Last updated: 2/2/2015
Worksheet 3-Calculation For Joint Physical Custody
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Description
Worksheet 3 CALCULATION FOR JOINT PHYSICAL CUSTODY Mother 1. Each parent's percent contribution (% from line 6, worksheet 1) Monthly support obligation from table 1 (from line 7, worksheet 1) Joint physical support obligation (line 2 times 1.5) Each parent's share (line 1 times line 3) Number of days annually child(ren) is in custody of each parent Percentage of year child(ren) is in custody of each parent (line 5 divided by 365) Mother's obligation to father (line 4 mother column, times % on line 6 father column) Father's obligation to mother (line 4 father column, times % on line 6 mother column) Father/mother obligation for support (difference between lines 7 and 8) Father ______ ______ 2. _______ 3. _______ 4. ______ ______ 5. ______ _____ 6. ______ ______ 7. ______ ______ 8. ______ ______ 9. ______________ (mother/father) Additional Adjustment for Child(ren)'s health insurance premium Mother Combined 10. Child(ren)'s health insurance premium* (from line 8, worksheet 1) Combined health insurance premium(s) Father ______ ______ ______ 11. American LegalNet, Inc. www.FormsWorkFlow.com 12. Each parent's share of premium (line 1 times line 11) Amount of premium paid (line 10) Amount owed to other parent for premium (line 12 minus line 13, if negative amount enter $0) ______ ______ 13. ______ ______ 14. ______ ______ 15.a. Which parent owes basic support on line 9? ___________ (mother/father) 15.b. Which parent owes support for health insurance on line 14? ___________ (mother/father) 15.c. Does the same parent owe support on lines 15a and 15b? ___________ (Yes/No) 16. Total support to be paid by parent on line 15a (if YES on line 15c, line 9 plus line 14; if NO on line 15c, line 9 minus line 14) ___________ * The parent requesting an adjustment for health insurance premiums must submit proof of the cost of the premium for the child(ren). Worksheet 3 amended effective July 1, 2007. American LegalNet, Inc. www.FormsWorkFlow.com
