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CHILD SUPPORT CALCULATION WORKSHEET

Commonwealth of Virginia

Court: [________________________________]
Case No.: [________________________________]
Judge: [________________________________]


TABLE OF CONTENTS

  1. Party and Children Identification
  2. Calculation Model
  3. Gross Income Determination
  4. Adjustments to Income
  5. Child Support Obligation Formula
  6. Healthcare Expenses
  7. Childcare Expenses
  8. Extraordinary Expenses
  9. Deviation Factors
  10. Duration and Termination
  11. State-Specific Notes

1. PARTY AND CHILDREN IDENTIFICATION

Party A:
- Full Name: [________________________________]
- Employer: [________________________________]
- Days of Custody/Year: [____]

Party B:
- Full Name: [________________________________]
- Employer: [________________________________]
- Days of Custody/Year: [____]

Children Subject to This Order:

Child Name Date of Birth Age
[____________________] [__/__/____] [__]
[____________________] [__/__/____] [__]
[____________________] [__/__/____] [__]

Number of Children for Support: [____]

Custody Type:
☐ Sole Custody (Va. Code § 20-108.2(G)(1))
☐ Split Custody (Va. Code § 20-108.2(G)(2))
☐ Shared Custody (>90 days each parent) (Va. Code § 20-108.2(G)(3))


2. CALCULATION MODEL

Model: Income Shares per Va. Code § 20-108.2
Number of Children: [____]


3. GROSS INCOME DETERMINATION

Income Source Party A (Monthly) Party B (Monthly)
Wages/Salary $[________] $[________]
Self-Employment Income $[________] $[________]
Bonuses/Commissions $[________] $[________]
Social Security Benefits $[________] $[________]
Pensions/Retirement $[________] $[________]
Workers' Comp/Disability/Veterans $[________] $[________]
Unemployment Benefits $[________] $[________]
Spousal Support Received $[________] $[________]
Interest/Dividends/Capital Gains $[________] $[________]
Rental Income (net) $[________] $[________]
Other Income $[________] $[________]
Total Monthly Gross Income $[________] $[________]

4. ADJUSTMENTS TO INCOME

Adjustment Party A (Monthly) Party B (Monthly)
Spousal Support Payments (this or other case) $[________] $[________]
Support for Children in Household (not subject to order) $[________] $[________]
Self-Employment Tax (50%) / Business Expenses $[________] $[________]
Available Monthly Income $[________] $[________]
Combined Monthly Available Income $[________]

5. CHILD SUPPORT OBLIGATION FORMULA

Sole Custody Calculation (G1):

Step 1: Combined Monthly Available Income: $[________]

Step 2: Monthly Basic Child Support Obligation from VA Schedule (for [__] children): $[________]

Step 3: Add Health Care Coverage (§ 20-108.2(E)): $[________]

Step 4: Add Work-Related Child Care (§ 20-108.2(F)): $[________]

Step 5: Total Monthly Child Support Obligation: $[________]

Step 6: Each Party's Percentage:
- Party A: [____]%
- Party B: [____]%

Step 7: Each Party's Obligation:
- Party A: $[________] x [____]% = $[________]
- Party B: $[________] x [____]% = $[________]

Step 8: Credits (health care paid by non-custodial parent): ($[________])

Monthly Support Obligation: $[________]

Shared Custody Calculation (G3) (if applicable):

Custody Share: Party A: [____]% / Party B: [____]%
Shared Support Need: $[________] x 1.4 = $[________]
Each Party's Shared Support: calculated per Va. Code § 20-108.2(G)(3)(b)
Shared Custody Support Amount: $[________]

☐ Compare to sole custody amount — lesser amount applies


6. HEALTHCARE EXPENSES

Item Party A Party B
Health Care Coverage (child's per-capita portion) $[________] $[________]
Dental/Vision Coverage $[________] $[________]

☐ Unreimbursed medical/dental expenses divided proportionally: Party A [____]% / Party B [____]% per § 20-108.2(D)


7. CHILDCARE EXPENSES

Item Party A Party B
Work-Related Child Care $[________] $[________]

8. EXTRAORDINARY EXPENSES

Expense Description Monthly Amount Party A Share Party B Share
[____________________] $[________] $[________] $[________]
[____________________] $[________] $[________] $[________]

9. DEVIATION FACTORS

☐ No deviation requested
☐ Deviation requested based on:

☐ Actual monetary support for other family members
☐ Cost of visitation travel
☐ Imputed income for voluntarily unemployed parent
☐ Debts and liabilities
☐ Special needs of the child
☐ Independent income or assets of the child
☐ Tax consequences
☐ Other: [________________________________]

Deviation Amount: $[________] per month
Written Justification: [________________________________]


10. DURATION AND TERMINATION

Child support continues until the earliest of:
- Child reaches age 18 (or 19 if still in high school, attending full-time, and not self-supporting)
- Child is emancipated
- Child marries
- Further order of the court


11. STATE-SPECIFIC NOTES

  • Official Form: Use Form DC-637 for court filings.
  • Statutory Minimum: A presumptive minimum child support applies unless exemptions are met per § 20-108.2(B).
  • High Income: For combined monthly gross income above $42,500, add: 2.6% (1 child), 3.4% (2 children), 3.8% (3), 4.2% (4), 4.6% (5), 5.0% (6) of income above $42,500.
  • Shared Custody 1.4 Multiplier: The shared support need uses a 1.4 multiplier on the basic obligation.
  • Days Definition: Under § 20-108.2(G)(3)(c), a "day" is defined for shared custody purposes.
  • DCSE Review: The Department of Social Services may initiate review of any court support order per § 63.2-1921.
  • Material Change: A 10% difference between existing and recalculated amounts constitutes a material change per § 63.2-1921(C).

SUMMARY OF CHILD SUPPORT OBLIGATION

Component Party A Party B
Base Obligation Share $[________] $[________]
Health Care Coverage $[________] $[________]
Work-Related Child Care $[________] $[________]
Credits ($[________]) ($[________])
Deviation (if applicable) $[________] $[________]
Net Monthly Obligation $[________] $[________]

Net Amount to be Paid by [________________] to [________________]: $[________] per month


Prepared By: [________________________________]
Date: [__/__/____]
VSB No.: [________]

Sources and References:
- Va. Code § 20-108.2
- Virginia DCSE — Calculating Child Support
- Form DC-637 — Child Support Guidelines Worksheet

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CHILD SUPPORT CALCULATION WORKSHEET

STATE OF VIRGINIA


Effective Date: [DATE]
Party A: [PARTY A NAME]
Address: [PARTY A ADDRESS]
Party B: [PARTY B NAME]
Address: [PARTY B ADDRESS]
Governing Law: [GOVERNING STATE]

This document is entered into by and between [PARTY A NAME] and [PARTY B NAME], effective as of the date set forth above, subject to the terms and conditions outlined herein and the laws of [GOVERNING STATE].
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