39

<-V#

CHILD SUPPORT GUIDELINES WORKSHEET--SHARED SUPPORT

Commonwealth of Virginia Section 20-108.2 G.3

Case

v.

I. GUIDELINE CALCULATION

A. INCOME

Parent 1

Parent 2

Combined

Monthly Gross Income

(1)

(2)

Adjustments for spousal support payments

Between parties (negative amount shows person paying)

(3)

(4)

To/from other spouses (negative amount shows person paying)

(3a)

(4a)

Adjustments for support of child(ren)

(5)

(6)

Deductions from Monthly Gross Income allowed by law

(7)

(8)

Available Gross Income

(9)

(10)

=(11)

Percentage of Combined Gross Income

(12)

0.00%

(13)

0.00%

B. CHILD SUPPORT NEEDS

Number of children for whom support is sought

(14)

Child support from guideline table

apply lines (11) and (14) to table

(15)

Total shared support

line (15) x 1.40

(16)

Parent 1

Parent 2

Total days in year each parent has custody

(17)

(18)

(18a)=

365

Each parent's custody share

(19)

0.00%

(20)

0.00%

(20a)=

100.00%

C. EACH PARENT'S SUPPORT OBLIGATION TO OTHER PARENT

Parent 2

1. Parent 2's obligation to Parent 1

Basic support to Parent 1

lines (19) x (16)

(21)

Health care coverage PAID by Parent 1 or spouse

(22)

Work-related child care of Parent 1 (if any)

(23)

Total

lines (21) + (22) + (23)

(24)

Parent 2's obligation

lines (24) x (13)

(25)

2. Parent 1's obligation to Parent 2

Parent 1

Basic support to Parent 2

lines (20) x (16)

(26)

Health care coverage PAID by Parent 2 or spouse

(27)

Work-related child care of Parent 2 (if any)

(28)

Total

lines (26) + (27) + (28)

(29)

Parent 1's obligation

lines (29) x (12)

(30)

D. NET MONTHLY CHILD SUPPORT PAYABLE FROM ONE PARENT TO THE OTHER PARENT

Shared custody child support

difference between lines (25) and (30)

=(31)

(32) Payable to

(32a & 32b)

[_]

Parent 1

[_]

Parent 2

II. ADJUSTMENTS (IF ANY) TO SHARED CUSTODY CHILD SUPPORT GUIDELINE AMOUNT

A. ADJUSTMENT ITEMS

Parent 1

Parent 2

1. Credit for benefits received by or for a child derived from the parent's

entitlement to disability insurance benefits to the extent that such

derivative benefits are included in that parent's gross inc.

(33)

(34)

2

(33a)

(34a)

3

(33b)

(34b)

Total Adjustments

(35)

(36)

Net adjustment

difference between lines (35) and (36)

(37)

(38) Owed to

(38a & 38b)

[_]

Parent 1

[_]

Parent 2

SSDI or Adj Exists

N

N

CS after Adjusts

NEW FORM: SSDI LAST

Usable SSDI

CS/Adjusts less SSDI

Excess SSDI

CS after SSDI

CURRENT: SSDI FIRST

CS/SSDI less Adjusts

Usable SSDI

Excess SSDI

Do SSDI Last

Y

B. TOTAL ADJUSTED SUPPORT

(39a & 39b)

$0

$0

(39)

$0

(40) Payable to

(40a & 40b)

[_]

Parent 1

[_]

Parent 2

VA FORM DC-640 (07/01/2025) v5.0

© Daniel R. Burk

11/6/25 12:01 AM

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