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CHILD SUPPORT WORKSHEET

IN THE COURT OF COUNTY

STATE OF GEORGIA

Civil Action Case No.

Plaintiff

IV-D Case No.

vs.

Initial Action

Modification

Modification Information

Defendant

Initial Date of Final Child Support Order:

Mother:

Father:

Children for Whom Support is Being Determined in This Case

Excluded	Name	Birth Date	Excluded	Name	Birth Date

Total Number of Children:			Noncustodial Parent:

Submitted by:			Nonparent Custodian

Mother

Father

Total

1.	Monthly Gross Income (from Schedule A, Line 23)

Monthly Adjusted Income
If either parent pays self-employment tax or pays child support under a Preexisting Order or is entitled to a credit for other qualified children living in the home, complete Schedule B and enter amount from Schedule B, Line 9 or Line 14 here.
Otherwise, enter amount form Line 1 here.

3.	Pro Rata Shares of Combined Income: On Line 2 above (Divide each parent's income by the combined income to find %)

4.	Basic Child Support Obligation (from Table)

5.	Pro rata shares of Basic Child Support Obligation Multiply Line 4 by percentages on Line 3)

6.	Adjustment for Work Related Child Care and Health Insurance Expenses Complete *Schedule D* and enter amount from *Schedule D, Line 5 here. If none, skip Schedule D* and enter zero here.

7.	Add Line 5 & 6 and enter results here.

8.	Adjustment for Additional Expenses Paid Insert amounts PAID by each parent for child care & children's insurance from *Schedule D*, Line 3, Columns (a) and (b).

CHILD SUPPORT WORKSHEET

Mother

Father

Total

9a.	Subtotal excluding Parenting Time Deviation >If Line 8 is zero, carry down amount from Line 7. >Otherwise, subtract Line 8 from Line 7. Identify the amount of the Parenting Time Deviation entered on Line 13, Schedule E for the Noncustodial Parent, and add back in that amount on this line.

9b.	Subtotal including Parenting Time Deviation >If a Parenting Time Deviation was claimed on Line 13, Schedule E, and, if Line 8 is zero, carry down the amount from Line 7. >Otherwise, subtract Line 8 from Line 7.

The amount on Line 9(a) is the Presumptive Child Support Amount.

10.	Deviations from Presumptive Child Support Amount Enter amount from *Schedule E*, Line 14 here.

11.	Subtotal If Line 10 is zero, then enter amount on Line 9b here. If Line 10 is positive (+), then add Line 10 to Line 9b and enter result here. If Line 10 is negative (-), then subtract Line 10 from Line 9b and enter result here.

12.	Social Security Payments If children receive Title II benefits as dependents on a parent's account, enter the monthly amount in that parent's column here. If none, enter zero.

13.	If the amount on Line 12 is equal to or greater than Line 11, the child support responsibility is met and no further obligation is owed. Enter zero here. Otherwise, subtract Line 12 from Line 11 and enter result here.

The amount on Line 13 is the Final Child Support Amount.

Uninsured Health Expenses

14.	Uninsured Health Expenses Carry down the percentage from Line 3 or enter the percentage otherwise ordered by the Court.


Schedules	Attached	Not Applicable
A Gross Income
B Adjusted Income
Schedule C is not in use and is intentionally left blank
D Additional Expenses
E Deviations from Presumptive Amount

Names of Parties:	vs.

Submitted by:	Calculation Submission Date:

Case #:

	Child Support Worksheet
	Georgia_Electronic_Child_Support_Calculator_2007v4
	GEORGIA

CHILD SUPPORT SCHEDULE A
GROSS INCOME

		(a) Mother	(b) Father	Combined
TANF (Temporary Assistance for Needy Families)
If a parent receives TANF, please check the box and enter any amounts for Gross income below that apply.
Gross Income (convert all amounts to monthly average)
1.	Salary and Wages (Do not include means-tested public assistance, such as TANF or food stamps.)
2.	Commissions, Fees, Tips
3.	Income From Self Employment
4.	Bonuses
5.	Overtime Payments
6.	Severance pay
7.	Recurring Income from Pensions or Retirement Plans
8.	Interest Income
9.	Income from Dividends
10.	Trust Income
11.	Income from Annuities
12.	Capital Gains
13.	Social Security Disability or Retirement Benefits (Do not include SSI or payments for children)
14.	Worker's Compensation Benefits
15.	Unemployment Benefits
16.	Judgments from Personal Injury or Other Civil Cases
17.	Gifts (Cash or other gifts that can be converted to cash)
18.	Prizes/Lottery Winnings
19.	Alimony & maintenance from persons not in this case
20.	Assets which are used for support of family
21.	Fringe Benefits (If significantly reduce living expenses)
22.	Any Other Income, including Imputed Income (Do not include means-tested public assistance, such as TANF or food stamps.)
23.	TOTAL GROSS MONTHLY INCOME Enter this amount on Line 1 of the *Child Support Worksheet*.

