Child Support Calculation Questionnaire

All parents whether married, separated, divorced or never married have an obligation to pay child support. Anyone who is in a cohabitation relationship that includes children has a legal obligation to provide for the child’s necessities. This obligation exists during the relationship and continues even when the relationship is terminated. The amount of child support will be determined by the state child support guidelines. Every state has its own guidelines for determining the amount of child support. All though these guidelines vary from state to state, all states consider the income and expenses of the parents and the needs of the child. The judge can deviate from these guidelines if there is a good reason for doing so.

Generally in child support litigation, the parents must submit their financial details to the court and the judge will consider them while determining the amount of child support. You can use this form as a guide to help you collect the required financial information.

INFORMATION ABOUT
YOU
INFORMATION ABOUT
OTHER PARENT
Gross Monthly Income
Source/AmountSource/Amount
_________/$_________________/$________
_________/$_________________/$________
_________/$_________________/$________
TOTAL:$________________$________________
Deductions from Gross Income
State Income Tax$____________________$____________________
Federal Income Tax$____________________$____________________
Social Security$____________________$____________________
Self-employment Tax$____________________$____________________
Health Insurance$____________________$____________________
Union Dues$____________________$____________________
Pension/Retirement$____________________$____________________
Mandatory?Yes ____ No ____Yes ____ No ____
Support Orders$____________________$____________________
Other$____________________$____________________
TOTAL DEDUCTIONS:$_______________$_______________
NET MONTHLY INCOME:(Gross Income minus Total Deductions)
$_______________$_______________
Monthly Expenses
Rent or Mortgage$_______________$_______________
Utilities:
Telephone$_______________$_______________
Gas$_______________$_______________
Electricity$_______________$_______________
Water & Sewer$_______________$_______________
Garbage Collection$_______________$_______________
Cable Television$_______________$_______________
Cellular Phone$_______________$_______________
Internet Service$_______________$_______________
Property Taxes$_______________$_______________
Insurance:
Medical$_______________$_______________
Dental$_______________$_______________
Life$_______________$_______________
Disability$_______________$_______________
Long-term Care$_______________$_______________
Homeowners/Renters$_______________$_______________
Auto(s)$_______________$_______________
Recreational Vehicle$_______________$_______________
Debt Payments:
Vehicle #1$_______________$_______________
Vehicle #2$_______________$_______________
Home Equity Loan$_______________$_______________
Student Loan$_______________$_______________
Other Loans$_______________$_______________
Credit Card #1$_______________$_______________
Credit Card #2$_______________$_______________
Credit Card #3$_______________$_______________
Educational Expenses:
For Self$_______________$_______________
For Children$_______________$_______________
Day Care:
For Children$_______________$_______________
For Parent(s)$_______________$_______________
Transportation Expenses:
Gasoline$_______________$_______________
Parking/Commuting$_______________$_______________
Vehicle Maintenance$_______________$_______________
Licenses$_______________$_______________
Food:
Groceries$_______________$_______________
Take-out Food$_______________$_______________
Restaurants$_______________$_______________
School Lunches$_______________$_______________
Clothing:
For Self$_______________$_______________
For Children$_______________$_______________
Repair and Cleaning$_______________$_______________
Household Expenses:
Cleaning Supplies$_______________$_______________
Cleaning Service$_______________$_______________
Yard Maintenance$_______________$_______________
Home Maintenance$_______________$_______________
Home Security$_______________$_______________
Home Improvements$_______________$_______________
Home Furnishings$_______________$_______________
Appliances$_______________$_______________
Uninsured Health-care Costs:
Medical (Self)$_______________$_______________
Medical (Children)$_______________$_______________
Dental (Self)$_______________$_______________
Dental (Children)$_______________$_______________
Prescriptions (Self)$_______________$_______________
Prescrips. (Children)$_______________$_______________
Non-prescrip. (Self)$_______________$_______________
Non-prescrip. (Child.)$_______________$_______________
Personal Expenses:
Grooming$_______________$_______________
Entertainment$_______________$_______________
Travel$_______________$_______________
Gifts$_______________$_______________
Hobbies$_______________$_______________
Babysitting$_______________$_______________
Pet-care Costs$_______________$_______________
Donations$_______________$_______________
Other Expenses$________________$_______________
$_______________$_______________
$_______________$_______________
$_______________$_______________
TOTAL EXPENSES:$_______________$_______________

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