West Virginia Code Chapter 48. Domestic Relations § 48-13-403. Worksheet for calculating basic child support obligation in basic shared parenting cases

IN THE FAMILY COURT OF ____________ COUNTY, WEST VIRGINIA

CASE NO.___________

Mother: ________________

SS No.: ______________

Primary Custodial parent? [ ] Yes [ ] No

Father: ________________

SS No.: ______________

Primary Custodial parent? [ ] Yes [ ] No

Children

SSN

Date of Birth

Children

SSN

Date of Birth

PART I. CHILD SUPPORT ORDER

Mother

Father

Combined

1. MONTHLY GROSS INCOME

$

$

   (Exclusive of overtime compensation)

a. Minus preexisting child support payment

-

-

b. Minus maintenance paid

-

-

c. Plus overtime compensation, if not excluded, and not to exceed 50%, pursuant to W. Va. Code § 48-1-228(b)(6)

+

+

d. Additional dependents deduction

-

-

e. Minus student loan payment pursuant to W. Va. Code § 48-13-202(3)

2. MONTHLY ADJUSTED GROSS INCOME

$

$

$

3. PERCENTAGE SHARE OF INCOME

100%

(Each parent's income from line 2 divided by Combined Income)

%

%

4. BASIC OBLIGATION

$

(Use Line 2 combined to find amount from schedule.)

5. ADJUSTMENTS (Expenses paid directly by each parent)

a. Work-Related Child Care Costs Adjusted for Federal Tax Credit (0.75 x actual work-related child care costs.)

$

$

b. Extraordinary Medical Expenses (Uninsured only) and Children's Portion of Health Insurance Premium Costs.

$

$

c. Extraordinary Expenses (Agreed to by parents or by order of the court.)

$

$

d. Minus Extraordinary Adjustments (Agreed to by parents or by order of court.)

-

-

e. Total Adjustments (For each column, add 5a, 5b, and 5c. Subtract Line 5d. Add the parent's totals together for Combined amount.)

$

$

$

6. TOTAL SUPPORT OBLIGATION (Add line 4 and line 5e Combined.)

$

7. EACH PARENT'S SHARE OF THE TOTAL CHILD SUPPORT OBLIGATION (Line 3 x line 6 for each parent.)

$

$

8. PAYOR PARENT ADJUSTMENT

$

$

       (Enter payor parent's line 5e.)

9. RECOMMENDED CHILD SUPPORT ORDER (Subtract line 8 from line 7 for the payor parent only. Leave payee parent column blank.)

$

$

PART II. ABILITY TO PAY CALCULATION

(Complete if the payor parent's adjusted monthly gross income is below $2,600.)

10. Spendable Income

(0.80 x line 2 for payor parent only.)

11. Self Support Reserve

$997

$997

12. Income Available for Support

(Line 10 - line 11. If less than $50, then $50)

13. Adjusted Child Support Order

(Lesser of Line 9 and Line 12.)

Comments, calculations, or rebuttals to schedule or adjustments if payor parent directly pays extraordinary expenses.

PREPARED BY:

  Date: