2006 Ohio Revised Code - [3119.02.2] 3119.022.Computation worksheet for sole residential parent or shared parenting order.
[§ 3119.02.2] § 3119.022. Computation worksheet for sole residential parent or shared parenting order.
When a court or child support enforcement agency calculates the amount of child support to be paid pursuant to a child support order in a proceeding in which one parent is the residential parent and legal custodian of all of the children who are the subject of the child support order or in which the court issues a shared parenting order, the court or agency shall use a worksheet identical in content and form to the following:
s
CHILD SUPPORT COMPUTATION WORKSHEET
SOLE RESIDENTIAL PARENT OR SHARED PARENTING ORDER
Name of parties ..............................................................
Case No. .....................................................................
Number of minor children .....................................................
The following parent was designated as residential parent and legal custodian:
.................... mother .................... father .............shared
Column I Column II Column III
Father Mother Combined
INCOME
1.a. Annual gross income from employment or, when determined appropriate by the court or agency, average annual gross income from employment over a reasonable period of years. (exclude overtime, bonuses,
self-employment income, or commissions).....................$ .............. $ ..............
b. Amount of overtime, bonuses, and commissions (year 1 representing the most recent year)
Father Mother
Yr. 3 $ .................... Yr. 3 $ ....................
(Three years ago) (Three years ago)
Yr. 2 $ .................... Yr. 2 $ ....................
(Two years ago) (Two years ago)
Yr. 1 $ .................... Yr. 1 $ ....................
(Last calendar year) (Last calendar year)
Average $ .................... $ ....................
(Include in Col. I and/or Col. II the average of the three years or the year 1 amount, whichever is less, if there exists a reasonable expectation that the total earnings from overtime and/or bonuses during the current calendar year will meet or exceed the amount that is the lower of the average of the three years or the year 1 amount. If, however, there exists a reasonable expectation that the total earnings from overtime/bonuses during the current calendar year will be less than the lower of the average of the 3 years or the year 1 amount, include only the amount
reasonably expected to be earned this year.)................$ .............. $ ..............
2. For self-employment income:
a. Gross receipts from business
b. Ordinary and necessary business expenses.$ .............. $ ..............
c. 5.6% of adjusted gross income or the actual marginal difference between the actual rate paid by the self-employed individual and
the F.I.C.A. rate...........................................$ .............. $ ..............
d. Adjusted gross income from self-employment (subtract the
sum of 2b and 2c from 2a) ..................................$ .............. $ ..............
3. Annual income from interest and dividends (whether or not
taxable)....................................................$ .............. $ ..............
4. Annual income from unemployment compensation............................................................$ .............. $ ..............
5. Annual income from workers' compensation, disability
insurance benefits, or social security disability/retirement benefits............................................................$ .............. $ ..............
6. Other annual income (identify)............$ .............. $ ..............
7. Total annual gross income (add lines 1a, 1b, 2d, and 3-6)............................................................$ .............. $ ..............
ADJUSTMENTS TO INCOME
8. Adjustment for minor children born to or adopted by either parent and another parent who are living with this parent; adjustment does not apply to stepchildren (number of children times federal income tax exemption less child support received, not to exceed the federal tax
exemption)..................................................$ .............. $ ..............
9. Annual court-ordered support paid for other children............................................................$ .............. $ ..............
10. Annual court-ordered spousal support paid to any spouse or
former spouse..............................$ .............. $ ..............
11. Amount of local income taxes actually paid or estimated to
be paid....................................$ .............. $ ..............
12. Mandatory work-related deductions such as union dues,
uniform fees, etc. (not including taxes, social security, or retirement)...........................................$ .............. $ ..............
13. Total gross income adjustments (add lines 8 through 12)...........................................$ .............. $ ..............
14. Adjusted annual gross income (subtract line 13 from line 7)...........................................$ .............. $ ..............
15. Combined annual income that is basis for child support
order (add line 14, Col. I and Col. II)....................................... $ ..............
16. Percentage of parent's income to total income
a. Father (divide line 14, Col. I, by line 15, Col. III)....%
b. Mother (divide line 14, Col. II, by line 15, Col. III) ................%
17. Basic combined child support obligation (refer to schedule, first column, locate the amount nearest to the amount on line 15, Col. III, then refer to column for number of children in this family. If the income of the parents is more than one sum but less than another, you may calculate the difference.) .............. $ ..............
18. Annual support obligation per parent
a. Father (multiply line 17, Col. III, by line 16a).............................................................$ ..............
b. Mother (multiply line 17, Col. III, by line 16b)........... $ ..............
19. Annual child care expenses for children who are the subject of this order
that are work-, employment training-, or education-related, as approved
by the court or agency (deduct tax credit from annual cost, whether or
not claimed)................................$ .............. $ ..............
20. Marginal, out-of-pocket costs, necessary to provide for health insurance
for the children who are the subject of this order............................................$ .............. $ ..............
21. ADJUSTMENTS TO CHILD SUPPORT
Father (only if obligor or
shared
parenting) Mother (only if obligor or
shared
parenting)
a. Additions: line 16a times sum of
amounts shown on line 19, Col. II
and line 20, Col. II
$
............... b. Additions: line 16b times sum of
amounts shown on line 19, Col. I
and
line 20, Col. I
$ ...............
c. Subtractions: line 16b times sum
of amounts shown on line 19,
Col. I
and line 20, Col. I
$
............... d. Subtractions: line 16a times sum
of amounts shown on line 19,
Col. II
and line 20, Col. II
$
...............
22. OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT:
a. Father: line 18a plus or minus the difference between line
21a minus line 21c ........................................................... $ ..............
b. Mother: line 18b plus or minus the difference between line
21b minus line 21d ........................................................... $ ..............
23. ACTUAL ANNUAL OBLIGATION:
a. (Line 22a or 22b, whichever line corresponds to the parent
who is the obligor) .......................................................... $ ..............
b. Any non-means-tested benefits, including social security and veterans' benefits, paid to and received by a child or a person on behalf
of the child due to death, disability, or retirement of the parent............ $ ..............
c. Actual annual obligation (subtract line 23b from line 23a) $ ..............
24.a. Deviation from sole residential parent support amount shown on line 23c if amount would be unjust or inappropriate: (see
section 3119.23 of the Revised Code.) (Specific facts and monetary value must be stated.)
..............................................................................
..............................................................................
..............................................................................
..............................................................................
b. Deviation from shared parenting order: (see
sections 3119.23 and
3119.24 of the Revised Code.) (Specific facts including amount of time children spend with each parent, ability of each parent to maintain adequate housing for children, and each parent's expenses for children must be stated to justify deviation.)
..............................................................................
..............................................................................
..............................................................................
..............................................................................
25. FINAL FIGURE (this amount reflects final annual child support obligation; line 23c plus or minus any amounts indicated in line 24a
or 24b) ...................................................................... $ .............. Father/Mother,
OBLIGOR
26. FOR DECREE: Child support per month (divide obligor's
annual share, line 25, by 12) plus any processing charge ..................... $ ..............
Prepared by:
Counsel: .................... Pro se: ....................
(For mother/father)
CSEA: .................... Other: ....................
Worksheet Has Been Reviewed and Agreed To:
........................................................... .............
Mother Date
........................................................... .............
Father Date
HISTORY: 148 v S 180 (Eff 3-22-2001); 149 v H 94. Eff 9-5-2001.
The effective date is set by section 204 of HB 94.
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