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Iowa Child Support Worksheet Form


Iowa Child Support Worksheet Form
Iowa Child Support Worksheet Form
CHILD SUPPORT GUIDELINES WORKSHEET
Docket No.
I. NET MONTHLY INCOME OF PETITIONER,
(claiming child/children as tax dependents)
A. Sources and Amounts of Annual Income:
$
$
$
TOTAL $
B. Federal Tax Deduction:
Gross Annual Income ( untaxed)
$
Less ½ self employment (FICA) tax < >
Less federal adjustments to income < >
Less personal exemptions self + dep
<
>
Less standard deduction
single h of h mfs mfj < >
Net taxable income federal
$
Federal tax liability (from tax table) < >
Federal Tax Credit for Dependant Children (nonrefundable) +
Federal Earned Income Credit (refundable) +
C. State Tax Deduction:
Gross Annual Taxable Income
$
Less ½ self employment (FICA) tax
<
>
Less state adjustments to income
<
>
Less federal tax liability (adjusted for dependant tax credit)
<
>
Less standard deduction
single h of h mfs mfj
<
>
Net taxable income state
$
State tax liability (from tax table) $
Less personal and dependent credits <
>
Plus school district surtax ( %) +
+
Less Iowa Earned Income Credit <
> < >
D. Social Security and Medicare Tax Deductions
Annual earned income
$
Applicable rate (7.65% or 15.3%, as adjusted
x
%
Annual Social Security and Medicare tax liability < >
E. Other Deductions (Annual)
1. Union dues < >
2. Mandatory Pension < >
3. Medical insurance premium < >
4. Affiant’s unreimbursed medical expenses (up to $300) < >
5. Prior court-ordered child support obligations < >
6. Court-ordered spousal support obligations < >
7. Deductions for additional qualified dependents (from tables) < >
8. Child care expenses (present action)
$
Less federal child care tax credit
<
>
Less state child care tax credit
<
>
Net child care expenses
<
>
Net Annual Income
$
Average Monthly Income (Petitioner)
$
Iowa Child Support Worksheet Form
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