Child Support Worksheet

1. Net Monthly Income of parent with custody
2. Wages, salary, bonuses $____________
3. Interest and dividends $
4. Business $
5. Unemployment/Social Security $
6. Income from other sources $
7. Total Gross Monthly Income $
Monthly deductions
8. Income tax withheld $
9. Social Security withheld $
10. Union dues withheld $
11. Chldren's health insurance premiums $
12. Mandatory retirement withheld

$
13. Total Monthly Deductions $

Total Net Monthly Income of Parent With Custody
14. Total Gross Monthly Income (Line 7) $
15.

Total Monthly Deductions  (Line13)                            -

 $
16. Total Net Monthly Income  (Line 7 -Line13)               =  < /STRONG> $
Net Monthly Income of Parent Without Custody
17. Gross Monthly Income
18. Wages, salary, bonuses $
19. Business $
20. Interest and dividends $
21. Unemployment/Social Security $
22. Income from other sources $
23. Total Gross Monthly Income $
Monthly deductions
24. Income tax withheld $
25. Social Security withheld $
26. Union dues withheld $
27. Children's health insurance premiums $
28. Mandatory retirement withheld $
29. Total Monthly Deductions $

TotalNetMonthly Income of ParentWithoutCustody
30. Total Gross Monthly Income
31. Total Monthly Deductions                                           -
32. TotalNetMonthly Income                                        = 
34.

Minimum Child Support
(Line above "X" the appropriate percentage below)
(20% = 1 child; 25% = 2; 30% = 3; 35% = 4)

 $
35.

MonthlyHealth Care InsurancePremium                         +
(For Child's Insurance only)

 $
36. Required Work Related Child Care Expenses               + $
37. Minimun Total Monthly Child Support                            = $




Wages $___________________
Salary $________________
Bonuses $____________________