INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM
12.902(e), CHILD SUPPORT GUIDELINES WORKSHEET (09/12)
When should this form be used?
You should complete this worksheet if child support is being requested in your case. If you know the
income of the other party, this worksheet should accompany your financial affidavit. If you do not k o the other party’s income, this form must be completed after the other party files his or her
financial affidavit, and serves a copy on you.
This form should be typed or printed in black ink. You should file the original with the clerk of the circuit court in the county where your case is filed and keep a copy for your records.
What should I do next?
A copy of this form must be served on the other party in your case. Service must be in accordance with Florida Rule of Judicial Administration 2.516.
Where can I look for more information?
Before proceedi g, you should read Ge eral I for atio for “elf-Represe ted Litiga ts fou d at the beginning of these forms. The words that are in bold underline in these instructions are defined there. For further information, see section 61.30, Florida Statutes.
Special notes...
If you want to keep your address confidential because you are the victim of sexual battery, aggravated child abuse, aggravated stalking, harassment, aggravated battery or domestic violence, do not enter the address, telephone, and fax information at the bottom of this form. Instead, file Request for Confidential Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h).
The chart below contains the guideline amounts that you should use when calculating child support. This amount is based on the number of children and the combined income of the parents, and it is divided between the parents in direct proportion to their income or earning capacity. From time to time, some of the amounts in the child support guidelines chart will change. Be sure you have the most recent version of the chart before using it.
Because the guidelines are based on monthly amounts, it may be necessary to convert some income and expense figures from other frequencies to monthly. You should do this as follows:
Instructions for Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
If payment is twice per month |
Payment amount |
x |
2 |
= |
Monthly amount |
If payment is every two weeks |
Payment amount |
x |
26 |
= |
Yearly amount due |
|
Yearly amount |
÷ |
12 |
= |
Monthly amount |
If payment is weekly |
Weekly amount |
x |
52 |
= |
Yearly amount due |
|
Yearly amount |
÷ |
12 |
= |
Monthly amount |
If you or the other parent request that the court award an amount that is different than the guideline amount, you must also complete and attach a Motion to Deviate from Child Support Guidelines, Florida Supreme Court Approved Family Law Form 12.943.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.
Instructions for Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
CHILD SUPPORT GUIDELINES CHART
|
Combined |
One |
Two |
Three |
Four |
Five |
Six |
|
Monthly |
Child |
Children |
Children |
Children |
