Child Support Form
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1
2
3Circuit Court for
Case No.
City or County
vs.
Name
Name
Street Address
Apt #
PO Box
Street Address
Apt #
PO Box
(
)
(
)
Area
Area
City
State
Telephone
City
State
Zip Code
Telephone
Zip Code
Code
Code
Plaintiff
Defendant
CHILD SUPPORT GUIDELINES WORKSHEET B
(Shared Physical Custody)
(DOM REL 35)
Name of Child
Name of Child
Date of Birth
Date of Birth
Name of Child
Date of Birth
Name of Child
Date of Birth
Name of Child
Date of Birth
Name of Child
Date of Birth
Mother
Father
Combined
1. MONTHLY ACTUAL INCOME (Before taxes)
(Code, Family Law Article, § 12-201(b)).
$
$
a. Minus pre-existing 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 the Child Support
Schedule)
$
5. ADJUSTED BASIC CHILD SUPPORT OBLIGATION
(Multiply line 4 by 1.5)
$
6. OVERNIGHTS with each parent (must total 365)
365
7. PERCENTAGE WITH EACH PARENT
(Line 6 divided by 365)
B
A
%
%
STOP HERE IF Line 7 is less than 35% for either parent.
Shared physical custody does not apply. (Use DOM. REL.
34 (Worksheet A), instead.)
8. EACH PARENT'S THEORETICAL CHILD
SUPPORT OBLIGATION (Multiply line 5 by line 3 for
each parent.)
A$
B$
CC-DR 35 (Rev. 10/2009)
Page 1 of 3
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