Form 03EN025E "Child Support Computation" - Oklahoma

What Is Form 03EN025E?

This is a legal form that was released by the Oklahoma Department of Human Services - a government authority operating within Oklahoma. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on November 1, 2021;
  • The latest edition provided by the Oklahoma Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 03EN025E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

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Download Form 03EN025E "Child Support Computation" - Oklahoma

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IN THE DISTRICT COURT IN AND FOR
COUNTY
STATE OF OKLAHOMA
)
District Ct. Case No.
)
OAH Case No.
)
)
Family Group No. (FGN)
)
)
)
CHILD SUPPORT COMPUTATION
Number of children in this case:
Obligor (person who pays) is:
Mother
Father
A. Base monthly obligation
Father
Mother
Combined
1. Gross monthly income
All sources, except income specifically
excluded by 43 O.S. Section 118B(B).
a. Amount of self-employment income
included in Line 1.
b. Deduction for self-employment tax
multiply Line 1a by 7.65%.
2. Total gross monthly income
Line 1 minus Line1b.
a. Amount of SSA Title II benefits or
veterans disability benefits paid for the
benefit of the children. DO NOT include
SSI benefits. (Enter in the column for
the disabled or retired parent).
b. Court ordered support alimony actually
paid in a prior case.
c. Court ordered monthly adjustment for
marital debt.
d. Court ordered monthly child support
actually paid for qualified out-of-home
children.
Page 1 of 8
03EN025E
11/1/2021
IN THE DISTRICT COURT IN AND FOR
COUNTY
STATE OF OKLAHOMA
)
District Ct. Case No.
)
OAH Case No.
)
)
Family Group No. (FGN)
)
)
)
CHILD SUPPORT COMPUTATION
Number of children in this case:
Obligor (person who pays) is:
Mother
Father
A. Base monthly obligation
Father
Mother
Combined
1. Gross monthly income
All sources, except income specifically
excluded by 43 O.S. Section 118B(B).
a. Amount of self-employment income
included in Line 1.
b. Deduction for self-employment tax
multiply Line 1a by 7.65%.
2. Total gross monthly income
Line 1 minus Line1b.
a. Amount of SSA Title II benefits or
veterans disability benefits paid for the
benefit of the children. DO NOT include
SSI benefits. (Enter in the column for
the disabled or retired parent).
b. Court ordered support alimony actually
paid in a prior case.
c. Court ordered monthly adjustment for
marital debt.
d. Court ordered monthly child support
actually paid for qualified out-of-home
children.
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03EN025E
11/1/2021
A. Base monthly obligation
Father
Mother
Combined
In-home children deduction worksheet
e. Number of qualified in-home children,
excluding children on this case.
f. Amount for qualified in-home children.
Apply Line 2 for each parent to Child
Support Guideline Schedule amount
using the number of children in Line 2e,
and multiply guideline amount by 75%.
3. Adjusted gross monthly Income (AGI)
Amount in Line 2 plus 2a, minus Lines 2b,
2c, 2d, and 2f.
4. Percentage share of income
AGI for each parent divided by the
combined AGI.
100%
5. Base monthly obligation
Apply combined AGI to Child Support
Guideline Schedule and put total in
combined base monthly obligation. Multiply
the combined total by the percentage share
of income for each parent.
B. Parenting time adjustment, if used
Father
Mother
Combined
6. Number of overnights with each parent
If less than 121 for either parent, skip to C.
365
a. Percentage of overnights with each
parent. Number of overnights for each
parent divided by 365.
100%
b. Adjusted combined child support
Less than 121
obligation. Adjustment factor is based
overnights =
on the parent with the fewest
no factor
overnights. The result in the combined
121-131 = 2
column is the combined monthly
obligation in Line 5 multiplied by the
132-143 = 1.75
Adjustment
adjustment factor.
factor:
144-183 = 1.5
c. Share of adjusted combined child
support obligation. Combined Line 6b
multiplied by the percentage share of
income in Line 4.
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03EN025E
11/1/2021
B. Parenting time adjustment, if used
Father
Mother
Combined
d. Respective adjusted base child support
obligation. Amount for each parent in
line 6c multiplied by the percentage
share of the other parent in Line 6a.
7. Adjusted base monthly obligation
Line 6d larger amount minus Line 6d
smaller amount and the result is for the
parent with the positive amount. If the
parent has more than 205 in Line 6, use $0
for that parent If either parent has less than
121 in Line 6, use the Line 5 amount for
both parents.
C. Obligor (person who pays) is
Father
Mother
Select "Father" or Mother"
D. Work and education-related child care
Other
Father
Mother
expenses
Custodian
8. Monthly child care expenses for
children in this case
Include any co-payments being paid by a
parent receiving OKDHS Child Care
Subsidy.
9. Child care expense percentage share of
the total
Total child care expenses multiplied by
percentage share of income for each
parent. Multiply Line 8 by Line 4.
10. Total child care adjustment to base
monthly obligation
Line 9 minus Line 8. (Amount may be
negative).
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03EN025E
11/1/2021
Other
E. Health insurance premium
Father
Mother
Custodian
11. Monthly health insurance premium
costs
This premium represents the actual
premium cost for any child(ren) in this
case only. Insurance Premium Worksheet
is available if needed.
Use Cash Medical Support if any child
is not covered by insurance.
12. Monthly health insurance share for
each parent
Percentage share of income in Line 4
multiplied by total current insurance cost
for all persons in Line 11.
13. Total premium cost adjustment to base
monthly obligation
Line 12 minus Line 11. (Amount may be
negative).
Other
F. Other contributions, if agreed or ordered
Father
Mother
custodian
14. Ongoing medical costs
Cash medical support for fixed periodic
payments for ongoing medical costs.
a. Adjusted medical costs share.
Multiply total of Line 14 for all
persons by Line 4.
b. Total ongoing medical costs
adjustment to base monthly
obligation. Line 14a minus Line 14.
(Amount may be negative).
15. Visitation transportation costs
a. Adjusted visitation costs share.
Multiply total of Line 15 for all
persons by Line 4.
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03EN025E
11/1/2021
Other
F. Other contributions, if agreed or ordered
Father
Mother
custodian
b. Total ongoing visitation costs
adjustment to base monthly
obligation. Line 15a minus Line 15.
(Amount may be negative).
G. Child support obligation subtotal
Father
Mother
16. Base monthly child support obligation
less adjustments for child care and other
contributions
Add obligor Line 7 to Lines 10, 13, and 15b
if positive amounts. Subtract Lines 10, 13,
or 15b if negative amounts.
17. SSA Title II benefits or veterans
disability benefits paid for the benefit of
the child
Line 2a for obligor.
18. Total monthly child support obligation
less any SSA Title II benefits or veterans
disability benefits paid for the benefit of
the child
Line 16 minus Line 17. (Amount may be
negative).
H. Cash medical support
Father
Mother
Combined
19. Enter number of children in this case not covered by health
insurance. If none, skip to Line 24. Note: this may be different
from the number of children on SoonerCare.
20. Enter the SoonerCare or other health care
government assistance applicant for the
child(ren) in this case, if children are on
Father
Mother
Other
SoonerCare. Select "Father," "Mother,"
"Other," or leave blank.
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03EN025E
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