Notice Of Filing Child Support Guidelines Worksheet - Florida Circuit Court Page 9

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CHILD SUPPORT GUIDELINES WORKSHEET
A. FATHER
B. MOTHER
TOTAL
1. Present Net Monthly Income
Enter the amount from line 27, Section I of
Florida Family Law Rules of Procedure Form
12.902(b) or (c), Financial Affidavit.
2. Basic Monthly Obligation
There is (are) {number}_____ minor child(ren)
common to the parties.
Using the total amount from line 1, enter the
appropriate amount from the child support
guidelines chart.
3.
Percent of Financial Responsibility
%
%
Divide the amount on line 1A by the total
amount on line 1 to get Father’s percentage of
financial responsibility. Enter answer on line 3A.
Divide the amount on line 1B by the total
amount on line 1 to get Mother’s percentage of
financial responsibility. Enter answer on line 3B.
4. Share of Basic Monthly Obligation
Multiply the number on line 2 by the
percentage on line 3! to get Father’s share
of basic obligation. Enter answer on line 4A.
Multiply the number on line 2 by the
percentage on line 3 to get Mother’s share
of basic obligation. Enter answer on line 4B.
Additional Support — Health Insurance, Child Care & Other
5. a. 100% of 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).]
Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)

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