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Rev. 07/2012 by KSJC
1 of 2
Child Support Worksheet
IN THE JUDICIAL DISTRICT
IN THE MATTER OF:
and CASE NO.
CHILD SUPPORT WORKSHEET OF
A. INCOME COMPUTATION – WAGE EARNER
1. Domestic Gross Income $ $
(Insert on Line C.1. below)*
B. INCOME COMPUTATION – SELF-EMPLOYED
1. Self-Employment Gross Income*
2. Reasonable Business Expenses (-)
3. Domestic Gross Income
(Insert on Line C.1. below)
C. ADJUSTMENTS TO DOMESTIC GROSS INCOME
1. Domestic Gross Income
2. Court-Ordered Child Support Paid (-)
3. Court-Ordered Maintenance Paid (-)
4. Court-Ordered Maintenance Received (+)
5. Child Support Income
(Insert on Line D.1. below)
D. COMPUTATION OF CHILD SUPPORT
1. Child Support Income +
2. Proportionate Shares of Combined Income % %
(Each parent’s income divided by combined income)
3. Gross Child Support Obligation**
(Using the combined income from Line D.1.,
find the amount for each child and enter total for
Age of Children 0-5 6-11 12-18 Total
Number Per Age Category
Total Amount + + =
* Interstate Pay Differential Adjustment Yes No
**Multiple Family Application Yes No
Instructions to complete the Child Support Worksheet may be found on the Kansas Judicial Branch website,
http://www.kscourts.org/programs/Child-Support-Guidelines/default.asp, or by visiting your local law library.
The Child Support Worksheet must be completed prior to your hearing.
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