LAKE COUNTY DOMESTIC RELATIONS COURT CHILD SUPPORT COMPUTATION
SOLE RESIDENTIAL PARENT OR SHARED PARENTING ORDER
NAME OF PARTIES ___________________________________________________________________
CASE NO. __________
Number of minor children ______THE FOLLOWING PARENT WAS DESIGNATED AS RESIDENTIAL PARENT AND LEGAL
CUSTODIAN:......................................... MOTHER ............................................. FATHER..........................................SHARED
Father has _______pay periods annually; Mother has _____ pay periods annually.
COLUMN I
COLUMN II
COLUMN III
FATHER
MOTHER
COMBINED
INCOME
1.a. ANNUAL GROSS INCOME FROM EMPLOYMENT OR, WHEN
DETERMINED APPROPRIATE BY THE COURT OR AGENCY, AV-
ERAGE ANNUAL GROSS INCOME FROM EMPLOYMENT OVER
A REASONABLE PERIOD OF YEARS. (EXCLUDE OVERTIME,
BONUSES, SELF-EMPLOYMENT INCOME, OR COMMISSIONS)
$ ...................
$ ...................
b. AMOUNT OF OVERTIME, BONUSES. AND COMMISSIONS (YEAR
1 REPRESENTING THE MOST RECENT YEAR)
FATHER
MOTHER
YR. 3 $ ................................... YR. 3 $ ...................................
(THREE YEARS AGO)
(THREE YEARS AGO)
YR. 2 $ ................................... YR. 2 $ ...................................
(TWO YEARS AGO)
(TWO YEARS AGO)
YR. I$ ................................... YR. 1 $ ...................................
(LAST CALENDAR YEAR)
(LAST CALENDAR YEAR)
AVERAGE $
.........................$..............................................
(INCLUDE IN COL. I AND/OR COL II THE AVERAGE OF THE
THREE YEARS OR THE YEAR 1 AMOUNT, WHICHEVER IS LESS,
IF THERE EXISTS A REASONABLE EXPECTATION THAT THE
TOTAL EARNINGS FROM OVERTIME AND/OR BONUSES DUR-
ING THE CURRENT CALENDAR YEAR WILL MEET OR EXCEED
THE AMOUNT THAT IS THE LOWER OF THE AVERAGE OF
THE THREE YEARS OR THE YEAR 1 AMOUNT. IF, HOWEVER,
THERE EXISTS A REASONABLE EXPECTATION THAT THE TO-
TAL EARNINGS FROM OVERTIME/BONUSES DURING THE
CURRENT CALENDAR YEAR WILL BE LESS THAN THE LOWER
OF THE AVERAGE OF THE 3 YEARS OR THE YEAR 1 AMOUNT,
INCLUDE ONLY THE AMOUNT REASONABLY EXPECTED TO
BE EARNED THIS YEAR.)....................................................................
$...................
$ ...................
2. FOR SELF-EMPLOYMENT INCOME:
a.
GROSS RECEIPTS FROM BUSINESS ................................................
$...................
$ ...................
b
ORDINARY AND NECESSARY BUSINESS EXPENSES...................... $...................
$ ...................
c.
5.6% OF ADJUSTED GROSS INCOME OR THE ACTUAL MAR-
GINAL DIFFERENCE BETWEEN THE ACTUAL RATE PAID BY
THE SELF-EMPLOYED INDIVIDUAL AND THE F.I.CA RATE.
$...................
$ ...................
d. ADJUSTED GROSS INCOME FROM SELF-EMPLOYMENT (SUB-
TRACT THE SUM OF 2b AND 2c FROM 2a)
...................................... $...................
$ ...................
3. ANNUAL INCOME FROM INTEREST AND DIVIDENDS
(WHETHER OR NOT TAXABLE) ........................................................... $...................
$ ...................
4. ANNUAL INCOME FROM UNEMPLOYMENT COMPENSATION
$...................
$ ....................
5. ANNUAL INCOME FROM WORKERS' COMPENSATION, DIS-
ABILITY INSURANCE BENEFITS, OR SOCIAL SECURITY DIS-
ABILITY/RETIREMENT BENEFITS ...................................................... $...................
$ ...................
6. OTHER ANNUAL INCOME (IDENTIFY)
............................................ $...................
$ ...................
7. TOTAL ANNUAL GROSS INCOME (ADD LINES la, lb, 2d, AND
3-6) .............................................................................................................. $...................
$ ...................