Questions While Completing This Questionnaire

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Questionnaire

Child Support Calculations

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Questions while completing this questionnaire:

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Please select one of the following services: a. ( ) Child Support Worksheets b. ( ) Child Support Worksheets & Residential Schedule Cross Credit Worksheet

Residential Schedule Cross Credit Worksheet When requesting this method one or more children reside with the parent who is obligated to pay child support 33% (120) or more overnights in a calendar night. ( ) Number of overnights spent at the obligor’s residence. c. ( ) Child Support Worksheets & Arvey Method

Arvey Method When requesting a split custody where one child remains with one parent and one or more remain with another the Washington Supreme Court created the "Arvey Method" of setting child support. d. ( ) Child Support Worksheets & Whole Family Method

Whole Family Method The Whole Family Method was developed and promulgated by the Office of Support Enforcement (now re-named the Support Enforcement Division (SED) of the Department of Social and Health Services).

If you are the parent ordered to pay child support and you presently have child support obligations from another relationship you may be able to reduce your child support obligations

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for this situation.

Please select which party shall pay the transfer amount:

The Transfer Amount ordered by the Court from the Order of Child Support is to be paid by:

( ) Mother ( ) Father

Children

Add all dependent children from this relationship: Select which parent has custody: Child’s First Name Child’s Age Father Mother ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Add additional Information here:

Whole Family Method – Children presently paying child support for add here

Whole Family Method Only use this section if you have children from a former relationship that you are Child’s First Name Child’s Age presently paying court ordered child support for.

Add additional Information here:

Monthly Income

If you don’t know the other spouses income and would like us to their impute income, check: ( ) Impute Mother’s Income, Mother’s age ( ) Impute Father’s Income, Father’s age OTHERWISE, complete the following: Father Monthly Mother $ Wages and Salaries $ $ Interest and Dividend Income $ $ Business Income $ $ Maintenance Received $ $ Other Income $

Monthly Expenses

If you don’t know the other spouses FICA or Income Taxes (Withholding) and would like us to, check: ( ) Impute Mother’s taxes ( ) Impute Father’s taxes OTHERWISE, please complete the following: Father Monthly Mother $ Income Taxes (Federal and State) $ $ FICA (Soc. Sec. + Medicare)/Self-Employment $ $ State Industrial Insurance Deductions $ $ Mandatory Union/Professional Dues $ $ Mandatory Pension Plan Payments $ $ Voluntary Retirement Contributions $ $ Maintenance Paid $ $ Normal Business Expenses $

Health Care Expenses

Please put the actual amounts that each parent presently pays, not the amount you would like the other parent to pay. Father Monthly Mother $ Health Insurance Premiums Paid for Children $ $ Uninsured Monthly Health Care Expenses Paid $ for Children

Day Care and Special Child Rearing Expenses

Please put the actual amounts that each parent presently pays, not the amount you would like the other parent to pay.

Father Monthly Mother $ Day Care Expenses $ $ Education Expenses $ $ Long Distance Transportation Expenses $ $ Other Special Day Care and Child Rearing $ Expenses

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