IN THE DISTRICT COURT
COUNTY, STATE OF UTAH
,
)
CHILD SUPPORT OBLIGATION WORKSHEET
(JOINT PHYSICAL CUSTODY)
Civil No. )
vs.
)
)
,
)
MOTHER FATHER COMBINED
1. Enter the # of natural and adopted children of this mother and father for whom support
is to be awarded.
2a. Enter the father’s and mother’s gross monthly income. Refer to Instructions for
definition of income. $ $
2b. Enter previously ordered alimony that is actually paid. (Do not enter alimony ordered
for this case). - -
2c. Enter previously ordered child support. (Do not enter obligations ordered for the
children in Line 1). - -
2d. OPTIONAL: Enter the amount from Line 12 of the Children in Present Home
Worksheet for either parent. - -
3. Subtract Lines 2b, 2c, and 2d from 2a. This is the Adjusted Gross Income for child
support purposes. $ $
4. Take the COMBINED figure in Line 3 and the number of children in Line 1 to the
Support Table. Enter the Combined Support Obligation here.
5. Divide each parent’s adjusted monthly gross in Line 3 by the COMBINED adjusted
monthly gross in Line 3. % %
6. Multiply Line 4 by Line 5 for each parent to obtain each parent’s share of the Base
Support Obligation. $ $
7. Enter the number of overnights the children will spend with each parent. (They must
total 365). Each parent must have at least 111 overnights to qualify for Joint Physical
Custody (UCA 78-45-2(13). 365
7b. Identify the parent who has the child the lesser number of overnights, and continue the
rest of the calculation for them. You will be making adjustments to the net amount owed
by this parent.
8a. For the parent who has the child the lesser number of overnights multiply the number
of overnights that are greater than 110 but less than 131 by .0027 to obtain a resulting
figure and enter in the respective column.
8b. Multiply the result on line 8a. by the Combined Support Obligation on line 4 for this
parent and enter the number in the respective column. $
8c. Subtract the respective dollar amount on line 8b. from this parent’s share of the Base
Support Obligation found in the column for this parent on line 6 to determine the amount
as indicated by UCA 78-45-7.9(3)(a) and enter the amount in the respective column. $
9a. Additional calculation necessary if both parents have the child for more than 131
overnights (Otherwise go to line 10): For the parent who has the child the lesser number
of overnights multiply the number of overnights that exceed 130(131 overnights or more)
by . 0084 to obtain a resulting figure and enter it in the respective column.
9b. Multiply the result on line 9a. by the Combined Support Obligation on line 4 for this
parent and enter each in the respective column. $
9c. Subtract this parent’s dollar amount on line 9b. from their respective amount as
identified on line 8c. to determine the amount as indicated by UCA 78-45-7.9(3)(b) and
enter the amount in the respective column. Go to line 10. $
6/2000
10. BASE CHILD SUPPORT AWARD: If the result in line 9c. is > 0, then this parent is the obligor (and the other parent
is the obligee). Enter the amount in line 9c. here. This is the amount owed by this parent to the obligee all 12 months of the
year. If the result in line 9c. is < 0, then this parent is the obligee (and the other parent is the obligor). Enter the absolute
value of the result in line 9C. here. This is the amount owed to this parent by the obligor all 12 months of the year. $
11. Which parent is the obligor? Mother Father
12. Is the support award the same as the guideline amount in line 10? Yes No
If NO, enter the amount ordered: $ , and answer number 13.
13. What were the reason stated by the Court for the deviation?
property settlement
excessive debts of the marriage
absence of need of the custodial parent
other:
Attorney Bar No. Electronic filing Manual filing 6/2000
6/2000
Instructions for the Joint Physical Custody Worksheet
Line 1. Enter the number of natural and adopted children of the mother and father for whom support is to be determined. Do not include
any children of either parent by another partner on this line. If a child for whom support is to be determined is an unemancipated minor who
does not live with his parents, use the total number of children, including the unemancipated minor, by that set of parents for Line 1.
