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Full Name of Party Filing Document
Mailing Address (Street or Post Office Box)
City, State and Zip Code
IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF
SHARED, SPLIT, OR MIXED CUSTODY
CHILDREN DATE CHILDREN DATE CHILDREN
MOTHER FATHER COMBINED
1.MONTHLY I.C.S.G. INCOME (from Affidavit)$$$
SHARE OF INCOME FOR EACH PARENT
(line 1 for each parent divided by Combined Income)
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