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1 <br />2. <br />K3 <br />4. <br />5 <br />200314593 <br />WORKSHEET 1 <br />BASIC NET INCOME AND SUPPORT CALCULATION <br />Total month income from all sources <br />(except payments received for children <br />of prior marriages and all means - tested <br />public assistance benefits)* <br />Deductions ** <br />a. Taxes*** <br />b. FICA <br />C. Health insurance * * ** <br />d. Retirement <br />e. Child support previously <br />ordered for other children <br />f. Regular support <br />for other children <br />g. Total deductions <br />Monthly net income <br />(line 1 minus line 2g) <br />Combined monthly net income <br />Combined annual net income <br />6. Percent contribution of each <br />parent (line 3, each parent, <br />divided by line 4)***** <br />MOTHER FATHER <br />COMBINED <br />0.00 2,749.50 <br />0.00 <br />123.20 <br />0.00 <br />210.34 <br />0.00 <br />166.00 <br />0.00 <br />0.00 <br />0.00 0.00 <br />0.00 0.00 <br />0.00 499.53 <br />0.00 2,249.97 <br />2,249.97 <br />26,999.59 <br />0.0% 100.0% <br />7. Monthly support from table 1 768.99 <br />8. Each parent's monthly share <br />(line 7, times line 6, for <br />each parent) 0.00 768.99 <br />Court will require copies of last 2 years' tax returns to verify "total income' figures and copies of present wage stubs to verify the pattern of <br />present wage earnings, except where a party is claiming depreciation as a deduction from income, in which case a minimum of 5 years tax returns <br />shall be required. Income should be annualized and divided by 12 to arrive at monthly amounts. <br />All claimed deductions should be annualized and divided by 12 to arrive at monthly amounts. <br />Deductions for taxes will be based on the annualized income and the number of exemptions provided bylaw. <br />The increased cost to the parent for health insurance for the children) of the parent shall be allowed as a deduction from gross income. <br />The parent requesting an adjustment for health insurance premiums must submit proof of the cost of the premium. <br />— In the event of substantial fluctuations of annual earnings of either party during the immediate past 3 years, the income maybe averaged <br />to determine the percent contribution of each parent as shown in item 6. The calculation of the average income shall be attached to this <br />worksheet. <br />APPENDIX "B ", Page <br />