CHILD SUPPORT SCHEDULE A
GROSS INCOME

Please explain the basis for Other Income, including Imputed Income, as entered on Line 22 above for Mother and/or Father.

Mother

Father

Names of Parties:	vs.

Submitted by:	Calculation Submission Date:

Case #:

	Child Support ScheduleA
	Georgia_Electronic_Child_Support_Calculator_2007v4
	GEORGIA

CHILD SUPPORT SCHEDULE B

ADJUSTED INCOME

(a) Mother

(b) Father

1.	Total Gross Monthly Income (Schedule A, Line 23)

Self Employment Tax Adjustment

2.	Monthly Self-Employment Income on which parent pays Self Employment Taxes for FICA & Medicare

3.	For FICA, multiply Line 2 above by .062 (For maximum amount of self-employment income subject to Social Security tax, see IRS Publication 533 for the current taxable year).

4.	For Medicare tax, multiply Line 2 above by 0.0145 and enter results here.

5.	Add Line 3 & 4 and enter results here.

6.	Subtract Line 5 from Line 1 and enter results here.

CHILD SUPPORT SCHEDULE B

ADJUSTED INCOME

Adjustment for Preexisting Child Support Orders Being Paid for Other Children

For each Preexisting Order, list the required information and the amount actually paid monthly. (Do not include arrears payments.)

8.	Total Adjustment for Preexisting Child Support Orders (Add all Preexisting Child Support amounts identified in Line 7)

9.	Subtract Line 8 from Line 6. If a discretionary adjustment is being claimed for other qualified children living in the home, complete Page 2. Otherwise, enter this amount on Line 2 of the Child Support Worksheet.

CHILD SUPPORT SCHEDULE B

ADJUSTED INCOME

Discretionary Adjustment to Income for Other Qualified Children Living in Parent's Home

The Court has the discretion to consider an Adjustment to Income for other qualified children under this section for the purpose of reducing the parent's gross income if failure to consider an adjustment would cause substantial hardship to the parent.
If the Court considers an Adjustment to Income under this section, then the Court must also consider whether this Adjustment to Income is in the best interest of the child(ren) in this action.
Adjustment may be considered only for other qualified children who meet ALL FIVE of the following requirements:

A. The parent is legally responsible for the qualified child (Step children do not qualify);

B. The qualified child lives in the parent's home;

C. The parent is actually supporting the qualified child;

D. The qualified child is not subject to a Preexisting Child Support Order; and

E. The qualified child is not currently before the court to set, modify or enforce child support.

Adjustment for other QUALIFIED children pursuant to the five factors listed above

10.	Name	Birth Date	Mark X if Mother is Claiming Credit	Mark X if Father is Claiming Credit






	Total Number of other QUALIFIED children for whom credit is being claimed		0	0

*Explanation for including Other Qualified Children

Enter a comment here explaining why you have included an Other Qualified Child in the Current Court Case.

Father

Mother

CHILD SUPPORT SCHEDULE B

ADJUSTED INCOME

11.	Bring down amount from Line 6 above (Gross Income less Self-Employment tax only) for the parent(s) seeking adjustment.

12.	Using the Basic Child Support Obligation Table, enter the Basic Child Support Obligation for the number of children on Line 10 and the income amount on Line 11 for only the parent seeking the adjustment.

13.	Enter 75% of the amount on Line 12 for the parent seeking the adjustment.

14.	If this adjustment is allowed, subtract Line 13 from Line 9 and enter this amount on Line 2 of the *Child Support Worksheet*.

Names of Parties:	vs.

