| Determine Net Income Using: |  |  |  | 
|
| Gross Monthly Income: |  |  |  | 
| Net Monthly Income: |  |  |  | 
| Maintenance received pursuant to an order: |  |  |  | 
| Receivable Maintenance Established Date: |  	 |  	 |  | 
| Receivable maintenance calculated using 2019 rules: |  |  |  | 
| Maintenance paid or payable pursuant to an order: |  |  |  | 
| Payable Maintenance Established Date: |  	 |  	 |  | 
| Payable maintenance calculated using 2019 rules: |  |  |  | 
| Social Security Dependent Benefit Allotment: |  |  |  | 
						
						|
| Multi-Family Adjustment with Order: |  |  |  | 
| Number of children covered by additional child support orders: |  |  |  | 
| Multi-Family Adjustment without Order: |  |  |  | 
| Number of additional children supported, no court order: |  |  |  | 
						 | 
|
| Child Care Expenses: |  |  | $0.00 | 
| Extraordinary School and Extracurricular Activity Expenses: |  |  | $0.00 |