2.  ADJUSTMENTS TO GROSS INCOME (Idaho Child Support Guidelines sections 6
& 7)
     a.  Straight line depreciation on assets        __________  __________

     b.  One-half of self-employment Social
          Security tax                               __________  __________

     c.  Child support/alimony from other
          relationship                               __________  __________

     d.  Support for child of another relationship
          living in the home                        +__________ +__________

                            ADJUSTMENTS SUBTOTAL     __________  __________

3.  GROSS INCOME, AS ADJUSTED
     (GROSS INCOME SUBTOTAL minus ADJUSTMENTS
     SUBTOTAL)                                       __________  __________

4.  IN-KIND BENEFITS (Idaho Child Support Guidelines section 6(b))
     (Housing, food, transportation, recreation)     __________  __________

5.  POTENTIAL INCOME (Idaho Child Support Guidelines section 6(c))
     (Potential earned & potential UNearned income) +__________ +__________

                               GUIDELINES INCOME     __________  __________

MONTHLY I.C.S.G. INCOME
     (GUIDELINES INCOME divided by 12)               __________  __________

                                         __________________________________
                                         Plaintiff

__________________________________       __________________________________
Defendant’s social security number       Plaintiff’s social security number

SUBSCRIBED AND SWORN TO before me this ____ day of ________________, ______

                                          _________________________________
                                          NOTARY PUBLIC FOR IDAHO
                                          Residing at:
                                          My commission expires:

AFFIDAVIT VERIFYING INCOME      Page 2 of 2