Interim Monthly Income And Expenses Statement Page 4

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and taxes.
6.
Include monthly average payments for gas, electricity, water, sewer, refuse, and basic
telephone bill, if not paid as part of rent. Use average for last 12 months if known.
7.
Do not include medical, dental, liability, life, or other insurance that is deducted by
payroll deduction.
8.
Do not include homeowners insurance premiums if the premium is included as part
of the residence expense, Line 6(a).
9.
Day care fixed expense is work-related day care and does not include baby-sitting
or occasional day care.
10.
“Credit card payments” is listed as a fixed expense and includes only the minimum
monthly payment as of the date of the filing of the petition.
11.
Any regular monthly payment ordered by a prior order of child support or alimony,
which is actually paid, is a fixed expense.
12.
Line 8. “Net spendable income” and “combined net spendable income” are
determined by subtracting Line 7, “total monthly fixed expenses,” from Line 5, “net monthly
income.”
Negative combined net spendable income. If the “combined net spendable income” (Line
8, Column 3) is a negative number, and there are no children, adjust the allocations of income or
expenses between the parties, or transfer an amount from one party to another so that the amount
of net spendable income for the “Husband” and “Wife” on Line 9 is equal. Do not complete Lines
10, 11, and 12. If Line 8, Column 3 has a negative or minimal “combined net spendable income,”
and there are children, the court will need to fashion an appropriate form to divide interim income
and expenses of the parties.
13
Line 9. Equalizing spendable income. If “net spendable income” on Line 8, Column
3, is a positive number, divide “combined net spendable income” by two and enter the result in each
column of Line 9.
14.
Line 10. Amount transferred and received. The party with the larger net spendable
income will transfer an equalizing amount to the party with the smaller net spendable income. To
determine the amount of the transfer or receipt, subtract Line 9 (one-half of combined net spendable
income) from Line 8, “net spendable income” and enter the amount on Line 10. This is the amount
to be transferred by the party with the larger net spendable income to the party with the lower net
spendable income.
For example, if the husband has a net spendable income of $1,000.00 per month and the wife
has a net spendable income of $500.00 per month, divide the total, $1,500.00, by two. Since the
husband has the larger net spendable income, enter the result, $750.00, on Line 9, under Column 1.
To determine the amount the husband transfers, subtract Line 9 of Column 1 from Line 8 of Column
1 ($1,000.00 minus $750.00 = $250.00) and this amount ($250.00) will be transferred each month
by the husband to the wife.
15.
Line 11. Children. If Line 8, Column 3, is a positive number, an adjustment for child
support is made by multiplying the amount on Line 8, Column 3 (combined “net spendable income”)
by the applicable percentage in the table below and enter the amount in the party column of the party
with primary custody of the child or children. Do not count children who are covered by a prior
child support order.
One child
10%
Two children
15%

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