Submitted by:	Calculation Submission Date:

Case #:

	Child Support ScheduleB
	Georgia_Electronic_Child_Support_Calculator_2007v4
	GEORGIA

CHILD SUPPORT SCHEDULE D
ADDITIONAL EXPENSES

(a) Mother

(b) Father

(d) Combined

Child Care Expenses Necessary for Parent's Employment, Education or Vocational Training. Enter monthly average amount paid by each Parent (or Nonparent Custodian) for child care for the children for whom support is being determined from all Supplemental Tables (Line 7 for Mother, Line 13 for Father, and Line 19 for Nonparent Custodian)

Health Insurance Premiums Paid for the Children
Enter monthly amount paid or will be paid by each parent, or amount paid by Nonparent Custodian, for health insurance premium.
If the children's portion of the premium is not known, divide the total health insurance premium by the number of persons covered, then multiply that by the number of covered children for whom support is being determined and enter that amount.

3.	Total Monthly Additional Expenses (Line 1 + Line 2)

4.	Pro Rata Share of Parents' Income (from Child Support Worksheet Line 3)

5.	Pro Rata Share of Additional Expenses. (Multiply total amount in Column (d) of Line 3 by percentages in Line 4 above.) Enter result on Line 6 of Child Support Worksheet.

CHILD SUPPORT SCHEDULE D
ADDITIONAL EXPENSES

Supplemental Table 1. Use these tables to calculate amounts for Line 1 Schedule D. For additional children use Supplemental Table 2.

1.	Children's Names -->

Totals

Child Care Paid by Mother

2.	Total yearly amount paid for child care during school

3.	Total yearly amount paid for child care during summer break

4.	Total yearly amount paid for child care during other school breaks

5.	Total yearly amount of child care (e.g., child care for pre-school age child or child with disability)

6.	Total Yearly Amounts

7.	Monthly Average (Divide Line 6 by 12)

Child Care Paid by Father

8.	Total yearly amount paid for child care during school

9.	Total yearly amount paid for child care during summer break

10.	Total yearly amount paid for child care during other school breaks

11.	Total yearly amount of child care (e.g., child care for pre-school age child or child with disability)

12.	Total Yearly Amounts

13.	Monthly Average (Divide Line 12 by 12)

Child Care Paid by Nonparent Custodian

14.	Total yearly amount paid for child care during school

15.	Total yearly amount paid for child care during summer break

16.	Total yearly amount paid for child care during other school breaks

17.	Total yearly amount of child care (e.g., child care for pre-school age child or child with disability)

18.	Total Yearly Amounts

19.	Monthly Average (Divide Line 18 by 12)

Names of Parties:	vs.

Submitted by:	Calculation Submission Date:

Case #:

	Child Support ScheduleD
	Georgia_Electronic_Child_Support_Calculator_2007v4
	GEORGIA

CHILD SUPPORT SCHEDULE E

Deviation (Special Circumstances)

Special Circumstances			Mother	Father	Combined
A.	For each section completed, provide monthly amounts or other information as required.
Low Income Deviation with Self Support Reserve Complete this section if Noncustodial Parent's Gross Income is at or below $1,850/month. Otherwise skip this entire section and begin at Line 2(a) of Schedule E.
	1(a).	If Gross Income of Noncustodial Parent is at or below $1,850/month, enter that parent's Adjusted Income from *Child Support Worksheet, Line 2 here. If Gross Income of Custodial Parent is at or below $1,850/month, enter that parent's Adjusted Income from Child Support Worksheet*, Line 2 here.
	1(b).	Self Support Reserve - enter $900 here for each parent.
	1(c).	Income available for support. Subtract Line 1(b) from Line 1(a), and enter result here.
	1(d).	Parent's Share of Presumptive Child Support Award (*Child Support Worksheet* Line 9)
	1(e).	Lesser of Line 1(c) and Line 1(d) in NONCUSTODIAL Parent's column only.
	1(f).	Minimum amount of child support when applying Low Income Deviation - enter $75 here for Noncustodial Parent only.
	1(g).	If Line 1(e) is greater than Line 1(f), enter amount from Line 1(e) in NONCUSTODIAL Parent's column. If Line 1(f) is greater than Line 1(e), enter amount from Line 1(f) in NONCUSTODIAL Parent's column.
	1(h).	If CUSTODIAL Parent is considered a low income person (at or below $1,850 gross income per month) AND Line 1(c) for CUSTODIAL Parent is less than Line 1(d) for CUSTODIAL Parent, the NONCUSTODIAL Parent is not allowed a deviation for self-support reserve. In this case, enter Line 1(d) for NONCUSTODIAL Parent in NONCUSTODIAL Parent's column. Otherwise, if Line 1(c) for CUSTODIAL Parent is greater than or equal to Line 1(d) for CUSTODIAL Parent, enter Line 1(g) for NONCUSTODIAL Parent in NONCUSTODIAL Parent's column.
	1(i).	Subtract Line 1(h) from Line 1(d) for the NONCUSTODIAL Parent. This is the amount of deviation.