Children |
Children |
|
Available |
|
|
|
|
|
|
|
|
Income |
|
|
|
|
|
|
|
800.00 |
190 |
211 |
213 |
216 |
218 |
220 |
|
850.00 |
202 |
257 |
259 |
262 |
265 |
268 |
|
900.00 |
213 |
302 |
305 |
309 |
312 |
315 |
|
950.00 |
224 |
347 |
351 |
355 |
359 |
363 |
|
1000.00 |
235 |
365 |
397 |
402 |
406 |
410 |
|
1050.00 |
246 |
382 |
443 |
448 |
453 |
458 |
|
1100.00 |
258 |
400 |
489 |
495 |
500 |
505 |
|
1150.00 |
269 |
417 |
522 |
541 |
547 |
553 |
|
1200.00 |
280 |
435 |
544 |
588 |
594 |
600 |
|
1250.00 |
290 |
451 |
565 |
634 |
641 |
648 |
|
1300.00 |
300 |
467 |
584 |
659 |
688 |
695 |
|
1350.00 |
310 |
482 |
603 |
681 |
735 |
743 |
|
1400.00 |
320 |
498 |
623 |
702 |
765 |
790 |
|
1450.00 |
330 |
513 |
642 |
724 |
789 |
838 |
|
1500.00 |
340 |
529 |
662 |
746 |
813 |
869 |
|
1550.00 |
350 |
544 |
681 |
768 |
836 |
895 |
|
1600.00 |
360 |
560 |
701 |
790 |
860 |
920 |
|
1650.00 |
370 |
575 |
720 |
812 |
884 |
945 |
|
1700.00 |
380 |
591 |
740 |
833 |
907 |
971 |
|
1750.00 |
390 |
606 |
759 |
855 |
931 |
996 |
|
1800.00 |
400 |
622 |
779 |
877 |
955 |
1022 |
|
1850.00 |
410 |
638 |
798 |
900 |
979 |
1048 |
|
1900.00 |
421 |
654 |
818 |
923 |
1004 |
1074 |
|
1950.00 |
431 |
670 |
839 |
946 |
1029 |
1101 |
|
2000.00 |
442 |
686 |
859 |
968 |
1054 |
1128 |
|
2050.00 |
452 |
702 |
879 |
991 |
1079 |
1154 |
|
2100.00 |
463 |
718 |
899 |
1014 |
1104 |
1181 |
|
2150.00 |
473 |
734 |
919 |
1037 |
1129 |
1207 |
|
2200.00 |
484 |
751 |
940 |
1060 |
1154 |
1234 |
|
2250.00 |
494 |
767 |
960 |
1082 |
1179 |
1261 |
|
2300.00 |
505 |
783 |
980 |
1105 |
1204 |
1287 |
|
2350.00 |
515 |
799 |
1000 |
1128 |
1229 |
1314 |
|
2400.00 |
526 |
815 |
1020 |
1151 |
1254 |
1340 |
|
2450.00 |
536 |
831 |
1041 |
1174 |
1279 |
1367 |
|
2500.00 |
547 |
847 |
1061 |
1196 |
1304 |
1394 |
|
2550.00 |
557 |
864 |
1081 |
1219 |
1329 |
1420 |
Instructions for Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
|
Combined |
One |
Two |
Three |
Four |
Five |
Six |
|
Monthly |
Child |
Children |
Children |
Children |
Children |
Children |
|
Available |
|
|
|
|
|
|
|
|
Income |
|
|
|
|
|
|
|
2600.00 |
568 |
880 |
1101 |
1242 |
1354 |
1447 |
|
2650.00 |
578 |
896 |
1121 |
1265 |
1379 |
1473 |
|
2700.00 |
588 |
912 |
1141 |
1287 |
1403 |
1500 |
|
2750.00 |
597 |
927 |
1160 |
1308 |
1426 |
1524 |
|
2800.00 |
607 |
941 |
1178 |
1328 |
1448 |
1549 |
|
2850.00 |
616 |
956 |
1197 |
1349 |
1471 |
1573 |
|
2900.00 |
626 |
971 |
1215 |
1370 |
1494 |
1598 |
|
2950.00 |
635 |
986 |
1234 |
1391 |
1517 |
1622 |
|
3000.00 |
644 |
1001 |
1252 |
1412 |
1540 |
1647 |
|
3050.00 |
654 |
1016 |
1271 |
1433 |
1563 |
1671 |
|
3100.00 |
663 |
1031 |
1289 |
1453 |
1586 |
1695 |
|
3150.00 |
673 |
1045 |
1308 |
1474 |
1608 |
1720 |
|
3200.00 |
682 |
1060 |
1327 |
1495 |
1631 |
1744 |
|
3250.00 |
691 |
1075 |
1345 |
1516 |
1654 |
1769 |
|
3300.00 |
701 |
1090 |
1364 |
1537 |
1677 |
1793 |
|
3350.00 |
710 |
1105 |
1382 |
1558 |
1700 |
1818 |
|
3400.00 |
720 |
1120 |
1401 |
1579 |
1723 |
1842 |
|
3450.00 |
729 |
1135 |
1419 |
1599 |
1745 |
1867 |
|
3500.00 |
738 |
1149 |
1438 |
1620 |
1768 |
