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Fill and Sign the Number of Children Calculation Form

Fill and Sign the Number of Children Calculation Form

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Worksheet 4 NUMBER OF CHILDREN CALCULATION Mother Combined Father 1. Percent contribution of each parent (line 6 from worksheet 1) __________ _________ 2. Health insurance premium (line 8 from worksheet 1) __________ ________ _________ (column A) (column B) (column C) (column D) (column E) (column F) Number of Children Table Amount Total Obligation (column A plus Combined line 2) Mother’s Monthly S hare of Total Obligation (column B times mother’s line 1) Father’s Monthly S hare of Total Obligation (column B times father’s line 1) Mother’s Final Share of Obliga tion (column C minus mother’s line 2) Father’s Final S hare of Obligation (column D minus father’s line 2) 3. Six ______ _________ _________ _________ _________ _________ 4. Five ______ _________ _________ _________ _________ _________ 5. Four ______ _________ _________ _________ _________ _________ 6. Three ______ _________ _________ _________ _________ _________ 7. Two ______ _________ _________ _________ _________ _________ 8. One ______ _________ _________ _________ _________ _________ The court order should specify the amount due for each possibility and the amount due should be decreased as the number of supported children decreases. Worksheet 4 amended October 24, 2007.

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