Child Support Computation Worksheet Split Parental Rights And Responsibilities Page 4

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WORKSHEET-SPLIT PARENTAL RIGHTS
CODE: P072
COLUMN I
COLUMN II
COLUMN III
FATHER
MOTHER
COMBINED
f.
Actual annual obligation of mother (subtract Line 22e from
line 22d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$___________
g. Actual Annual Obligation payable (Subtract lesser actual annual
obligation from greater actual annual obligation using amounts
in lines 22c and 22f to determine net child support payable. . . . .
$
$___________
23.
Deviation from split residential parent guideline amount shown on line 22c or 22f if amount would be unjust or
inappropriate: (See section 3119.23 of the Revised Code.) (Specific facts and monetary value must be stated.)
24. FINAL FIGURE: (This amount reflects final annual child
support obligation; line 22g plus or minus any amounts
indicated in line 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
FATHER / MOTHER
OBLIGOR
25. FOR DECREE: Child support per month (divide obligor’s
annual share, line 24, by 12) plus any processing charge. . .
$
PREPARED BY:
COUNSEL:
PRO SE:
(FOR MOTHER / FATHER)
CSEA:
OTHER:
WORKSHEET HAS BEEN REVIEWED AND AGREED TO:
MOTHER
DATE
FATHER
DATE
(e5360 Split 2-2013)
FORM 22 03/01
PAGE 4 OF 4
J-210/E (Rev. 10/08)

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