1891 |
|
3550.00 |
748 |
1164 |
1456 |
1641 |
1791 |
1915 |
|
3600.00 |
757 |
1179 |
1475 |
1662 |
1814 |
1940 |
|
3650.00 |
767 |
1194 |
1493 |
1683 |
1837 |
1964 |
|
3700.00 |
776 |
1208 |
1503 |
1702 |
1857 |
1987 |
|
3750.00 |
784 |
1221 |
1520 |
1721 |
1878 |
2009 |
|
3800.00 |
793 |
1234 |
1536 |
1740 |
1899 |
2031 |
|
3850.00 |
802 |
1248 |
1553 |
1759 |
1920 |
2053 |
|
3900.00 |
811 |
1261 |
1570 |
1778 |
1940 |
2075 |
|
3950.00 |
819 |
1275 |
1587 |
1797 |
1961 |
2097 |
|
4000.00 |
828 |
1288 |
1603 |
1816 |
1982 |
2119 |
|
4050.00 |
837 |
1302 |
1620 |
1835 |
2002 |
2141 |
|
4100.00 |
846 |
1315 |
1637 |
1854 |
2023 |
2163 |
|
4150.00 |
854 |
1329 |
1654 |
1873 |
2044 |
2185 |
|
4200.00 |
863 |
1342 |
1670 |
1892 |
2064 |
2207 |
|
4250.00 |
872 |
1355 |
1687 |
1911 |
2085 |
2229 |
|
4300.00 |
881 |
1369 |
1704 |
1930 |
2106 |
2251 |
|
4350.00 |
889 |
1382 |
1721 |
1949 |
2127 |
2273 |
|
4400.00 |
898 |
1396 |
1737 |
1968 |
2147 |
2295 |
|
4450.00 |
907 |
1409 |
1754 |
1987 |
2168 |
2317 |
Instructions for Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
|
Combined |
One |
Two |
Three |
Four |
Five |
Six |
|
Monthly |
Child |
Children |
Children |
Children |
Children |
Children |
|
Available |
|
|
|
|
|
|
|
|
Income |
|
|
|
|
|
|
|
4500.00 |
916 |
1423 |
1771 |
2006 |
2189 |
2339 |
|
4550.00 |
924 |
1436 |
1788 |
2024 |
2209 |
2361 |
|
4600.00 |
933 |
1450 |
1804 |
2043 |
2230 |
2384 |
|
4650.00 |
942 |
1463 |
1821 |
2062 |
2251 |
2406 |
|
4700.00 |
951 |
1477 |
1838 |
2081 |
2271 |
2428 |
|
4750.00 |
959 |
1490 |
1855 |
2100 |
2292 |
2450 |
|
4800.00 |
968 |
1503 |
1871 |
2119 |
2313 |
2472 |
|
4850.00 |
977 |
1517 |
1888 |
2138 |
2334 |
2494 |
|
4900.00 |
986 |
1530 |
1905 |
2157 |
2354 |
2516 |
|
4950.00 |
993 |
1542 |
1927 |
2174 |
2372 |
2535 |
|
5000.00 |
1000 |
1551 |
1939 |
2188 |
2387 |
2551 |
|
5050.00 |
1006 |
1561 |
1952 |
2202 |
2402 |
2567 |
|
5100.00 |
1013 |
1571 |
1964 |
2215 |
2417 |
2583 |
|
5150.00 |
1019 |
1580 |
1976 |
2229 |
2432 |
2599 |
|
5200.00 |
1025 |
1590 |
1988 |
2243 |
2447 |
2615 |
|
5250.00 |
1032 |
1599 |
2000 |
2256 |
2462 |
2631 |
|
5300.00 |
1038 |
1609 |
2012 |
2270 |
2477 |
2647 |
|
5350.00 |
1045 |
1619 |
2024 |
2283 |
2492 |
2663 |
|
5400.00 |
1051 |
1628 |
2037 |
2297 |
2507 |
2679 |
|
5450.00 |
1057 |
1638 |
2049 |
2311 |
2522 |
2695 |
|
5500.00 |
1064 |
1647 |
2061 |
2324 |
2537 |
2711 |
|
5550.00 |
1070 |
1657 |
2073 |
2338 |
2552 |
2727 |
|
5600.00 |
1077 |
1667 |
2085 |
2352 |
2567 |
2743 |
|
5650.00 |
1083 |
1676 |
2097 |
2365 |
2582 |
2759 |
|
5700.00 |
1089 |
1686 |
2109 |
2379 |
2597 |
2775 |
|
5750.00 |
1096 |
1695 |
2122 |
2393 |
2612 |
2791 |
|
5800.00 |
1102 |
1705 |
2134 |
2406 |
2627 |
2807 |
|
5850.00 |
1107 |
1713 |
2144 |
2418 |
2639 |
2820 |
|
5900.00 |
1111 |
1721 |
2155 |
2429 |
2651 |
2833 |
|
5950.00 |
1116 |
1729 |
2165 |
2440 |
2663 |
2847 |
|
6000.00 |
1121 |
1737 |
2175 |
2451 |
2676 |
2860 |
|
6050.00 |
1126 |
1746 |
2185 |
2462 |
2688 |
2874 |
|
6100.00 |
1131 |
1754 |
2196 |
2473 |
2700 |
2887 |
|
6150.00 |
1136 |
1762 |
2206 |
2484 |
