shared parenting cases. Child support for basic shared parenting cases shall be calculated using the following worksheet: e Worksheet A: BASIC SHARED PARENTING IN THE FAMILY COURT OF __________ COUNTY, WEST VIRGINIuA CASE NO.____________ Mother: ______________ SS No.: _____________ Primary Caustodial parent? [ ] Yes [ ] No Father: ______________ SS No.: _____________ Primary Custodial parent? [ ] Yes [ ] No Date of Children SSN Date of Birth Children SSN Birth PART I. CHILD SUPPORT ORDER Mother Father Combined 1. MONTHLY GROSS INCOME (Exclusive of overtime e $ $ compensation) a. Minus preexisting child support payment - - b. Minus maintenance paid - - c. Plus overtime compensation, if not excluded, and not to exceed 50%, pursuant to W. Va. Code §48-1-228(b)(6) d. Additional dependents deduction - - e. Minus student loan payment pursuant to W. Va. Code §48W-13-202(3) 2. MONTHLY ADJUSTED GROSS INCOME $ $ $ 3. PERCENTAGE SHARE OF INCOME(Each parent's income % % 100% from line 2 divided by Combined Income) 4. BASIC OBLIGATION(Use Line 2 combined to find amount $ from schedule.) 5. ADJUSTMENTS (Expenses paid directly by each parent) a. Work-Related Child Care Costs Adjusted for Federal Tax $ $ Credit (0.75 x actual work-related child care costs.) b. Extraordinary Medical Expenses (Uninsured only) and $ $ Children's Portion of Health Insurance Premium Costs. c. Extraordinary Expenses (Agreed to by parents or by order of $ $ the court.) d. Minus Extraordinary Adjustments (Agreed to by parents or - - by order of court.) e. Total Adjustments (For each column, add 5a, 5b, and 5c. Subtract Line 5d. Add the parent's totals together for $ $ $ Combined amount.) 6. TOTAL SUPPORT OBLIGATION(Add line 4 and line 5e $ Combined.) e 7. EACH PARENT'S SHARE OF THE TOTAL CHILD SUPPORT $ $ OBLIGATION (Line 3 x line 6 for each parent.) r 8. PAYOR PARENT ADJUSTMENT(Enter payor parent's line u$ $ 5e.) 9. RECOMMENDED CHILD SUPPORT ORDER(Subtract line 8 from line 7 for the payor parent only. Leave payee parent $ $ column blank.) a PART II. ABILITY TO PAY CALCULATION(Complete if the payor parent's adjusted monthly gross income is below $2,600.) l 10. Spendable Income(0.80 x line 2 for payor sparent only.) 11. Self Support Reserve $997 $997 12. Income Available for Support(Line 10 - line 11. If less than $50, then $50) g 13. Adjusted Child Support Order(Lesser of Line 9 and Line 12.) e Comments, calculations, or rebuttals to schedule or adjustments if payor parent directly pays extraordinary expeLnses. PREPARED BY: Date:
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