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Download Louisiana Child Custody Form

Forms in Child Custody

Use this template/form to file for child custody in the state of Louisiana

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louisiana-child-custody-form

Text version of this Form

———————– Page 1———————–

The Family Court of East Baton Rouge Parish, State of Louisiana

Child Support Worksheet R.S. 9:315.9(B) (Equal Sharing)

__________________________________ Suit Number __________________

Petitioner

VS. Division ______________________

__________________________________ Judge ________________________

Respondent

WORKSHEET – CHILD SUPPORT OBLIGATION

Names of Children Date of Birth Names of Children Date of Birth

______________________ ________ ______________________ ________

______________________ ________ ______________________ ________

______________________ ________ ______________________ ________

A. PETITIONER B. RESPONDENT C.COMBINED

1. MONTHLY GROSS INCOME R.S.9:315.2(A) $ $ ///////////////

a. Minus preexisting child support payment – – ///////////////

b. Minus preexisting spousal support payment – – ///////////////

2. MONTHLY ADJUSTED GROSS INCOME $ $ ///////////////

(Line 1 minus 1a and 1b). ////////////////

3. COMBINED MONTHLY ADJUSTED GROSS /////////////////// /////////////////// $

INCOME (Line 2 Column A plus Line 2 Column /////////////////// //////////////////

B). (R.S. 9:315.2 (C) /////////////////// ///////////////////

4. PERCENTAGE SHARE OF INCOME % % ///////////////

(Line 2 divided by line 3) ///////////////

5. BASIC CHILD SUPPORT OBLIGATION ////////////////// ///////////////////

(Compare line 3 to Child Support Schedule). ////////////////// /////////////////// $

(R.S.9:315.2(D) ////////////////// ///////////////////

6. SHARED CUSTODY BASIC OBLIGATION ///////////////// //////////////////

(Line 5 times 1.5) (R.S.9:315.9(B) (2) ///////////////// //////////////////

7. EACH PARTY’S THEORETICAL CHILD $ $ ///////////////

SUPPORT OBLIGATION (Multiply line 4 times

line 6 for each party )

8. PERCENTAGE with each party % % ///////////////

9. BASIC CHILD SUPPORT OBLIGATION FOR $ $ ///////////////

TIME WITH OTHER PARTY (Cross Multiply line7 ////////////////

for each party times line 8 for the other party) ///////////////

(R.S.9:1315.9 (A) (3))

a. Net Child Care Costs (Costs minus Federal Tax Credit) /////////////////// ////////////////// +

b. Child’s Health Insurance Premium Cost (R.S. 9:315.4) ////////////////// ///////////////// +

c. Extraordinary Medical Expenses (Uninsured only) ////////////////// ///////////////// +

(Agreed to by parties or by order of court. (R.S.9:315.5) /////////////////// ///////////////////

d. Extraordinary Expenses (Agreed to by parties or ////////////////// ///////////////// +

by order of the court) (9:315.6) /////////////////// //////////////////

e. Optional: Minus extraordinary adjustments ////////////////// ////////////////// –

(Child’s income if applicable) (R.S. 9:315.7) /////////////////// //////////////////

10 TOTAL EXPENSES/EXTRAORDINARY /////////////////// ///////////////////

ADJUSTMENTS (Add lines 9a, 9b, 9c, and 9d, ////////////////// ///////////////////

Subtract line 9e) ////////////////// /////////////////// $

Form C-2, Child Support Worksheet

Form revised: January, 2008

———————– Page 2———————–

The Family Court of East Baton Rouge Parish, State of Louisiana

Child Support Worksheet R.S. 9:315.9(B) (Equal Sharing)

PETITIONER RESPONDENT COMBINED

11 EACH PARTIES PROPORTIONATE SHARE ///////////////

of Expenses/Extraordinary Adjustments (Line 4 times ////////////////

line 10) (R.S.9:315.9(B)(4) $ $ ///////////////

12 DIRECT PAYMENTS made by any party ////////////////

on behalf of the child for work-related net ////////////////

child care costs, health insurance premiums, – – ////////////////

extraordinary medical expenses, or ////////////////

extraordinary expenses (R.S. 9:315.9 (B) (5) ///////////////

13 EACH PARTY’S CHILD SUPPORT ////////////////

OBLIGATION (Line 9 plus line 11 and $ $ ////////////////

minus line 12) ///////////////

14 RECOMMENDED CHILD SUPPORT ////////////////

ORDER (subtract lesser amount from greater ////////////////

amount in line 13 and place result under ////////////////

greater amount) (R.S. 9:315.9 (B)(5)) $ $ ////////////////

Comments, calculations, or rebuttals to schedule or adjustments:

_____________________________________________________________________________________________

_____________________________________________________________________________________________________________________

Signed by (Preparer) ____________________________________ Date _______________________________

Form C-2, Child Support Worksheet

Form revised: January, 2008


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