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below.
Net monthly
Gross monthly
Receiving
INCOME
income
income
TANF/CalWORKS
a. Each parent's monthly income is as follows:
Mother:
$
$
Father:
$
$
has the capacity to earn: $
b.
The court finds that
Mother
Father
month
per
and has based the support order upon this imputed income.
(specify):
TAX FILING STATUS
Mother
Single
Single
Father
HH/MLA
HH/MLA
MFJ
MFJ
MFS
MFS
Number of exemptions claimed:
Number of exemptions claimed:
CHILDREN OF THIS RELATIONSHIP
a. Number of children who are...
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