22.740 Verdict Form; Modification of Child Support

22.740 Verdict Form; Modification of Child Support The following charge was deleted and has been replaced by 23.000 et al. for use in conjunction with the new child support guidelines, effective January 1, 2007. Please see cautionary note (at 22.000) for further information. IN THE SUPERIOR COURT OF _________ COUNTY STATE OF GEORGIA PLAINTIFF * * VS CIVIL ACTION NO. ________________________ * DEFENDANT * VERDICT We the jury find as follows: I. GROSS INCOME: A. Custodial Parent's Gross Income is $_____________ per _______________. B. Noncustodial Parent's Gross Income is $____________ per ___________. II. CHANGE OF INCOME OR NEEDS: A. There HAS/HAS NOT [Circle One] been a substantial change of income of the noncustodial parent or been a substantial change in the needs of the children. III. GUIDELINE SUPPORT: A. The applicable range of percentages of gross income is: [Mark one] No. of Children 1 2 3 4 % Range of Gross Income 17% to 23% 23% to 28% 25% to 32% 29% to 35% % Used in This Case ____________ ____________ ____________ ____________ Amount of Support _________ _________ _________ _________ 5 31% 37% ___________ _________ B. We, the jury, FIND/DO NOT FIND [Circle One] the existence of special circumstances. [IF SPECIAL CIRCUMSTANCES ARE FOUND, MARK THE ONE(S) FOUND WITH AN "X" ON THE FOLLOWING LIST.] _____ 1. Ages of the children. _____ 2. A child's extraordinary medical costs or needs in addition to accident and sickness insurance, provided that all such costs or needs shall be considered if no insurance is available. _____ 3. Educational costs. _____ 4. Day-care costs. _____ 5. Shared physical custody arrangements, including extended visitation. _____ 6. A party's other support obligations to another household. _____ 7. Income that should be imputed to a party because of suppression of income. _____ 8. In-kind income for the self-employed, such as reimbursed meals or acompany car. _____ 9. Other support a party is providing or will be providing, such as payment of a mortgage. _____ 10. A party's own extraordinary needs, such as medical expenses. _____ 11. Extreme economic circumstances including but not limited to: ____ (A)Unusually high debt structure; or ____ (B) Unusually high income of either party or both parties, which shall be construed as individual gross income of over $75,000 per annum. _____ 12. Historical spending in the family for children which varies significantly from the percentage table. _____ 13. Considerations of the economic cost-of-living factors of the community of each party, as determined by the trier of fact. _____ 14. In-kind contribution of either parent. _____ 15. The income of the custodial parent. _____ 16. The cost of accident and sickness insurance coverage for dependent children required to be paid. _____ 17. Extraordinary travel expenses to exercise visitation or shared physical custody. _____ 18. Other factors which we deem appropriate to meet the ends of justice, which are described as: IV. SUPPORT AMOUNT: Based upon the findings made above, we, the jury, award child support to __________________ from _______________ for the support of the child(ren) in the amount of $__________ per week/month/__________________ (other period) [per child], beginning on the ____ day of _________, ______ and payable thereafter until: [Mark One] _______ the child becomes 18 years of age, dies, marries, or otherwise becomes emancipated, whichever occurs first. OR _______ the child becomes 18 years of age, dies, marries, or otherwise becomes emancipated or until the child becomes 18 years of age while enrolled in and attending secondary school on a full-time basis, then such support shall continue until the child completes secondary school, provided that such support shall not be required after the child attains 20 years of age, whichever occurs first. This _____ day of ______________, ________. (signature) Foreperson, _______________________ (printed name)