Form D - Child Support Worksheet B (Page 2 of 2) in pdf

Form D - Child Support Worksheet B Page 2

PETITIONER

DEFENDANT

COMBINED

11 EACH PARTIES PROPORTIONATE SHARE

of Expenses/Extraordinary Adjustments (line 4 times

line 10) La. R.S. § 9:315.9(A)(4)

12 DIRECT PAYMENTS

made by any party on behalf of

the child for work-related net child care costs, health

insurance premiums, extraordinary medical expenses, or

extraordinary expenses Deduct each party’s proportionate

share of an expense owed directly to a third. If either parent’s

proportionate share of an expense is wed to the other parent,

enter zero La. R.S. § 9:315.9 (A) (5)

13 EACH PARTY’S CHILD SUPPORT

OBLIGATION

(line 9 plus line 11;

subtract line 12)

14 RECOMMENDED CHILD SUPPORT

ORDER

(subtract lesser amount from greater

amount in line 13 and place the difference in the appropriate

column) La. R.S. § 9:315.9 (A)(5)

Comments:

________________________________________________________________________________________________________

_____________________________________

___________________________

PREPARER’S SIGNATURE

Date

Page 2 of 2

Form D, Child Support Worksheet B

18THJDC Revised: May 2015

Form D - Child Support Worksheet B Page 2