Fill and Sign the Standard Child Support Worksheetfile Form

STANDARD CH/ILD SUPPORT WORKSHEET 1CAO 1-13 Revised 2/25/2005Full Name of Party Filing this DocumentMailing Address (Street or Post Office Box) City, State, and Zip CodeTelephone Number IN THE DISTRICT COURT OF THE JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _____________________________________, Plaintiff, vs. _____________________________________, Defendant. Case No.: ___________________ STANDARD CHILD SUPPORT WORKSHEETCHILDREN DATE OF BIRTHFATHERMOTHER COMBINED1. MONTHLY ICSG INCOME (from Affidavit)$$$2.PERCENTAGE SHARE OF INCOME(Each parent’s income on line 1 divided by Combined Income) %% 100.00% 3. BASIC CHILD SUPPORT OBLIGATION(Apply line 1 Combined to Child Support Schedule)$4.EACH PARENT'S SUPPORT OBLIGATION (Multiply line 2 times line 3 for each parent)$$5. RECOMMENDED BASE SUPPORT: (Bring down the amount from line 4 for the non-custodial parent)$$ STANDARD CH/ILD SUPPORT WORKSHEET 2CAO 1-13 Revised 2/25/2005FATHERMOTHER COMBINED6. Other costs to be considered by the Court:$$ a. Work-related childcare expenses (+/-)$$$$$$$ b. Health insurance premiums and uninsured health care expenses paid by ( ) Mom ( ) Dad (+/-)$$$ c. Total tax benefit for all exemptions divided by 12Multiply benefit by line 2 % for each parent +/- (to off-set any excess benefit)$$$$$7. Total AMOUNT TO BE ORDERED: $$ PREPARED ON THIS DAY OF , 20 .BY: _________________________________ _______________________________ Signature Typed/printed Name