Petition For Dissolution Of Marriage (With Children) Form Page 11
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17VIII. CHILD SUPPORT
(Civil Rule
90.3)
[Note: You cannot waive child support or agree to a different amount than what is calculated
under
Civil Rule
90.3, unless one of the exceptions in Civil Rule 90.3(c) applies. For example,
the obligor’s adjusted annual income is more than $120,000; or the obligor’s annual income is
so low that the amount of support would be less than $600; or you can prove to the court that
manifest injustice will result unless the support amount is varied.]
A. Child Support Calculation
Party A
Party B
1. a. Adjusted Annual Income (from II.D. on page 4)
$
$
b. If line 1.a. is more than $120,000, write
$120,000 here. Otherwise, repeat amount
on line 1.a.:
2. Multiply line 1.b. by:
.20 for one child;
.27 for two children;
x
x
0
0
.33 for three children; and
.03 for each additional child
TOTAL
ANNUAL CHILD SUPPORT
$
$
or
(amount from “TOTAL” line above
$600, whichever is larger.)
3. Monthly Child Support Payment (before calculating health insurance adjustment).
Child support will be paid as stated below. The first payment will be made no later than
st
. Payments after that will be made no later than the
1
day of each month thereafter. [See definitions of types of custody in Civil Rule 90.3(f).]
a. Primary Custody. One parent has primary physical custody. Divide Annual Child
Support amount from line 2 above for the non-custodial parent by 12 = $
to be paid each month by
Party A
Party B.
b. Shared Custody. The child(ren) will reside with each parent for a period specified
in writing of at least 30% of the year. [Attach form DR-306 to show
calculations.] Monthly child support payment (from line 10 of DR-306) to be paid
each month except
= $
to be paid by the
Party A
Party B.
c. Divided Custody. Each parent will have primary physical custody of one or more
of the children and the parents will not share physical custody of any of the
children. [Attach form DR-307 to show your calculations.]
Monthly child support payment (from line 7 of DR-307) = $
to be paid by the
Party A
Party B.
d. Hybrid Custody. One parent has primary physical custody of one or more of the
children and the parents will share physical custody of at least one child of the
relationship. [Attach form DR-308 to show your calculations.]
Monthly child support payment (from line 8 of DR-308) = $
to be paid by the
Party A
Party B.
Signature of Party A
Signature of Party B
Page 11 of 17
DR-105 (8/15)(cs)
AS 25.24.200-.260
PETITION FOR DISSOLUTION OF MARRIAGE (WITH CHILDREN)
Civil Rule 90.1(a), f(2)(A)(B), (i)(1)
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