Worksheet B - Child Support Obligation: Shared Physical Care
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1
2Denver Juvenile Court
District Court
____________________________________ County, Colorado
Court Address:
In Re:
The Marriage of:
Parental Responsibilities concerning:
Petitioner:
COURT USE ONLY
and
Co-Petitioner/Respondent:
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone
E-mail:
Number:
FAX Number:
Atty. Reg. #:
Division:
Courtroom:
WORKSHEET B – CHILD SUPPORT OBLIGATION: SHARED PHYSICAL CARE
Children
Date of Birth
Children
Date of Birth
Mother
Father
Combined
1. Monthly Gross Income
$
$
a. Plus maintenance received
+
+
b. Minus maintenance paid
-
-
c. Minus ordered child support payments for other children
pursuant to §14-10-115(6)(a), C.R.S.
-
-
d.
Minus
legal
responsibility
for
children
not
of
this
marriage/relationship pursuant to §14-10-115(6)(b)(I), C.R.S.
-
-
e. Minus ordered post-secondary education contributions*
-
-
2. Monthly Adjusted Gross Income
$
$
$
3. Percentage Share of Income
(Each parent’s income
%
%
from line 2 divided by Combined Income)
4. Basic Combined Obligation
$
(Apply line 2 Combined
column to Child Support Schedule)
5. Shared Physical Care Support Obligation
$
(Line 4
times 1.5)
$
$
6. Each Parent’s Portion of Shared Physical Care
Support Obligation
(Line 3 times line 5 for each parent)
7. Overnights with Each Parent
= 365
(Must total 365)
STOP HERE IF LINE 7 IS LESS THAN 93 FOR EITHER PARENT. IF SO, USE WORKSHEET A
8. Percentage Time with Each Parent
%
%
(Line 7 ÷ 365)
9. Support Obligation for Time with Other Parent
$
$
(Line 6 times other parent’s line 8)
$
$
10. Adjustments
(Expenses paid directly by each parent)
JDF 1821M R1/08 WORKSHEET B – CHILD SUPPORT OBLIGATION: SHARED PHYSICAL CARE
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