Fillable Child Support Worksheet (Kansas Judicial Branch)

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Child Support Worksheet (Kansas Judicial Branch)

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1
Child Support Worksheet
IN THE JUDICIAL DISTRICT
COUNTY, KANSAS
IN THE MATTER OF:
and CASE NO.
CHILD SUPPORT WORKSHEET OF (name)
PARTY NAME PARTY NAME
A. INCOME COMPUTATION WAGE EARNER
1. Domestic Gross Income $ $
(Insert on Line C.1. below)*
B. INCOME COMPUTATION SELF-EMPLOYED
1. Self-Employment Gross Income
2. Reasonable Business Expenses (-)
3. Domestic Gross Income
(Insert on Line C.1. below)*
C. ADJUSTMENTS TO DOMESTIC GROSS INCOME
1. Domestic Gross Income
2. Court-Ordered Child Support Paid (-)
3. Court-Ordered Maintenance Paid ______% (-)
4. Court-Ordered Maintenance Received ________% (+)
5. Child Support Income
(Insert on Line D.1. below)
D. COMPUTATION OF CHILD SUPPORT
1. Child Support Income +
=
2. Proportionate Shares of Combined Income % %
3. Gross Child Support Obligation**
(Using the combined income from Line D.1.,
find the amount for each child and enter total for
all children)
Age of Children 0-5 6-11 12-18 Total
Number Per Age Category
Total Amount + + =
* Cost of Living Differential Adjustment? Yes No
**Multiple Family Application? Yes No
Parenting Time Adjustment Yes No _________%
Income Beyond the Child Support Schedule calculation used Yes No
Example: Child Support Worksheet
with Equal Parenting Time Worksheet
2
Case No. PARTY NAME PARTY NAME
4. Proportionate Share (Line D.3 x Line D.2) _____________ _____________
5. Parenting Time Adjustment ______% x Line D.4 (-) _____________ _____________
6. Proportionate Shares after Parenting Time Adjustment _____________ _____________
7. Health and Dental Insurance Premium $ + $
8. Proportionate Shares Health Insurance Premium _____________ _____________
9. Work-Related Child Care Costs
Formula: Amt. (Amt. x %)
for each child care credit
Example: 200 (200 x 30%)
10. Proportionate Shares Work-Related Child Care Costs ____________ _____________
11. Proportionate Child Support Obligation for Each Parent _____________ _____________
(Line D.6 + D.8 + D.10)
12. Credit for Insurance or Work-Related Child Care Paid (-) ____________ _____________
13. Basic Parental Child Support Obligation
((Line 11-Line D.12); Insert on Line F.1. below)
E. CHILD SUPPORT ADJUSTMENTS
APPLICABLE N/A CATEGORY PARTY NAME PARTY NAME
1. Long Distance Parenting Time Costs (+/-) (+/-)
2. Income Tax Considerations (+/-) (+/-)
3. Special Needs (+/-) (+/-)
4. Agreement Past Majority (+/-) (+/-)
5. Overall Financial Condition (+/-) (+/-)
6. TOTAL (Insert on Line F.2. below)
3
F. DEVIATION(S) FROM REBUTTABLE PRESUMPTION AMOUNT
AMOUNT ALLOWED
PARTY NAME PARTY NAME
1. Basic Parental Child Support Obligation
(Line D.13. from above)
2. Total Child Support Adjustments (+/-)
(Line E.6. from above)
3. Adjusted Subtotal (Line F.1. +/- Line F.2.)
4. Equal Parenting Time Obligation
( EPT Worksheet or Shared Expense Formula) ______________ ___________
5. a Ability to Pay Calculation
Child Support Income (D.1) ______ - Poverty Guidelines for Household of One _____ = ______
5. b. Subtotal (lesser amount of F.3 and F.5.a) ___________ ____________
6. Social Security Dependent Benefits (-) _________ (-) ______________
6. b. Final Subtotal __________ ______________
7. Enforcement Fee Allowance** Percentage %
(Applied only to Nonresidential Parent) Flat Fee $
((Line F.3. x Collection Fee %) x .5)
or (Monthly Flat Fee x .5) (+) (+)
8. Net Parental Child Support Obligation
(Line 5.b. + Line F.4.)
**Parent paying support.
Prepared By (Signature) Judge/Hearing Officer Signature
Prepared By (Print Name)
Date Submitted Date Approved
Equal Parenting Time (EPT) Worksheet
(The Equal Parenting Time Worksheet shall be filed with the Child Support Worksheet. References like "Line F.3" correspond to
lines shown on the Child Support Worksheet (CSW). References to "line 9" are to the lines on this worksheet.)
Step
#
Line
#
Instruction
Amount
Step 1
1
Enter the higher amount of the adjusted subtotal from Line F.3
2
Enter the lower amount of the adjusted subtotal from Line F.3
3
Subtract line 2 from line 1 and enter the result here
4
Multiply line 3 by 50% (.5) and enter the result here
Step 2
5
Enter the total from Line D.1 (Child Support Income)
6
Enter the total from Line D.3 (Gross Child Support Obligation)
7
If the parents have a written agreement to each provide clothing for the
children in their own home, go to line 9. If not, go to line 8.
Step
2.a
8
If the amount on line 5 is:
A. equal to or less than $4,690, enter 7% (.07).
B. greater than $4,690 but less than $8,125, enter 10.5% (.105).
C. equal to or greater than $8,125 enter 15% (.15) and go to line 10.
______%
Step
2.b
9
If the amount on line 5 is:
A. equal to or less than $4,690, enter 11% (.11).
B. greater than $4,690 but less than $8,125, enter 14% (.14).
C. equal to or greater than $8,125 enter 18% (.18) and go to line 10.
______%
10
Multiply line 6 by the percentage on line 8 or line 9 and enter the result here.
Step 3
11
If the parent designated by the court to pay all of the child(ren)'s direct
expenses is:
A. the parent with the lower adjusted subtotal from Line F.3 of the
child support worksheet, go to line 12.
B. the parent with the higher adjusted subtotal on Line F.3 of the
child support worksheet, go to line 14.
Step
3.a
12
Add line 4 and line 10.
13
Enter the amount on line 12 onto Line F.4 of the child support worksheet for
the parent with the higher adjusted subtotal on Line F.3. Calculate the
enforcement fee (if any) on Line F.5. The result on Line F.6 is the amount
the parent with the higher adjusted subtotal on Line F.3 will pay to the parent
with the lower adjusted subtotal on Line F.3.
Step
3.b
14
Subtract line 10 from line 4.
15
Enter this amount on line 14 onto Line F.4 of the child support worksheet for
the parent with the higher adjusted subtotal on Line F.3. Calculate the
enforcement fee (if any) on Line F.5. The result on Line F.6 is the amount
the parent with the higher adjusted subtotal on Line F.3 will pay to the parent
with the lower adjusted subtotal on Line F.3. If the amount is less than zero,
the court shall consider the overall financial circumstances of the parties to
determine whether an adjustment should be made.
1106
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1042
521
4757
1170
10.5
123
✔
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Child Support Worksheet (Kansas Judicial Branch)

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Completed 20 March 2021

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