CHILD SUPPORT SCHEDULE E

Deviation (Special Circumstances)

Special Circumstances			Mother	Father	Nonparent Custodian	Combined
High Income and Other Amounts Enter in this section any recommended deviations that apply. Enter a number for increases. Otherwise, indicate a negative number (-) for decreases.
	2(a).	High Income - Combined Adjusted Income greater than $30,000/month from Line 2 on *Child Support Worksheet*
			(a)Mother	(b)Father	Court or Jury Allowable Deviations
			(a)Mother	(b)Father	*(c)Mother	*(d)Father
	2(b).	Deviation Based on High Income
	3.	Other Health Related Insurance (dental, vision)
	4.	Life Insurance
	5.	Child and Dependent Care Tax Credit
	6.	Visitation Related Travel Expenses
	7.	Alimony PAID
	8.	Mortgage (if Noncustodial Parent is providing cost of home where child resides)
	9.	Permanency Plan or Foster Care Plan
	10.	Other - Non-specific Deviations
	11.	Total recommended deviation based on the amounts entered above on Lines 2(b) through 10. (Total can be a negative number.)

CHILD SUPPORT SCHEDULE E

Deviation (Special Circumstances)

			Mother	Father	Nonparent Custodian	Combined
Extraordinary and Special Expenses - Complete Supplemental Tables
	12(a).	Extraordinary Educational Expenses Add all Total amounts from Line 9(a) of each Supplemental Table and enter amount in Mother's column. Add all Total amounts from Line 9(b) of each Supplemental Table and enter amount in Father's column. Add all Total amounts from Line 9(c) of each Supplemental Table and enter amount in Nonparent�s column.
	12(b).	Extraordinary Medical Expenses Add all Total amounts from Line 14(a) of each Supplemental Table and enter amount in Mother's column. Add all Total amounts from Line 14(b) of each Supplemental Table and enter amount in Father's column. Add all Total amounts from Line 14(c) of each Supplemental Table and enter amount in Nonparent's column.
	12(c).	Allowable Special Expenses Enter amount from Line 28 of Supplemental Table 1 in Mother's column. Enter amount from Line 29 of Supplemental Table 1 in Father's column. Enter amount from Line 30 of Supplemental Table 1 in Nonparent's column.
	12(d).	Total Extraordinary and Allowable Special Expenses (Add Lines 12(a), 12(b) and 12(c) and enter results here.)
	12(e).	Parent's Pro Rata Share of Income (from *Child Support Worksheet* Line 3)
	12(f).	Multiply Line 12(d) Combined amount by percentages for each Parent on Line 12(e) and enter results here for each Parent, and enter the total result under column (d) Combined.
	12(g).	Subtract Line 12(d) from Line 12(f). This is the deviation amount for each Parent for Extraordinary Expenses.
Parenting Time Deviation (Complete only if Parenting Time Deviation is being considered for Noncustodial Parent)
	13.	Enter amount of Parenting Time Adjustment deviation here. (Deviation is deducted from the Noncustodial Parent's Basic Child Support Obligation on *Child Support Worksheet* Line 5.) If no Parenting Time Adjustment deviation applies, then enter zero here. (Do not enter a negative number.)
Total Allowable Deviation
	14.	Total Allowable Deviations - Add or subtract the allowable deviations on Line1(i), 11, and 12(g) together, if any apply. Enter the total here and on *Child Support Worksheet* Line 10. (The total can be a negative number)

CHILD SUPPORT SCHEDULE E

Deviation (Special Circumstances)

B.	Would the presumptive amount be unjust or inappropriate? Explain

C.	Would deviation serve the best interests of the children for whom support is being determined? Explain

D.	Would deviation seriously impair the ability of the CUSTODIAL Parent or NONPARENT Custodian to maintain minimally adequate housing, food and clothing for the children being supported by the order and to provide other basic necessities? Explain

CHILD SUPPORT SCHEDULE E
Deviation (Special Circumstances)

Supplemental Table 1. Use these tables to calculate amount for Line 12 Schedule E. For additional children use Supplemental Table 2.

