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STATE OF CALIFORNIA, HEALT!jAND HUMAN SERVICESAGE NCY DEPARTMENT OF CHILD SUPPORTSERVICESCourt Case Number:

Petitioner Name:Respondent Name:Other Parent Name:

COUNTY OF MADERAJESUS RIVERAANGELA RIVERA

Guideline Calculation Results SummaryMatfU S4P**TaMs

Ua*toCHdSupport Amount. - -- ..L intCMd Support Add-Ons AmountCMdCareVsats/Travel ExpensesScnoo* ExpensesJp nsured Health ExpensesTotal Arrears Support Amount

Temporary Spousal Support Amount (N/A)MoXhry Tax/Income Information (Tax Year: 2008)

Monthly Net Disposable IncomeMonthly Taxable Gross IncomeMonthly Non-taxable Gross IncomeFederal Adjusted Gross IncomeFederal Taxable IncomeNet Income of Parties With SupportFederal Tax Filing StatusNumber of Tax Exemptions (Federal)State Ta x Filing StatusNumber of Tax Exemptions (State)Federal Ta x LiabilitiesState Tax LiabilitiesPICASelf-Employment Ta xCASDITANF/CalWORKS

Other Monthly Deduction TotalsChild Support Paid (Other Relationships)Required Union DuesMandatory RetirementOther Guideline DeductionsHealth Insurance PremiumHardship Deduction AmountHardship Deduction ChildrenExtraordinary Health ExpensesUninsured Catastrophic Losses

NCP536.00536.00

0.000.000.000.000.000.00

NCP1545.002313.000.002313 001567 001009.00SINGLE

1SAME AS FEDERAL

1202.0045.00177.000.00190 0NCP

326 000.000.000.000.000.000.0

0 000.00

Other Parent0.000.000.000.000.000.000.000.000.00

Other Parent1717.001387.00

0.001387.00

0 002253.00

HEAD OFHOUSEHOLD4

SAME ASFEDERAL4-447.000.00106.00

1?QO

Other Parent0.000.000.000.000.000.000.00.000.00

Monthly Support Amounts Per ChildChild Name Date of Birth Time with NCP NCP Add-Ons NCP Support NC P Total OP Add-Ons OP Support

LYDIA 2002-10-26 20.0 % 0.00 108.00SAVANA 2005-09-13 20.0 % 0.00 214.00VANESSA 2005-09-13 20.0 % 0.00 214.00%*

Average % Time with NCP: 20.0 % 0 00 536.00Guideline Findings:JESUS RIVERA is required to pay ANGELA RIVERA $536.00.in CURRENT SUPPORTTotal Child Support Arrears Per ChildChild Name Prior Period NCPAdd-Ons NCPSupport NCPTotalLYDIA No t Applicable 0.00 0.00 0.00SAVANA No t Applicable 0.00 0.00 0.00VANESSA NotApplicable 0.00 0.00 0.00

0.00 0.00 0.00

108.00 0.00 0.00214.00 0.00 0.00214.00 0.00 0.00

536.00 0.00 0.00

OP Add-Ons OP Support0.00 0.000.00 0.000.00 0.00

0.00 0.00

OP Total0.000.000.00

0.00

OP Total0.000.000 00

0.00