Notice Of Filing Child Support Guidelines Worksheet - Florida Circuit Court Page 12
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13CHILD SUPPORT GUIDELINES WORKSHEET
A. FATHER
B. MOTHER
TOTAL
15. Additional Support Payments.
Multiply the number on line 14d by the
percentage on line 3A to determine the
Father’s share. Enter answer on line 15!.
Multiply the number on line 14d by the
percentage on line 3B to determine the
Mother’s share. Enter answer on line 15.
S
tatutory Adjustments/Credits
16. 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]
17. Total Support Payments actually made
[Add 16a though 16c]
18. Total Additional Support Transfer Amount
[Line 15 minus line 17; enter any negative
number as zero)
19. Total Child Support Owed from Father to
Mother [Add line 13A plus line 18A]
20. Total Child Support Owed from Mother to
Father [Add line 13B plus line 18B]
21. Actual Child Support to Be Paid.
[Comparing lines 19 and 20, Subtract the
$
smaller amount owed from the larger amount
owed and enter the result in the column for
the parent that owes the larger amount of
support]
ADJUSTMENTS TO GUIDELINES AMOUNT. If you or the other parent is requesting the Court to award a
child support amount that is more or less than the child support guidelines, you must complete and file
Motion to Deviate from Child Support Guidelines, Florida Supreme Court Approved Family Law Form
12.943.
Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
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