Fillable Child Support Form (Page 2 of 3) in pdf

Child Support Form Page 2

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Mother

Father

Combined

9. BASIC CHILD SUPPORT OBLIGATION FOR TIME

WITH OTHER PARENT (Multiply line 8A by line 7B

and put answer on Line 9A. Multiply Line 8B by line 7A

and put answer on Line 9B).

10. NET BASIC CHILD SUPPORT OBLIGATION

(Subtract lesser amount from greater amount in Line 9 and

place answer here under column with greater amount in

Line 9).

11. EXPENSES

a. Work-Related Child Care Expenses (Code, FL § 12-204(g))

b. Health Insurance Expense Code (Code, FL § 12-204(h)(1))

c. Extraordinary Medical Expenses (Code, FL §12-204(h)(2))

d. Cash Medical Support (Code, Family Law Article,

§ 12-102(c)(3)(ii)) - This subsection applies only to child

support case brought under Title IV, Part D of the Social

Security Act.

e. Additional Expenses (Code, Family Law Article § 12-104(i))

12. NET ADJUSTMENT FROM WORKSHEET C. Enter

amount from line l, WORKSHEET C, if applicable. If not,

continue to line 13.

13. NET BASIC CHILD SUPPORT OBLIGATION (From

Line 10 of this worksheet (WORKSHEET B), above.)

14. RECOMMENDED CHILD SUPPORT ORDER

(If the same parent owes money under line 12 and line 13, add

these two figures to obtain amount owed by that parent. If one

parent owes money under line 12 and the other owes money

under line 13, subtract the lesser amount from the greater to

obtain the difference. The parent owing the greater of the two

amounts on lines 12 and 13 will owe that difference as the

child support obligation. NOTE: The amount owed in a shared

custody arrangement may not exceed the amount that would be

owed if the obligor parent were a non-custodial parent. See

DOM. REL. 34 (Worksheet A).

Comments or special adjustment, such as any adjustment for certain third party benefits paid to or for

the child of an obligor who is disabled, retired, or receiving benefits as a result of a compensable claim

(See Code, Family Law Article, § 12-204(j)):

PREPARED BY:

Date:

CC-DR 35 (Rev. 10/2009)

Page 2 of 3

Child Support Form Page 2

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