Interim Monthly Income And Expenses Statement Page 3

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8.
Net spendable income
$_________ $_________ $_________
(Line 5 minus Line 7)
9.
1/2 of combined net spendable
13
income (1/2 of Line 8 Column 3)
$_________ $_________
14
10.
Amount transferred and received
$_________ $_________
15
11.
Child support adjustment
$_________ $_________
(see table, Use Note 15)
16
12.
Total to be transferred
$_________ $_________
_____________________________________
Signature
Subscribed to and sworn to before me this ______ day of _________________, _____, by
_______________________.
___________________________
Notary Public
USE NOTE
1.
This form is to be used with an Interim Order Allocating Income and Expenses, Form
4A-213 NMRA. Unless, upon motion of a party, the court orders the division of separate income
and expenses, only community income and expenses should be included on this form. In minimal
or negative income cases, the court will have discretion to fashion an appropriate order.
2.
“Gross monthly income” is income from all sources except child support received
from a prior court order. For self-employed individuals, gross monthly income means gross receipts
less reasonable and ordinary business expenses. For varying income and expenses use the average
of the last three (3) months’ income and expenses.
Gross monthly income is to be computed by using one of the following: hourly wage x
average hours worked per week x 52 divided by 12; weekly wage x 52 divided by 12; every two
weeks wage x 26 divided by 12; twice monthly x 2. For varying wages, use the average of the last
three months’ income.
3.
“Deductions” are payroll deductions for taxes, social security, health insurance, union
dues, retirement and other employer-related deductions. Payroll deductions are to be computed on
a monthly basis as described in Use Note 2.
4.
“Monthly fixed expenses” include periodic expenses even though paid quarterly,
semiannually or yearly. Fixed expenses are to be computed on a monthly basis by using one of the
following: annual income or expenses divided by 12. For varying expenses, use the average of the
last three months’ receipts or expenses.
5.
Residence fixed expense is mortgage or rent actually paid. If a party receives free
rent, e.g., by living with parents, that party’s rent is imputed as zero. If residence expense is a
mortgage payment for the residence of a party, unless already separately stated, include insurance

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