IN THE CIRCUIT COURT OF THE SEVENTH JUDICIAL CIRCUIT,
IN AND FOR VOLUSIA COUNTY, FLORIDA
Case No.:
Petitioner,
Division:
and
CHILD SUPPORT GUIDELINES WORKSHEET
_________________________________,
Respondent.
{Instructions regarding completion of this form can be located at
and/or Family Law Rules of Procedure
12.902(e).}
I, {full legal name}
,
certify
that
the
following statements are true:
FATHER
MOTHER
1. PRESENT NET MONTHLY INCOME
Enter the amount from line number 27, Section I of
Florida
1a. $ ________
1b. $ ________
Family Law Rules of Procedure Form 12.902(b) or (c), Financial
Affidavit.
2. $ _________
2. COMBINED PRESENT NET MONTHLY INCOME
Add 1a and 1b.
3. BASIC MONTHLY OBLIGATION
There is (are) {number} ________ minor child(ren) common to the
parties.
Using the amount on line 2, enter the appropriate amount from the
3. $ _________
child support guidelines chart.
4. PERCENT OF FINANCIAL RESPONSIBILITY
Divide the amount on line 1a. by the amount on line 2 to get Father’s
4a. _______ %
percentage financial responsibility. Enter answer on line 4a.
Divide the amount on line 1b. by the amount on line 2 to get
Mother’s percentage financial responsibility. Enter answer on line 4b.
4b. ________ %
5a. $ ________
5. SHARE OF BASIC MONTHLY OBLIGATION
Multiply the number on line 3 by the percent on line 4a to get
Father’s share of basic obligation. Enter answer on line 5a.
Multiply the number on line 3 by the percent on line 4b to get
Mother’s share of basic obligation. Enter answer on line 5b.
5b. $ ________
6. TOTAL MONTHLY CHILD CARE COSTS
Child care costs should not exceed the level required to provide
quality care from a licensed source for the child(ren). See section
6. $ _________
61.30(7), Fla. Stat. for more information.
7. PERCENTAGE OF CHILD CARE COSTS
Multiply the amount on line 6 by .75 (to determine 75% of the total
7. $ _________
child care costs). Enter answer on line 7.
Multiply the number on line 4a. by the amount on line 7 to get
7a. $ ________
Father’s share of the child care obligation. Enter answer on line 7a.
Multiply the number on line 4b. by the amount on line 7 to get
7b. $ ________
Mother’s share of the child care obligation. Enter answer on line 7b.
CL-0722-0503