Obligation Worksheet

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SES 330
Rev. 10/01
06/99 Issue Obsolete
Obligation Worksheet A
II
(The worksheet for calculation of the total support obligation under R.S. 9:315.8 and 315.10)
Louisiana
Court
Parish
Case Number
Div/CtRm
and
Respondent
Petitioner
Children
Date of Birth
Children
Date of Birth
A. Petitioner
B. Respondent
C. Combined
Monthly Gross Income (R.S. 9:315.2(A))
1.
$
$
a. Preexisting child support payment.
-
-
b. Preexisting spousal support payment.
-
-
2.
Monthly Adjusted Gross Income (Line 1 minus 1a and 1b).
$
$
Combined Monthly Adjusted Gross Income (Line 2 Column
3.
A plus Line 2 Column B). (R.S. 9:315.2(C))
$
4.
Percentage Share of Income (Line 2 divided by line 3).
%
%
(R.S. 9:315.2(C))
Basic Child Support Obligation (Compare line 3 to Child
5.
Support Schedule). (R.S. 9:315.2(D))
$
a.
Net Child Care Costs (Cost minus Federal Tax Credit).
+
(R.S. 9:315.3)
b.
Child's Health Insurance Premium Cost. (R.S. 9:315.4)
+
c.
Extraordinary Medical Expenses (Uninsured Only).
(Agreed to by parties or by order of the court).
+
(R.S. 9:315.5)
d.
Extraordinary Expenses (Agreed to by parties or by
+
order of the court). (R.S. 9:315.6)
-
e.
Optional. Minus extraordinary adjustments (Child's
income if applicable). (R.S. 9:315.7)
6.
Total Child Support Obligation (Add lines 5, 5a, 5b, 5c, and
5d; subtract line 5e). (R.S. 9:315.8)
$
Each Party's Child Support Obligation (Multiply lines 4 times
7.
line 6 for each parent).
$
$
8.
Direct payments made by the noncustodial parent on behalf
of the child for work-related net child care costs, health
insurance premiums, extraordinary medical expenses, or
extraordinary expenses.
-
Recommended Child Support Order (Subtract line 8 from
9.
line 7).
$
Comments, calculations, or rebuttals to schedule or adjustments if made under 8 above or if ordering a credit for a joint custodial
arrangement:
Prepared by
Date

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