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Vernon's Texas Rules Annotated - VTRA TX R GRIMES CTY DIST CTS Addendum 5
Current as of April 14, 2021 | Updated by FindLaw Staff
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NO._______________ |
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IN THE MATTER OF |
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IN THE DISTRICT COURT OF |
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THE MARRIAGE OF |
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_________________________________________ |
GRIMES COUNTY, TEXAS |
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AND |
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_________________________________________ |
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AND IN THE INTEREST OF |
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12/278 JUDICIAL DISTRICT |
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_________________________________________ |
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PROPOSED SUPPORT DECISION AND INFORMATION |
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OF____________________ |
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GROSS MONEY EARNED PER MONTH:
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(1) |
Gross wages and salary income |
$ |
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(2) |
Commissions, tips and bonuses |
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(3) |
Self-employment income (net of expenses Other than depreciation and tax credits)
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(4) |
Rental income (net of expenses other than Depreciation) |
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(5) |
All other income actually received (specify) |
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GROSS MONEY EARNED PER MONTH
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$ |
(A) |
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ACTUAL DEDUCTIONS PER MONTH: (Attach most recent pay stub from each employer) |
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(1) |
Income tax withholding |
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(2) |
FICA (Social Security) |
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(3) |
Medicare |
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(4) |
Health Insurance |
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(5) |
Union Dues |
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(6) |
Other (specify): |
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TOTAL ACTUAL DEDUCTIONS PER MONTH |
$ |
(B) |
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NET MONEY ACTUALLY RECEIVED PER MONTH SUBTRACT (B) FROM (A) |
$ |
(C) |
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STATUTORY NET RESOURCES DEDUCTIONS ALLOWED PER MONTH: |
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(1) |
Income tax withholding for a single person Claiming one personal exemption and standard deduction. |
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(2) |
FICA (Social Security) |
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(3) |
Medicare |
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(4) |
Health Insurance attributable to the children |
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(5) |
Union Dues |
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STATUTORY NET RESOURCES DEDUCTIONS ALLOWED PER MONTH |
$ |
(D) |
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STATUTORY NET RESOURCES PER MONTH. SUBTRACT (D) FROM (A) |
$ |
(E) |
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TOTAL MONEY NEEDED PER MONTH BY ME AND MINOR CHILD(REN) LIVING WITH ME: (For items that are not paid monthly, express the amount as a monthly average.) |
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(1) |
Rent or house payment |
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(2) |
Real property taxes (omit if part of house payment) |
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(3) |
Residence maintenance (repairs, yard) |
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(4) |
Insurance-home or renters (omit if part of house payment) |
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(5) |
Utilities--Gas |
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(6) |
Utilities--Electric and water |
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(7) |
Telephone (including average long distance) |
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(8) |
Utilities--Garbage service |
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(9) |
Groceries and household items |
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(10) |
Meals away from home |
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(11) |
School lunches |
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(12) |
Dental and orthodontia |
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(13) |
Medical and prescriptions |
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(14) |
Laundry and dry cleaning |
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(15) |
Car payment |
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(16) |
Gas and vehicle maintenance |
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(17) |
Clothing and shoes |
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(18) |
Insurance--Car |
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(19) |
Insurance--Life |
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(20) |
Insurance--Health (omit if payroll deduction) |
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(21) |
Child care |
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(22) |
Children's activities |
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(23) |
Entertainment |
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(24) |
Haircuts |
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(25) |
Cable TV and newspaper |
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(26) |
Total monthly payments on debts (list below at G and show total here) |
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(27) |
Other (specify) |
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TOTAL MONEY NEEDED PER MONTH |
$ |
(F) |
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MONTHLY PAYMENTS ON DEBTS: |
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Description of Debt
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Balance Now Owed
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Date of Final Payment
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Amount of Monthly Payment
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$ |
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$ |
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TOTAL MONTHLY PAYMENTS ON DEBTS |
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(G) |
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DIFFERENCE BETWEEN MONEY RECEIVED AND MONEY NEEDED SUBTRACT (F) FROM (C) |
$ |
(H) |
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PRESUMED CHILD SUPPORT--MULTIPLY (E) BY THE GUIDELINE PERCENTAGE % |
$ |
(I) |
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I, , would testify under oath in open court that the foregoing information is true and correct. I understand that at such a court hearing I may be required to prove these amounts by testimony and by records such as pay vouchers, cancelled checks, receipts, and bills. |
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SIGNED this day of 200. |
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_________________________________________________ |
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Signature of Party |
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I intend to ask the court to set support at $ per month. |
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Signed this day of 200. |
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_________________________________________________ |
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Signature of Party or Attorney |
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Certificate of Service
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I, certify that a true copy of the above was served on opposing counsel, via certified mail (or hand delivery) on the day of 200. |
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_________________________________________________ |
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Signature of Attorney |
Cite this article: FindLaw.com - Vernon's Texas Rules Annotated - VTRA TX R GRIMES CTY DIST CTS Addendum 5 - last updated April 14, 2021 | https://codes.findlaw.com/tx/vernon-s-texas-rules-annotated/vtratx-r-grimes-cty-dist-cts-addendum-5/
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