Permanent Parenting Plan Order (Page 5 of 9) in pdf

FEDERAL INCOME TAX EXEMPTION

The

mother

father is the parent receiving child support.

The Mother shall claim the following children: ___________________________________

The Father shall claim the following children: ___________________________________

The

mother

father may claim the exemptions for the child or children so long as child

support payments are current by the claiming parent on January 15 of the year when the

return is due. The exemptions may be claimed in:

alternate years starting ________

each year

other: _________.

The

mother

father will furnish IRS Form 8332 to the parent entitled to the exemption by

February 15 of the year the tax return is due.

PROOF OF INCOME AND WORK-RELATED CHILD CARE EXPENSES

Each parent shall send proof of income to the other parent for the prior calendar year as

follows:

• IRS Forms W-2 and 1099 shall be sent to the other parent on or before

February

15.

• A copy of his or her federal income tax return shall be sent to the other parent on or

before April 15 or any later date when it is due because of an extension of time for

filing.

• The completed form required by the Department of Human Services shall be sent to

the Department on or before the date the federal income tax return is due by the

parent paying child support. This requirement applies only if a parent is receiving

benefits from the Department for a child.

The parent paying work-related child care expenses shall send proof of expenses to the

other parent for the prior calendar year and an estimate for the next calendar year, on or

before February 15.

HEALTH AND DENTAL INSURANCE

Reasonable health insurance on the child or children will be:

maintained by the mother

maintained by the father

maintained by both

Proof of continuing coverage shall be furnished to the other parent annually or as coverage

changes. The parent maintaining coverage shall authorize the other parent to consult with

the insurance carrier regarding the coverage in effect.

Uncovered reasonable and necessary medical expenses, which may include but is not

limited to, deductibles or co-payments, eyeglasses, contact lens, routine annual physicals,

and counseling will be paid by

mother

father

pro rata in accordance with their

incomes. After insurance has paid its portion, the parent receiving the bill will send it to the

other parent within ten days. The other parent will pay his or her share within 30 days of

receipt of the bill.

NOTE: The child support schedule assumptions in the guidelines (1240-2-4-.03 (6)(b) ) assume that the

parent receiving the child support will get the tax exemptions for the child.

10/17/2016

Permanent Parenting Plan Order Page 5

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