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1
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3(For Calculating Line 12 of Shared Physical Custody Worksheet, above)
INSTRUCTIONS FOR ADJUSTMENT WORKSHEET: Use Worksheet C ONLY if any of the Expenses
listed in Lines 11a, 11b, 11c, 11d or 11e, is directly paid out or received by the parents in a different
proportion than the percentage share of income entered on Line 3 of the Shared Physical Custody
Worksheet (Worksheet B), above. Example: If the mother pays all of the daycare, or parents split
education/medical costs 50/50 and line 3 is other than 50/50. If there is more than one 11e expense, the
calculations on Lines i and j below must be made for each expense.
WORKSHEET C - FOR ADJUSTMENTS, LINE 12, WORKSHEET B
Mother
Father
a. Total amount of direct payments made for Line 11a expenses multiplied
by each parent's percentage of income (Line 3, Shared Physical Custody
Worksheet B) (Proportionate share)
$
$
b. The excess amount of direct payments made by the parent who pays
more than the amount calculated in Line a, above. (The difference
between amount paid and proportionate share).
$
$
c. Total amount of direct payments made for Line 11b expenses multiplied
by each parent's percentage of income (Line 3, Shared Physical Custody
Worksheet B).
$
$
d. The excess amount of direct payments made by the parent who pays
more than the amount calculated on line c, above.
$
$
e. Total amount of direct payments made for Line 11c expenses multiplied
by each parent's percentage of income (Line 3, Shared Physical Custody
Worksheet B).
$
$
f. The excess amount of direct payments made by the parent who pays more
than the amount calculated in line e, above.
$
$
g. Total amount of direct payments made for Line 11d, expenses multiplied
by each parent's percentage of income (Line 3, Shared Physical Custody
Worksheet B).
$
$
h. The excess amount of direct payments made by the parent who pays
more than the amount calculated in Line g, above.
$
$
i. Total amount of direct payments made for Line 11e, expenses multiplied
by each parent's percentage of income (Line 3, Shared Physical Custody
Worksheet B).
$
$
j. The excess amount of direct payments made by the parent who pays
more than the amount calculated in Line i, above.
$
$
k. For each parent, add lines b, d, f, h and i.
$
$
l. Subtract lesser amount from greater amount in Line k, above. Place the
answer on this line under the lesser amount in Line k. Also enter this
answer on line 12 of the Shared Physical Custody Worksheet B, in the
same parent's column.
$
$
CC-DR 35 (Rev. 10/2009)
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