Form Csf 02 0809a - Child Support Computation Worksheet (Cscw) Page 2
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213a.
Child care costs for joint children (see worksheet S-3)
Costs &
Adjustments
13b.
Medical expenses (not health care coverage costs - see 13c)
Enter costs in column
of parent who incurs
13c. Health care coverage
cost
13d.
Rebuttal amount applied, if any (amount by which cost of care
should be increased or decreased for parent)(see worksheet S-4)
13e.
Total Costs (add lines 13a, 13b and 13c for each parent; add or
subtract line 13d)
14.
Costs owed to Parent B (line 8, Parent A times line 13e, Parent
B;
if no Parent A, enter amount from line 13e)
15.
Costs owed to Parent A (line 8, Parent B times line 13e, Parent
A)
16.
Monthly child support obligation after costs (line 12b, column 1
plus line 14 for Parent A and line 12b, column 2 plus line 15 for
Parent B)
17.
Net child support obligation (subtract smaller amount on line 16
from greater amount and enter result on line for parent with greater
obligation enter zero for other parent
;
)
Benefits Adjustment
18.
If SSB or VB is received by Parent A as representative payee
for joint child(ren as a result of Parent B's disability or retirement
)
Computing
19. Total Child Support Obligation
Parent A - enter figure from line 17, Parent A
a Final
Parent B - line 17 minus line 18; if negative value, enter zero
Obligation
20a.
Enter modified gross monthly income (from line 4) for each
Ability to Pay
parent.
Calculation
20b.
Self Support Reserve
884.00
884.00
20c.
Each parent’s income available for support (line 20a minus
line 20b)
21. Monthly Child Support Obligation
(enter the lesser of line 19
or line 20c)
21a.
Rebuttal amount applied, if any (see worksheet S-4)
22. Total Monthly Child Support Obligation After Rebuttal
(add or subtract line 21a from line 21)
Comments:
Nonjoint child(ren) of Parent A:
Nonjoint child(ren) of Parent B:
Page 2 of 2 - CHILD SUPPORT COMPUTATION WORKSHEET (CSCW)
CSF 02 0809A (Rev 08/25/03)
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