Supplemental Worksheet {FM-040-A}

SUPERIOR COURT , ss. Docket No. STATE OF MAINE DISTRICT COURT Location Docket No. Plaintiff SUPPLEMENTAL WORKSHEET v. Defendant Supplemental Child Support Worksheet (For use when parents provide substantially equal care. FM-040-S must be prepared first.) Higher income parent is the Plaintiff Defendant (higher of line 7a and 7b). (line 9c) = 15. = 16. = 17. = 18. = 19. = 20. 15. Higher income parent's share of basic weekly support (higher of line 8a and 8b) x 16. Enhanced weekly support entitlement (line 9c) x 1.5 17. Lower income parent's share of enhanced weekly support entitlement (lower of line 8a and 8b) x (line 16) 18. Higher income parent's share of enhanced weekly support entitlement (higher of line 8a and 8b) x (line 16) 19. Enhanced Support Obligation (line 18) (line 17) 20. Presumptive Parental Support Obligation Enter the amount from line 15 or line 19, whichever is less 21. Additional expenses to be shared by parents in proportion to their incomes: Expense Health Insurance (enter amount from line 10) Child Care (enter amount from line 11) Extraordinary Medical Expenses (enter amount from line 12) *HIP = higher income parent Weekly Amount Parent Paying HIP Share* $ $ $ LIP Share* $ $ $ $ *LIP ­ lower income parent TOTAL: $ = 21. Adjustment for additional expenses (If HIP pays the expense(s), subtract LIP share. If LIP pays the expense(s), add HIP share.) 22. Total weekly support obligation of HIP to be paid to LIP FM-040-SA, Rev. 08/16 Page 1 of 1 = 22. American LegalNet, Inc. www.FormsWorkFlow.com