Line 2a. Enter the mother's and father's gross monthly income. Definition of gross monthly income - prospective income from any source,
salaries, wages, commissions, royalties, bonuses, rents, gifts, prizes, dividends, severance pay, pensions, interest, trust income, alimony from
previous marriages, annuities, capital gains, social security benefits, workers' compensation benefits, unemployment compensation, disability
insurance benefits and payments for "non-means-tested" government programs. Income from earned sources is limited to the equivalent
of one full time job. For self-employed parents, see UCA 78-45-7.5(4)(a) and (b).
Excluded from gross income are: cash assistance provided under Title 35A, Chapter 3, Part 3, Family Employment Program, benefits from:
the housing subsidy program, the Job Training Partnership Act, S.S.I., S.S.D.I., Medicaid, Food Stamps, General Assistance, and other
"means-tested" benefits received by a parent; earnings or benefits of a child who is subject to this award.
All income must be verified. Verification includes: year to date pay stubs, employer statements or records, the last year's tax return and
documentation of non-earned income appropriate to the source.
Line 2b. Enter the amount of spousal support either parent is court ordered to pay and actually pays to another parent. Do not include
alimony payments for this case. Alimony payments must be verified. Cancelled checks or a statement from the recipient of the alimony
may be accepted as verification.
Line 2c. Enter the amount of support either parent is court ordered to pay for children by another partner. Previously ordered support may
include specifically ordered payments toward a child's medical expenses, child care, or child support. A copy of the order is required for
verification.
Line 2d. Natural or adoptive children of either parent who live in the home of that parent and are not children in common to both parties,
may at the option of either party be taken into account under the guidelines in setting or adjusting a child support award. Use the
WORKSHEET TO DETERMINE FATHER'S OBLIGATION TO CHILDREN IN HIS PRESENT HOME and/or the WORKSHEET TO
DETERMINE MOTHER'S OBLIGATION TO CHILDREN IN HER PRESENT HOME to compute the obligations of the respective parents
for the additional children. Consideration of natural or adoptive child(ren) other than those in common to both parties may be applied to
lessen an increase in the award, but may not be applied to justify a decrease in the award.
Line 3. Complete the calculation as directed.
Line 4. The amount on the "Combined Child Support Obligation Table" shows the amount BOTH parents combined should contribute for
the support of their child(ren).
Line 5. Each parent's share of the combined support obligation as a percentage figure.
Line 6. Each parent’s share of the base support obligation as a dollar figure.
Line 7. This is the total number of overnights the children will have with each parent. Each parent must have atleast 111 overnights to qualify
for Joint Physical Custody (UCA 78-45-2(13).
Line 7b. The rest of the calculation will be made for the parent who has the child(ren) the lesser number of overnights. So identify this parent
here and continue the calculation for only this parent.
Line 8a. Complete the calculation as directed. This is the mathematical figure that will be used to reduce the base support obligation for
overnights totaling between 110 to 130.
Line 8b. Complete the calculation as directed. This is the combined support obligation as a dollar figure for this parent.
Line 8c. Complete the calculation as directed. This is this parent’s share of the base support obligation as a dollar figure.
Line 9a. If both parents have the child for more than 131 overnights, then continue the calculation as directed. This is the mathematical figure
that will be used to reduce the base support obligation for any overnights greater than 130 that the child(ren) have with the parent who has
the child(ren) the lesser number of overnights. Otherwise go to line 10.
6/2000
Line 9b. Complete the calculation as directed. This is the combined support obligation as a dollar figure for this parent.
Line 9c. Complete the calculation as directed. This is this parent’s share of the base support obligation as a dollar figure.
Line 10. Designate which parent must pay support and the support amount. The Base Child Support Award is the amount the obligor pays
to the obligee all 12 months of the year. See the Insurance Premium and Child Care Adjustment Worksheet to determine how the
insurance premiums and child care expenses may change the amount the obligor pays to the obligee.
Line 11. Designate which parent must pay support.
Line 12. Complete line 12 to show if the amount ordered deviates from the guideline amount in line 10. Complete line 13 if you deviated
from the guideline amount.
6/2000
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