Sole Guideline Worksheet
Date:
Parent A: _________________ Parent B: _________________
Docket No.: _____________ DCSE No.: ______________
Guideline Calculation
Party A
Party B
A. Income
A1. Monthly Gross Income:
$0.00
$0.00
A2. Spousal Support Income:
__________
__________
A3. Spousal Support Deduction:
__________
__________
A2. Other children in household:
__________
__________
Deduction for these children:
__________
__________
A3.Other Child Support:
__________
__________
A6. Self-Empl.Tax Deduct.:
__________
__________
A7. Bus. Expense Deduct.:
__________
__________
A4. Avail. Monthly Gross Inc.:
$0.00
$0.00
A5. Combined Monthly Gross Income:
$0.00
B. Sole Child Support Needs
B1. Number of Children:
0
B2. Monthly Basic Child Support Obligation:
$0.00
B3. Monthly Healthcare Coverage Costs:
__________
B4. Monthly Work-Related Daycare Costs:
__________
B5. Total Monthly Child Support Obligation:
$0.00
C. Each Party's Obligation:
Party A
Party B
C1. Income Share:
null %
null %
C2. Monthly Support Oblig:
$0.00
$NaN
C3. Noncustodial parent's Healthcare Coverage Deduction:
__________
__________
C3. Noncustodial parent's Daycare Cost Deduction:
__________
__________
C4. Adjustment after healthcare coverage deduction:
__________
__________
D. Adjustments:
Party A
Party B
D1. Derivative Benefit Credit:
__________
__________
D3.
__________
__________
D2. Each Party's Adjusted Share:
__________
__________