(R. 3/10 )
921 KAR 1:400
COMMONWEALTH OF KENTUCKY
WORKSHEET FOR MONTHLY
CHILD SUPPORT OBLIGATION
INSTRUCTIONS FOR USE
Enter each parent’s gross monthly income [KRS 403.212(2)(a) through (d)]. Column A for custodial parent and Column B for noncustodial parent.
Enter the amount actually paid for court ordered maintenance for prior spouse(s) plus the amount of maintenance ordered in the current proceeding [KRS 403.212(2)(g)(1)] in the appropriate columns..
For each column, as appropriate, enter the amount of child support that is:
paid pursuant to a court/administrative order for prior-born children [KRS 403.212(2)(g)(2)];
paid, but not pursuant to a court/administrative order, for prior-born children for whom the parent is legally responsible [KRS 403.212(2)(g)(3)]; and
imputed for prior-born children residing with the parent [KRS 403.212(2)(g)(3)].
Subtract any amounts on lines 2 and 3 from the amounts on line 1,for each column, if the result is less than 0, enter 0.
Add the amounts on line 4 in columns A and B to obtain the combined monthly adjusted parental gross income.
Divide each of the amounts on line 4A and 4B by the total amount on line 5C. Enter the percentages. [NOTE: If the noncustodial parent (NCP) has 100% of the combined monthly adjusted parental gross income, use the CS-71.1 to calculate the child support obligation. KRS 403.211(7)(b) provides a reduction in gross income for the entire amount of health insurance premiums incurred for the child(ren) when a parent has 100% of the combined monthly adjusted parental gross income.]
Determine the base support obligation by referring to the Guidelines Table at the end of the form, using the combined monthly adjusted parental gross income as entered on line 5C and the number of children for whom the parents share a joint legal responsibility [KRS 403.212(7)].
Enter the monthly payment for child care costs [KRS 403.211(6)].
9. Enter the monthly payment for the child(ren)’s health insurance premium or cash medical support[KRS 403.211(7)(a)].
10. Add lines 7, 8 and 9 in column C. This is the total monthly child support obligation.
11. Multiply line 10C by 6A and 6B for the monthly obligation of each parent. These amounts include each parent’s share of child care costs and health insurance premium costs if these costs were included on lines 8C or 9C.
If the NCP pays either of the amounts listed on lines 8C or 9C to the provider, enter that amount on line 12. If the NCP pays both of these amounts, add these amounts together and enter the total on line 12B. [NOTE: If the NCP is paying 100 percent of either or both of these costs, then the NCP subtracts this amount from his/her monthly obligation, which reduces the amount he/she pays to the custodial parent (CP). Subtracting 100 percent includes the NCP’s percentage of these expenses and also compensates the NCP for paying the CP’s percentage of these costs].
Subtract line 12B from line 11B and enter the amount. This is the amount the NCP pays to the CP. To calculate a weekly amount, multiply line 13 by 12 and divide by 52.
CASE NAME: _______________________________ FILE NUMBER: ___________________
http://chfs.ky.gov/dis/cse.htm An Equal Opportunity Employer M/F/D
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