___________________________________,
Pro Se
Plaintiff’s Name
___________________________________
Address
___________________________________
Zip
_______________________
Phone
IN THE DISTRICT COURT OF THE
THIRD JUDICIAL DISTRICT OF
THE STATE OF IDAHO, IN AND FOR THE
COUNTY OF _________________
_______________________________________
)
) CASE NO.
CV-__________________
__________________________________, )
Plaintiff, )
SHARED,
-vs- ) WORKSHEET
)
)
__________________________________, )
Defendant. )
_______________________________________)
CHILDREN BIRTH DATE CHILDREN BIRTH
1._____________________
____________
2.___________________ ___________
3._____________________
____________
4.___________________ ___________
5._____________________
____________
MOTHER FATHER COMBINED
1. MONTHLY I.C.S.G. INCOME
(from Affidavit Verifying Income) $_________ $_________ $________
2. SHARE OF INCOME
FOR EACH PARENT
(line 1 for each parent divided
by Combined Income) ________
________
3. BASIC COMBINED CHILD
SUPPORT OBLIGATION
(apply line 1 Combined to Child Support Schedule) $________
4. EACH PARENT’S CHILD SUPPORT
OBLIGATION
(line 2 multiplied by line 3 for
each parent) $_________ $_________
5. OBLIGATION ALLOCATION
(line 4 divided by the number of
children) $_________ $_________
SHARED,
WORKSHEET Page 1 of 2