CHILD SUPPORT CALCULATION WORKSHEET

State of Arkansas — Income Shares Model (Administrative Order No. 10)

Table of Contents

1. Case Information
2. Children Subject to This Order
3. Gross Income Determination
4. Adjusted Gross Income
5. Basic Child Support Obligation
6. Additional Child-Rearing Expenses
7. Total Child Support Obligation
8. Deviation Factors
9. Duration and Modification
10. State-Specific Notes
11. Sources and References

1. Case Information

2. Children Subject to This Order

Total Number of Children: [____]

Custody Arrangement:
☐ Sole Physical Custody — Parent A
☐ Sole Physical Custody — Parent B
☐ Joint Physical Custody
☐ Split Custody

3. Gross Income Determination

Parent A — Monthly Gross Income

Parent B — Monthly Gross Income

4. Adjusted Gross Income

Combined Adjusted Gross Income: $ [________________________________]

Percentage of Combined Income:
- Parent A: [____] %
- Parent B: [____] %

5. Basic Child Support Obligation

6. Additional Child-Rearing Expenses

Health Insurance

Childcare Costs

Extraordinary Medical Expenses

7. Total Child Support Obligation

Monthly Child Support Payment: $ [________________________________]

8. Deviation Factors

☐ No deviation requested

☐ Deviation requested based on:

☐ Extraordinary educational expenses
☐ Extraordinary medical expenses
☐ Special needs of the child
☐ Seasonal or irregular income
☐ Income of the child
☐ Shared or split custody arrangements
☐ Travel expenses for visitation
☐ Tax consequences
☐ Significant disparity in parents' income
☐ Other: [________________________________]

Proposed deviation amount: $ [________________________________]

Justification:
[________________________________]
[________________________________]

9. Duration and Modification

Duration of Support:
- Support continues until the child reaches age 18, or
- Through high school graduation if the child turns 18 during the senior year (but not beyond age 19)
- ☐ Child is emancipated
- ☐ Child marries
- ☐ Child enters active military duty
- ☐ Other terminating event: [________________________________]

Modification:

☐ This is a modification of a prior order dated [__/__/____]
☐ Existing order amount: $ [____________] per month
☐ Recalculated amount: $ [____________] per month
☐ Change exceeds 20%: ☐ Yes ☐ No

10. State-Specific Notes

1. Income Shares Model: Arkansas uses the Income Shares Model under Administrative Order No. 10, combining both parents' gross monthly incomes and applying the Family Support Chart to determine obligations.

2. Gross Income Basis: Arkansas bases calculations on gross income — before taxes, retirement, or insurance deductions — rather than net income.

3. Imputation of Income: Courts may impute full-time income at minimum wage or higher if a parent is voluntarily unemployed or underemployed. The court considers the parent's education, skills, and work history.

4. Family Support Chart: The chart covers a range of combined monthly gross incomes and provides the basic obligation for one through six children.

5. Extraordinary Medical Threshold: Extraordinary medical expenses exceeding $250 per child per year that are not covered by insurance are shared proportionally between parents.

6. Administrative Review: The Arkansas child support guidelines are reviewed every four years as required by federal law.

11. Sources and References

• Administrative Order No. 10 — Arkansas Child Support Guidelines
• Ark. Code Ann. § 9-14-106
• Arkansas Child Support Guidelines — FindLaw
• Review of Arkansas Child Support Guidelines

CERTIFICATION

I declare under penalty of perjury that the information provided in this worksheet is true and correct to the best of my knowledge.

Parent A Signature: [________________________________] Date: [__/__/____]

Parent B Signature: [________________________________] Date: [__/__/____]

Attorney for Parent A: [________________________________] Bar #: [____________]

Attorney for Parent B: [________________________________] Bar #: [____________]