STATE OF NEW MEXICO
[ ] JUDICIAL DISTRICT COURT
COUNTY OF [ ]

[ ], Petitioner,

vs.	NO [ ]
[ ], Respondent.

MONTHLY CHILD SUPPORT OBLIGATION

						Combined
1.	Gross Monthly Income		+		=
2.	Percentage of Combined Income	%	+	%	=	%
3.	Number of Children
4.	Basic Support from Schedule
5.	Children's Health and Dental Insurance Premium		+		=
6.	Work-Related Child Care		+		=
7.	Additional Expenses		+		=
8.	Total Support		+		=
9.	Each Parent's Obligation
10.	Amount for Each Parent from Line 8
11.	Each Parent's Net Obligation
						Combined
PART 1 - BASIC SUPPORT:
1.	Gross Monthly Income		+		=
2.	Percentage of Combined Income	%	+	%	=	%
3.	Number of Children
4.	Basic Support from Schedule
5.	Shared Responsibility Basic Obligation
6.	Each Parent's Share
7.	Number of 24 Hour Days with Each Parent		+
8.	Percentage with Each Parent	%	+	%	=	%
9.	Amount Retained
10.	Each Parent's Basic Obligations
11.	Amount Transferred
Part 2 - ADDITIONAL PAYMENTS:
12.	Children's Health and Dental Insurance Premium		+		=
13.	Work-Related Child Care		+		=
14.	Additional Expenses		+		=
15.	Total Additional Payments		+		=
16.	Each Parent's Obligation
17.	Amount Transferred
Part 3 - NET AMOUNT TRANSFERRED:
18.	Combine Lines 11 and 17 by addition if same parent pays on both lines, otherwise by subtraction.


	Self Support Reserve Rates In Use

Petitioner's Signature: _________________________________

Respondent's Signature: _________________________________

Date: ________________

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