Title: SHARED, SPLIT, OR MIXED CUSTODY WORKSHEET
Author: FThompson
Last saved by: Imelda Ramirez
Company: State of Idaho | Supreme Court

_Full _Name _of _Party _Filing _Document

Mailing Address (Street or Post Office Box)

_City, _State _and _Zip _Code

Telephone

_Email _Address _(if _any)

IN THE DISTRICT COURT FOR THE  	JUDICIAL DISTRICT

_FOR _THE _STATE _OF _IDAHO, _IN _AND _FOR _THE _COUNTY _OF  	

 		, Petitioner,
vs.

 		, Respondent.

Case No.  	

SHARED, SPLIT, OR MIXED CUSTODY WORKSHEET

BIRTH		BIRTH		BIRTH CHILDREN	DATE	CHILDREN	 DATE	CHILDREN	 DATE
1. | | 2. | | 3. |
4. | | 5. | | |

YOUR	OTHER
NAME:	PARENT:

COMBINED

1.  MONTHLY I.C.S.G. INCOME (from Affidavit) | $ | $ | $ |

2.  SHARE OF INCOME FOR EACH PARENT
(line 1 for each parent divided by Combined Income)

3.   BASIC COMBINED CHILD SUPPORT OBLIGATION (apply line 1 Combined to Child Support Schedule) | | | $ |

4.  EACH PARENT’S CHILD SUPPORT OBLIGATION
(line 2 multiplied by line 3 for each parent)

$

$

5.  OBLIGATION ALLOCATION
(line 4 divided by the number of children)

$

$

6.  ALLOCATION TO CHILD
For each standard-custody child enter the amount from line 5. For each shared or split-custody child Multiply line 5 by
1.5 and enter in the appropriate box.

CHILD 1
You	Other
Parent

CHILD 2
You	Other
Parent

CHILD 3
You	Other
Parent

CHILD 4
You	Other
Parent

CHILD 5
You	Other
Parent

| $ | $ | $ | $ | $ | $ | $ | $ | $ | $

7.  PROPORTIONAL OBLIGATION
Number of overnights with other parent
Divided by 365.  If ≥ .75, enter 1.
If  ≤ .25, enter 0. (For example, if child 1 lives with You 40% of the time, “.40” goes under “Other Parent” for child 1.) “≥” means “greater than or equal to.”

8.  PARENTS’ OBLIGATION
Line 6 times line 7 for each child.

$

$

$

$

$

$

$

$

$

$

9.   EACH PARENT’S TOTAL SUPPORT
(total from all boxes)

You
$

Other Parent
$

10.  RECOMMENDED BASE SUPPORT
(subtract the lesser amount from the greater in 9 and enter the difference under parent with greater obligation)

$

$

OTHER COSTS TO BE CONSIDERED BY THE COURT:

A.  Work-related childcare expenses (+/-)	$ 	 B.  Health insurance premiums  (+/-)	$ 	
C.  Total TAX BENEFIT for all exemptions divided by 12
Multiply benefit by % for each parent
_(+/- _to _off-set _any _excess _benefit)	_$ 	

_Total _AMOUNT _TO _BE _ORDERED	_$ 	

_COMMENTS, _CALCULATIONS _AND/OR _REBUTTALS:  	

 	_.

_Date:  	

Typed/printed	Signature

SHARED, SPLIT, MIXED CUSTODY CHILD SUPPORT WORKSHEET
CAO FL 1-12  07/01/2017

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