2712 |
2900 |
|
6200.00 |
1141 |
1770 |
2216 |
2495 |
2724 |
2914 |
|
6250.00 |
1145 |
1778 |
2227 |
2506 |
2737 |
2927 |
|
6300.00 |
1150 |
1786 |
2237 |
2517 |
2749 |
2941 |
|
6350.00 |
1155 |
1795 |
2247 |
2529 |
2761 |
2954 |
Instructions for Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
|
Combined |
One |
Two |
Three |
Four |
Five |
Six |
|
Monthly |
Child |
Children |
Children |
Children |
Children |
Children |
|
Available |
|
|
|
|
|
|
|
|
Income |
|
|
|
|
|
|
|
6400.00 |
1160 |
1803 |
2258 |
2540 |
2773 |
2967 |
|
6450.00 |
1165 |
1811 |
2268 |
2551 |
2785 |
2981 |
|
6500.00 |
1170 |
1819 |
2278 |
2562 |
2798 |
2994 |
|
6550.00 |
1175 |
1827 |
2288 |
2573 |
2810 |
3008 |
|
6600.00 |
1179 |
1835 |
2299 |
2584 |
2822 |
3021 |
|
6650.00 |
1184 |
1843 |
2309 |
2595 |
2834 |
3034 |
|
6700.00 |
1189 |
1850 |
2317 |
2604 |
2845 |
3045 |
|
6750.00 |
1193 |
1856 |
2325 |
2613 |
2854 |
3055 |
|
6800.00 |
1196 |
1862 |
2332 |
2621 |
2863 |
3064 |
|
6850.00 |
1200 |
1868 |
2340 |
2630 |
2872 |
3074 |
|
6900.00 |
1204 |
1873 |
2347 |
2639 |
2882 |
3084 |
|
6950.00 |
1208 |
1879 |
2355 |
2647 |
2891 |
3094 |
|
7000.00 |
1212 |
1885 |
2362 |
2656 |
2900 |
3103 |
|
7050.00 |
1216 |
1891 |
2370 |
2664 |
2909 |
3113 |
|
7100.00 |
1220 |
1897 |
2378 |
2673 |
2919 |
3123 |
|
7150.00 |
1224 |
1903 |
2385 |
2681 |
2928 |
3133 |
|
7200.00 |
1228 |
1909 |
2393 |
2690 |
2937 |
3142 |
|
7250.00 |
1232 |
1915 |
2400 |
2698 |
2946 |
3152 |
|
7300.00 |
1235 |
1921 |
2408 |
2707 |
2956 |
3162 |
|
7350.00 |
1239 |
1927 |
2415 |
2716 |
2965 |
3172 |
|
7400.00 |
1243 |
1933 |
2423 |
2724 |
2974 |
3181 |
|
7450.00 |
1247 |
1939 |
2430 |
2733 |
2983 |
3191 |
|
7500.00 |
1251 |
1945 |
2438 |
2741 |
2993 |
3201 |
|
7550.00 |
1255 |
1951 |
2446 |
2750 |
3002 |
3211 |
|
7600.00 |
1259 |
1957 |
2453 |
2758 |
3011 |
3220 |
|
7650.00 |
1263 |
1963 |
2461 |
2767 |
3020 |
3230 |
|
7700.00 |
1267 |
1969 |
2468 |
2775 |
3030 |
3240 |
|
7750.00 |
1271 |
1975 |
2476 |
2784 |
3039 |
3250 |
|
7800.00 |
1274 |
1981 |
2483 |
2792 |
3048 |
3259 |
|
7850.00 |
1278 |
1987 |
2491 |
2801 |
3057 |
3269 |
|
7900.00 |
1282 |
1992 |
2498 |
2810 |
3067 |
3279 |
|
7950.00 |
1286 |
1998 |
2506 |
2818 |
3076 |
3289 |
|
8000.00 |
1290 |
2004 |
2513 |
2827 |
3085 |
3298 |
|
8050.00 |
1294 |
2010 |
2521 |
2835 |
3094 |
3308 |
|
8100.00 |
1298 |
2016 |
2529 |
2844 |
3104 |
3318 |
|
8150.00 |
1302 |
2022 |
2536 |
2852 |
3113 |
3328 |
|
8200.00 |
1306 |
2028 |
2544 |
2861 |
3122 |
3337 |
|
8250.00 |
1310 |
2034 |
2551 |
2869 |
3131 |
3347 |
Instructions for Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
|
Combined |
One |
Two |
Three |
Four |
Five |
Six |
|
Monthly |
Child |
Children |
Children |
Children |
Children |
Children |
|
Available |
|
|
|
|
|
|
|
|
Income |
|
|
|
|
|
|
|
8300.00 |
1313 |
2040 |
2559 |
2878 |
3141 |
3357 |
|
8350.00 |
1317 |
2046 |
2566 |
2887 |
3150 |
3367 |
|
8400.00 |
1321 |
2052 |
2574 |
2895 |
3159 |
3376 |
|
8450.00 |
1325 |
2058 |
2581 |
2904 |
3168 |
3386 |
|
8500.00 |
1329 |
2064 |
2589 |
2912 |
3178 |
3396 |
|
8550.00 |
1333 |
2070 |
