support From Guideline Table:
Total Shared Support
(Guideline Table x 1.25):
Total Days in Year Each
Parent has Children:
=365 Days
Each Parent’s Custody Share (%):
Each Parent’s Child Support Obligation:
Work Related Child/Day Care:
Health Insurance Paid by Parent:
Extraordinary Medical/Dental Expenses:
Parents Total Support Obligation:
Parents Proportional Support Obligation:
NET SUPPORT PAYABLE BY
ONE PARENT TO OTHER:
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SPLIT CUSTODY SUPPORT GUIDELINE WORKSHEET
Case:
Date:
Judge:
GROSS INCOME OF PARTIES
Father/Husband
Mother/Wife
Gross Monthly Income of
Each Party:
Parents’ Combined Gross
Monthly Income:
Each Parties Percent of
Combined Income:
SUPPORT OBLIGATION OF PARENTS
Father/Husband
Mother/Wife
Number of Children With
Each Parent:
Child Support From Guideline
Table:
Extraordinary Medical/Dental
Expenses:
Health Insurance For Child/
Children Paid by Parent:
Parents Total Support Obligation:
Parents Proportional Support Obligation:
Net Support Payable by One Parent
To The Other:
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