IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL
CIRCUIT, IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
_________________________________,
Petitioner,
and
_________________________________,
Respondent.
CHILD SUPPORT GUIDELINES WORKSHEET
I, {full legal name} , certify that the following statements are true:
Father
Mother
1. PRESENT NET MONTHLY INCOME
Enter the amount from line number 27, Section I of _q Florida
Family Law Form 12.901(d) or (e), Financial Affidavit.
1a. $_______ 1b. $_______
2. COMBINED PRESENT NET MONTHLY
INCOME Add 1a and 1b.
2. $________
3. BASIC MONTHLY OBLIGATION
There is (are) {number} minor child(ren)
common to the parties.
Using the amount on line 2, enter the appropriate amount from the
child support guidelines chart.
3. $________
4. PERCENT OF FINANCIAL RESPONSIBILITY
Divide the amount on line 1a. by the amount on line 2 to get Father’s
percentage financial responsibility. Enter answer on line 4a.
4a. _ %
Divide the amount on line 1b. by the amount on line 2 to get
Mother’s percentage financial responsibility. Enter answer on line 4b.
4b. %
5. SHARE OF BASIC MONTHLY OBLIGATION
Multiply the number on line 3 by the percent on line 4a to get
Father’s share of basic obligation. Enter answer on line 5a.
5a. $_______
Multiply the number on line 3 by the percent on line 4b to get
Mother’s share of basic obligation. Enter answer on line 5b.
5b. $_______
6. TOTAL MONTHLY CHILD CARE COSTS
Childcare costs should not exceed the level required to provide
quality care from a licensed source for the child(ren). See section
61.30(7), Fla. Stat. for more information.
6. $________
7. PERCENTAGE OF CHILD CARE COSTS
Multiply the amount on line 6 by .75 (to determine 75% of the total
Child care costs). Enter answer on line 7.
7. $_