2597 |
2921 |
3187 |
3406 |
|
8600.00 |
1337 |
2076 |
2604 |
2929 |
3196 |
3415 |
|
8650.00 |
1341 |
2082 |
2612 |
2938 |
3205 |
3425 |
|
8700.00 |
1345 |
2088 |
2619 |
2946 |
3215 |
3435 |
|
8750.00 |
1349 |
2094 |
2627 |
2955 |
3224 |
3445 |
|
8800.00 |
1352 |
2100 |
2634 |
2963 |
3233 |
3454 |
|
8850.00 |
1356 |
2106 |
2642 |
2972 |
3242 |
3464 |
|
8900.00 |
1360 |
2111 |
2649 |
2981 |
3252 |
3474 |
|
8950.00 |
1364 |
2117 |
2657 |
2989 |
3261 |
3484 |
|
9000.00 |
1368 |
2123 |
2664 |
2998 |
3270 |
3493 |
|
9050.00 |
1372 |
2129 |
2672 |
3006 |
3279 |
3503 |
|
9100.00 |
1376 |
2135 |
2680 |
3015 |
3289 |
3513 |
|
9150.00 |
1380 |
2141 |
2687 |
3023 |
3298 |
3523 |
|
9200.00 |
1384 |
2147 |
2695 |
3032 |
3307 |
3532 |
|
9250.00 |
1388 |
2153 |
2702 |
3040 |
3316 |
3542 |
|
9300.00 |
1391 |
2159 |
2710 |
3049 |
3326 |
3552 |
|
9350.00 |
1395 |
2165 |
2717 |
3058 |
3335 |
3562 |
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9400.00 |
1399 |
2171 |
2725 |
3066 |
3344 |
3571 |
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9450.00 |
1403 |
2177 |
2732 |
3075 |
3353 |
3581 |
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9500.00 |
1407 |
2183 |
2740 |
3083 |
3363 |
3591 |
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9550.00 |
1411 |
2189 |
2748 |
3092 |
3372 |
3601 |
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9600.00 |
1415 |
2195 |
2755 |
3100 |
3381 |
3610 |
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9650.00 |
1419 |
2201 |
2763 |
3109 |
3390 |
3620 |
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9700.00 |
1422 |
2206 |
2767 |
3115 |
3396 |
3628 |
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9750.00 |
1425 |
2210 |
2772 |
3121 |
3402 |
3634 |
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9800.00 |
1427 |
2213 |
2776 |
3126 |
3408 |
3641 |
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9850.00 |
1430 |
2217 |
2781 |
3132 |
3414 |
3647 |
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9900.00 |
1432 |
2221 |
2786 |
3137 |
3420 |
3653 |
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9950.00 |
1435 |
2225 |
2791 |
3143 |
3426 |
3659 |
|
10000.00 |
1437 |
2228 |
2795 |
3148 |
3432 |
3666 |
Instructions for Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
IN THE CIRCUIT COURT OF THE |
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JUDICIAL CIRCUIT, |
IN AND FOR |
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COUNTY, FLORIDA |
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Case No.: |
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Division: |
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Petitioner, |
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and |
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Respondent. |
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NOTICE OF FILING CHILD SUPPORT GUIDELINES WORKSHEET
PLEASE TAKE NOTICE, that {name} |
_______, is filing his/her |
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Child Support Guidelines Worksheet attached and labeled Exhibit 1.
