Fill and Sign the Maryland Child Support Guidelines Worksheet a Form

Date of Birth Date of Birth WORKSHEET A - CHILD SUPPORT OBLIGATION: PRIMARY PHYSICAL CUSTODY Md. Rule 9-206(c) Name of Child Name of ChildDate of Birth Name of Child Name of Child Date of Birth Name of Child Date of Birth Name of Child Date of Birth1. MONTHLY ACTUAL INCOME (Before taxes)(Code, Family Law Article, § 12-201 (b)) a. Minus preexisting child support payment actually paid b. Minus alimony actually paid c. Plus/minus alimony awarded in this case 2. MONTHLY ADJUSTED ACTUAL INCOME 3. PERCENTAGE SHARE OF INCOME (Divide each parent's income on line 2 by the combined income on line 2) 4. BASIC CHILD SUPPORT OBLIGATION (Apply line 2 Combined Income to Child Support Schedule.) a. Work-Related Child Care Expenses (Code, Family Law Article, § 12-204 (g)) b. Health Insurance Expenses (Code, Family Law Article, § 12-204 (h)\ (1)) c. Extraordinary Medical Expenses (Code, Family Law Article, § 12-20\ 4 (h) (2)) 5. TOTAL CHILD SUPPORT OBLIGATION (Add lines 4, 4a, 4b, 4c, 4d, and 4e.) 6. EACH PARENT'S CHILD SUPPORT OBLIGATION (Multiply line 5 by line 3 for each parent.) 8. RECOMMENDED CHILD SUPPORT AMOUNT (Subtract line 7 from line 6 for each parent.) d. Cash Medical Support (Code, Family Law Article, § 12-102 (c) - ap\ plies only to a child support order under Title IV, Part D of the Social Secur\ ity Act) 7. TOTAL DIRECT PAY BY EACH PARENT (Add the expenses shown on lines 4a, 4b, 4c, 4d, and 4e paid by each parent.)e. Additional Expenses (Code, Family Law Article § 12-204 (i)) - - +/- % % - - +/- + + + + + Circuit Court for Case No. City or County Plaintiff Defendant Address City, State, Zip Name Address vs. Name City, State, Zip Telephone Telephone (CC-DR-034) Page 1 of 2 CC-DR-034 (Rev. 08/2016) Parent 1 Parent 2 Combined PREPARED BY: Date:9. RECOMMENDED CHILD SUPPORT ORDER (Bring down amount from line 8 for the non-custodial parent only. If this is a negative number, see Comment (2), below.) Comments or special adjustments, such as (1) any adjustment for certain third party benefits paid to or for the child of an obligor who is disabled, retired, or receiving benefits as a result of a compensable claim (see Code, Family Law Article, § 12-204 (j) or (2) that there is a negative dollar amount on line 9, which indicates a recommended child support order directing the custodial parent to reimburse the non-custodial parent this amount for "direct pay" expenses): Page 2 of 2 CC-DR-034 (Rev. 08/2016)