New Jersey Child Support Guidelines Form - Know Your Nj Child Page 2

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2. Commissions: If you receive commissions, please detail basis and provide totals for last three pay periods.
3. Unearned Income: Any monies received must be divided as follows:
Source
How Often Paid
How Much
YTD Amount
4. Miscellaneous:
Amount Per Week
Paid By Whom
A. Alimony Paid (past and/or present relationship)
$
B. Alimony Received (past and/or present relationship) $
C. Prior Child Support Orders (past relationships)
$
D. Day Care Expense
$
E. Other extraordinary expenses approved by the Court $
F. Government benefits for the Child
$
G. Health insurance premium for Child paid
$
5. Unreimbursed Health Care Expenses over $250.00 per child per year
$
6. Number of Overnights Each Week With You (overnight=more than 12 continuous hours)

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