Free Neb. Rev. Ct. Rules, Ch. 4, Art. 2 - Nebraska


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Worksheet 2 SPLIT CUSTODY CALCULATION 1. Show combined monthly share from line 7, worksheet 1, divided by total number of children __________________ __________________ __________________ __________________ __________________ __________________ __________________ Show each parent's share (apply percent from line 6, worksheet 1) Mother Father _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______

Child's Name ________________ ________________ ________________ ________________ ________________ ________________ ________________

Custody (F or M) ______ ______ ______ ______ ______ ______ ______

2.

Total amount owed to father by mother (mother's share from above for children in father's custody) Total amount owed to mother by father (father's share from above for children in mother's custody) Support to be paid by mother/father (difference between lines 2 and 3)

______________

3.

______________

4.

______________ (mother/father)

Additional Adjustment for Child(ren)'s health insurance premium Father Combined 5. Child(ren) health insurance premium* (from line 8, worksheet 1) Combined health insurance premium(s) ______ _______ Mother

6.

______

7.

Each parent's share of premium (line 6 from worksheet 1 times line 6 above) Amount of premium paid (line 5) Amount owed to other parent for premium (line 7 minus line 8, if negative amount enter $0) Which parent owes basic support on line 4?

______ ______

_______ _______

8. 9.

______ ____________ (mother/father)

_______

10.a.

10.b.

Which parent owes support for health insurance on line 9?

____________ (mother/father) ____________ (Yes/No)

10.c.

Does the same parent owe support on lines 10a and 10b?

11.

Total support to be paid by parent on line 10a (if YES on line 10c, line 4 plus line 9; if NO on line 10c, line 4 minus line 9)

____________

* The parent requesting an adjustment for health insurance premiums must submit proof of the cost of the premium for the child(ren).
Worksheet 2 amended effective July 1, 2007; amended October 24, 2007.