1.	Children's Names -->
Extraordinary Educational Expenses		Paid by	Totals
2.	Total yearly amount paid for Tuition, Room & Board, Fees and Books	Mother
3.	Total yearly amount paid for Other Extraordinary Educational Expenses	Mother
4.	Total yearly amount paid for Tuition, Room & Board, Fees and Books	Father
5.	Total yearly amount paid for Other Extraordinary Educational Expenses	Father
6.	Total yearly amount paid for Tuition, Room & Board, Fees and Books	Nonparent Custodian
7.	Total yearly amount paid for Other Extraordinary Educational Expenses	Nonparent Custodian
8.	Total Yearly Amounts
9.	Monthly Average (Divide Line 8 by 12)
9(a).	Mother's monthly Extraordinary Educational Expenses	Mother
9(b).	Father's monthly Extraordinary Educational Expenses	Father
9(c).	Nonparent's monthly Extraordinary Educational Expenses	Nonparent Custodian
Extraordinary Medical Expenses		Paid by	Totals
10.	Total yearly amount paid for extraordinary medical expenses	Mother
11.	Total yearly amount paid for extraordinary medical expenses	Father
12.	Total yearly amount paid for extraordinary medical expenses	Nonparent Custodian
13.	Total Yearly Amounts
14.	Monthly Average (Divide Line 13 by 12)
14(a).	Mother's monthly Extraordinary Medical Expenses	Mother
14(b).	Father's monthly Extraordinary Medical Expenses	Father
14(c).	Nonparent's monthly Extraordinary Medical Expenses	Nonparent Custodian

CHILD SUPPORT SCHEDULE E
Deviation (Special Circumstances)

Special Expenses for Child Rearing (including, but not limited to summer camp, music or art lessons, travel, band, clubs, athletics, etc.)		Paid by	Totals
15.	Total yearly amount paid for Special Expenses	Mother
16.	Total yearly amount paid for Special Expenses	Father
17.	Total yearly amount paid for Special Expenses	Nonparent Custodian
18.	Total Yearly Amounts( Add Lines 15, 16 & 17)
19.	Monthly Average (Divide Line 18 by 12)

CHILD SUPPORT SCHEDULE E

Deviation (Special Circumstances)

7 Percent Test to Calculate Allowable Expenses		Paid by	Totals
20.	Mother's Total Yearly amount paid for Special Expenses for Child Rearing. Add all Total amounts from Line 15 of each Supplemental Table and enter here.	Mother
21.	Father's Total Yearly amount paid for Special Expenses for Child Rearing. Add all Total amounts from Line 16 of each Supplemental Table and enter here.	Father
22.	Nonparent's Total Yearly amount paid for Special Expenses for Child Rearing. Add all Total amounts from Line 17 of each Supplemental Table and enter here.	Nonparent Custodian
23.	Total Yearly Amounts (Add Lines 20, 21 & 22)
24.	Monthly Average (Divide Line 23 by 12)
25.	Basic Child Support Obligation (from Line 4 of Child Support Worksheet)
26.	Special Expenses Limitation (Multiply Line 25 x 7% (.07))
27.	If Line 24 is greater than Line 26, then subtract Line 26 from Line 24, enter difference here. If Line 24 is less than Line 26, then enter zero here.
28.	Mother's Monthly Allowable Special Expenses for Child Rearing. Divide Line 20 by Line 23 to obtain Mother's Pro-rata share of the Special Expenses. Multiply Mother's Pro-rata percentage by the amount on Line 27 and enter amount here.
29.	Father's Monthly Allowable Special Expenses for Child Rearing. Divide Line 21 by Line 23 to obtain Father's Pro-rata share of the Special Expenses. Multiply Father's Pro-rata percentage by the amount on Line 27 and enter amount here.
30.	Nonparent's Monthly Allowable Special Expenses for Child Rearing. Divide Line 22 by Line 23 to obtain Nonparent's Pro-rata share of the Special Expenses. Multiply Nonparent's Pro-rata percentage by the amount on Line 27 and enter amount here.

Names of Parties:	vs.

Submitted by:	Calculation Submission Date:

Case #:

	Child Support ScheduleE
	Georgia_Electronic_Child_Support_Calculator_2007v4
	GEORGIA

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Court Name

Court Case #

Names and Birthdates of Children

Initial Date of Order

Preexisting Child Support Amount Paid by Mother

Preexisting Child Support Amount Paid by Father