Form I - Request To Pay Child Support, Different Than The Child Support Guidelines Table Amount Page 5

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3.
SPLIT CUSTODY
There are 2 or more children, and at least one child lives with each of us. The custody arrangements are in
the attached custody order, or are as follows:
I ask to pay child support of $ _______________ per month for the support of the child(ren) living with the
respondent. My claim is based on the following calculations:
Total income
Guideline Table
# of
Amount
(known, or imputed
for Prov/Terr of
Name(s) of Children
children
Payable
in Form F)
residence
Applicant
$
Respondent
- $
Subtract amount payable by respondent from amount payable by applicant
=$
to calculate amount.
4.
SHARED CUSTODY
The child or children live with each of us at least 40 per cent of the time during the year. Our custody
arrangements are in the attached custody order, or are as follows:
I ask to pay child support of $
per month for the following child(ren:
NAME OF
1.
2.
3.
CHILD
This document is attached to and forms part of the evidence in
my support application/support variation application.
____________________________________
(signature)
Form I – page 2 of 2

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