CERTIFICATE OF SERVICE
I certify that a copy of this Notice of Filing with the Child Support Guidelines Worksheet was
[check all used]: ( ) e-mailed ( |
) mailed ( ) faxed ( ) hand delivered to the person(s) listed |
below on {date} |
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Other party or his/her attorney:
Name: _____________________________
Address: ____________________________
City, State, Zip: _______________________
Fax Number: _________________________
E-mail Address(es): _____________________
Signature of Party or his/her Attorney
Printed Name: _________________________
Address: ____________________________
City, State, Zip: _______________________
Fax Number: _________________________
E-mail Address(es): _____________________
Florida Bar Number: ____________________
Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
CHILD SUPPORT GUIDELINES WORKSHEET
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A. FATHER |
B. MOTHER |
TOTAL |
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1. Present Net Monthly Income |
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Enter the amount from line 27, Section I of |
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Florida Family Law Rules of Procedure Form |
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12.902(b) or (c), Financial Affidavit. |
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2. Basic Monthly Obligation |
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There is (are) {number}_____ minor child(ren) |
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common to the parties. |
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Using the total amount from line 1, enter the |
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appropriate amount from the child support |
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guidelines chart. |
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3. Percent of Financial Responsibility |
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% |
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Divide the amount on line 1A by the total |
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a |
ou t o li e 1 to get Father’s per e |
tage of |
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financial responsibility. Enter answer on line 3A. |
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Divide the amount on line 1B by the total |
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a |
ou t o li e 1 to get Mother’s per e |
tage of |
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financial responsibility. Enter answer on line 3B. |
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4. Share of Basic Monthly Obligation |
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Multiply the number on line 2 by the |
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per e tage o li e 3A to get Father’s share |
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of basic obligation. Enter answer on line 4A. |
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Multiply the number on line 2 by the |
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per e tage o li e 3B to get Mother’s share |
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of basic obligation. Enter answer on line 4B. |
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Additional Support — Health Insurance, Child Care & Other |
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5. a. 100% of Monthly Child Care Costs |
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[Child care costs should not exceed the level |
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required to provide quality care from a |
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licensed source. See section 61.30(7), Florida |
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Statutes, for more information.] |
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b. |
Total Mo thly Child re ’s Health Insurance |
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Cost |
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[This is only amounts actually paid for |
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health insurance on the child(ren).] |
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Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)
CHILD SUPPORT GUIDELINES WORKSHEET
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A. FATHER |
B. MOTHER |
TOTAL |
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c. |
Total Mo thly Child re ’s No |
o ered |
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Medical, Dental and Prescription |
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Medication Costs |
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d. |
Total Monthly Child Care & Health Costs |
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[Add lines 5a + 5b +5c]. |
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6. |
Additional Support Payments |
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Multiply the number on line 5d by the |
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per e tage o li e 3A to deter i |
e the Father’s |
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share. Enter answer on line 6A. Multiply the |
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number on line 5d by the percentage on line 3B |
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to deter i e the Mother’s share. |
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Enter answer on line 6B. |
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Statutory Adjustments/Credits |
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7. |
a. Monthly child care payments actually made |
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b. |
Monthly health insurance payments actually |
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made |
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c. |
Other payments/credits actually made for |
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any noncovered medical, dental and |
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prescription medication expenses of the |
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child(ren) not ordered to be separately paid |
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on a percentage basis. |
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(See section 61.30 (8), Florida Statutes) |
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8. Total Support Payments actually made |
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(Add 7a though 7c) |
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9. MINIMUM CHILD SUPPORT OBLIGATION FOR |
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EACH PARENT |
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[Line 4 plus line 6; minus line 8] |
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Substantial Time-Sharing (GROSS UP METHOD) If each parent exercises time-sharing at least 20 |
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percent of the overnights in the year (73 overnights in the year), complete Nos. 10 through 21
A. FATHER |
B. MOTHER |
TOTAL |
10. Basic Monthly Obligation x 150% [Multiply line 2 by 1.5]
Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet (09/12)