Notice Of Filing Child Support Guidelines Worksheet - Florida Circuit Court Page 11
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13CHILD SUPPORT GUIDELINES WORKSHEET
A. FATHER
B. MOTHER
TOTAL
11. Increased Basic Obligation for each parent.
Multiply the number on line 10 by the
percentage on line 3A to determine the
Father’s share. Enter answer on line 11!.
Multiply the number on line 10 by the
percentage on line 3B to determine the
Mother’s share. Enter answer on line 11B.
12. Percentage of overnight stays with each parent.
%
%
The child(ren) spend(s) ______overnight stays
with the Father each year. Using the number
on the above line, multiply it by 100 and divide
by 365. Enter this number on line 12A.
The child(ren) spend(s) _____ overnight stays
with the Mother each year. Using the number
on the above line, multiply it by 100 and divide
by 365. Enter this number on line 12B.
13. Parent’s support multiplied by other Parent’s
percentage of overnights.
[Multiply line 11A by line 12B. Enter this
number in 13A. Multiply line 11B by line 12A.
Enter this number in 13B.]
Additional Support — Health Insurance, Child Care & Other
14. a. Total Monthly Child Care Costs
[Child care costs should not exceed the level
required to provide quality care from a
licensed source. See section 61.30(7),
Florida Statutes, for more information.]
b. Total Monthly hild(ren)’s Health Insurance
Cost
[This is only amounts actually paid for health
insurance on the child(ren).]
c.
Total Monthly hild(ren)’s Noncovered
Medical, Dental and Prescription
Medication Costs.
d. Total Monthly Child Care & Health Costs
[Add lines 14a + 14b + 14c.]
Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
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