Notice Of Filing Child Support Guidelines Worksheet - Florida Circuit Court Page 10

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CHILD SUPPORT GUIDELINES WORKSHEET
A. FATHER
B. MOTHER
TOTAL
c. Total Monthly hild(ren)’s Noncovered
Medical, Dental and Prescription
Medication Costs
d. Total Monthly Child Care & Health Costs
[Add lines 5a + 5b +5c].
6.
Additional Support Payments
Multiply the number on line 5d by the
percentage on line 3! to determine the Father’s
share. Enter answer on line 6A. Multiply the
number on line 5d by the percentage on line 3B
to determine the Mother’s share.
Enter answer on line 6B.
Statutory Adjustments/Credits
7.
a. Monthly child care payments actually made
b. Monthly health insurance payments actually
made
c.
Other payments/credits actually made for
any noncovered medical, dental and
prescription medication expenses of the
child(ren) not ordered to be separately paid
on a percentage basis.
(See section 61.30 (8), Florida Statutes)
8. Total Support Payments actually made
(Add 7a though 7c)
9. MINIMUM CHILD SUPPORT OBLIGATION FOR
EACH PARENT
[Line 4 plus line 6; minus line 8]
Substantial Time-Sharing (GROSS UP METHOD) If each parent exercises time-sharing at least 20
percent of the overnights in the year (73 overnights in the year), complete Nos. 10 through 21
A. FATHER
B. MOTHER
TOTAL
10. Basic Monthly Obligation x 150%
[Multiply line 2 by 1.5]
Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)

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