Fillable Printable Child Support Guideline Worksheet - Rhode Island

Child Support Guideline Worksheet - Rhode Island

DR-30 (Rev. 7/07) Page 1 of 2

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

FAMILY COURT

CHILD SUPPORT

GUIDELINE WORKSHEET

COUNTY

CIVIL ACTION-FILE NO.

PLAINTIFF

VS. DEFENDANT

PLAINTIFF SOC. SEC. NO. DEFENDANT SOC. SEC. NO.

To be filed with complaints on divorce, bed & board, miscellaneous complaints and when answer or modification is filed.

Number of Children:

Plaintiff

Defendant Combined

1. Monthly Gross Income $ $ XXX

2. Required Deductions:

a. Preexisting Child Support Payments

XXX

b. Health Insurance Premiums

XXX

or Medical Cash Contributions:

c. Additional Minor Dependants

3. Optional Adjustments in the Discretion of the Court

a. Pension/Retirement Payments

XXX

b. Life Insurance Premium Payments

XXX

c. Parent’s Extraordinary Medical Exp.

XXX

d. Income Tax Exemptions Adjustment

XXX

e. Payments of Assigned Marital Debts

XXX

4. Monthly Adjusted Gross Income (line 1minus

lines 2 and 3) $ $ $

5. Percentage Sha re of I nco me (line 4 parent’s

income divided by line 4 combined income)

100%

6. Basic Child Support Obligation (apply line 4

combined income to child support table)

XXX

7. Work-Related Child Care Costs (actual costs

minus federal tax credit)

XXX

8. Total Child Support Obligation

XXX

(add lines 6 and 7)

9. Parent’s Chi l d Sup p ort O bl i gat i on (f o r each parent,

line 5 percentage X line 8) $ $ XXX

10. Recommended Child Support Order (enter

line 9 amount for non-custodial parent

leave other column blank) $ $ XXX

11. Basic Child Support Amount Ordered: $ $

12. Cash Medical Ordered $ $

13. TOTAL AMOUNT ORDERED: $

per

(add lines 11 and 12)

wl./bi-wk./mo.

Prepared and presented by/for plaintiff:

DATE

by/for defendant:

DATE

Prepared and presented by Office of Child Support Enforcement (if applicable)

DATE

Approved and presented Enter

DR-30 (Rev. 7/07) Page 2 of 2

FINDING OF FACTS AND JUDGE’S COMMENTS: