                 2000 CHILD SUPPORT GUIDELINES WORKSHEET - PAGE 1

                             NON-CUSTODIAL INFORMATION

         NAME: ___________________________  Petitioner or Respondent?

         EMPLOYER(S): ___________________________________________

         ENTER THE FOLLOWING INCOME AND TAX INFORMATION:

            YEARLY INCOME: $______________________________
           MONTHLY INCOME: $______________________________
         BI-WEEKLY INCOME: $______________________________
            WEEKLY INCOME: $______________________________
              HOURLY WAGE: $______________________________
           HOURS PER WEEK: $______________________________

         OVERTIME HOURS: ____ WEEK  ____ BIWEEK  ____ MONTH  ____ YEAR
         OVERTIME PAY PER HOUR: $_________________________

         NET PROFIT OR EARNED INCOME FROM SELF-EMPLOYMENT: $__________
           (from Schedule SE or indicate if estimating)

         THE FILING STATUS ON YOUR NEXT TAX RETURN WILL BE:
                            SINGLE: ____        Married: ____
                 HEAD OF HOUSEHOLD: ____      Separated: ____

         NUMBER OF DEPENDENTS YOU WILL CLAIM: ____

         ARE YOU LEGALLY BLIND OR OVER AGE 65? ____

         LIST THE FOLLOWING THAT YOU MUST PAY AND HOW OFTEN:
                       (per week, biweek, month, year)

                           UNION DUES: __________ per __________
                    MANDATORY PENSION: __________ per __________
          ACTUAL MEDICAL SUPPORT PAID: __________ per __________
               (not reimbursed - include medications)
           CHILD SUPPORT, PRIOR ORDER: __________ per __________
         SPOUSAL SUPPORT, PRIOR ORDER: __________ per __________
                  CHILD CARE EXPENSES: __________ per __________
          DEPENDENT MEDICAL INSURANCE: __________ per __________

         HAS YOUR INCOME INCREASED, DECREASED, OR STAYED THE SAME
           OVER THE LAST 3 YEARS? _______________

         LIST ANY ADDITIONAL INCOME AND SOURCES:
         _________________________________________________________
         _________________________________________________________

         RETURN THIS SHEET ALONG WITH COPIES OF THE THREE PREVIOUS
         FEDERAL AND STATE TAX RETURNS.

_______________________________________________________________________
   2000 IOWA SUPPORT MASTER   COPYRIGHT 2000 ALFT & WILSON PUBLISHING
<Page Break>
              2000 CHILD SUPPORT GUIDELINES WORKSHEET - PAGE 2

                             NON-CUSTODIAL INFORMATION

         NAME: __________________________________________________

         INFORMATION ABOUT ALL CHILDREN
                                           BORN DURING     TO WHOM DOES
         NAME              DOB             MARRIAGE OR     THIS CHILD
                                           RELATIONSHIP?   BELONG?
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________


         LIST ANY INFORMATION NOT COVERED THAT YOU FEEL MAY BE
         IMPORTANT WHEN CONSIDERING THE AMOUNT OF CHILD SUPPORT:

         _________________________________________________________

         _________________________________________________________

         _________________________________________________________

         _________________________________________________________




_______________________________________________________________________
   2000 IOWA SUPPORT MASTER   COPYRIGHT 2000 ALFT & WILSON PUBLISHING
<Page Break>

              2000 CHILD SUPPORT GUIDELINES WORKSHEET - PAGE 3

                             CUSTODIAL INFORMATION

         NAME: ___________________________  Petitioner or Respondent?

         EMPLOYER(S): ___________________________________________

         ENTER THE FOLLOWING INCOME AND TAX INFORMATION:

            YEARLY INCOME: $______________________________
           MONTHLY INCOME: $______________________________
         BI-WEEKLY INCOME: $______________________________
            WEEKLY INCOME: $______________________________
              HOURLY WAGE: $______________________________
           HOURS PER WEEK: $______________________________

         OVERTIME HOURS: ____ WEEK  ____ BIWEEK  ____ MONTH  ____ YEAR
         OVERTIME PAY PER HOUR: $_________________________

         NET PROFIT OR EARNED INCOME FROM SELF-EMPLOYMENT: $__________
           (from Schedule SE or indicate if estimating)

         THE FILING STATUS ON YOUR NEXT TAX RETURN WILL BE:
                            SINGLE: ____        Married: ____
                 HEAD OF HOUSEHOLD: ____      Separated: ____

         NUMBER OF DEPENDENTS YOU WILL CLAIM: ____

         ARE YOU LEGALLY BLIND OR OVER AGE 65? ____

         LIST THE FOLLOWING THAT YOU MUST PAY AND HOW OFTEN:
                       (per week, biweek, month, year)

                           UNION DUES: __________ per __________
                    MANDATORY PENSION: __________ per __________
          ACTUAL MEDICAL SUPPORT PAID: __________ per __________
               (not reimbursed - include medications)
           CHILD SUPPORT, PRIOR ORDER: __________ per __________
         SPOUSAL SUPPORT, PRIOR ORDER: __________ per __________
                  CHILD CARE EXPENSES: __________ per __________
          DEPENDENT MEDICAL INSURANCE: __________ per __________

         HAS YOUR INCOME INCREASED, DECREASED, OR STAYED THE SAME
           OVER THE LAST 3 YEARS? _______________

         LIST ANY ADDITIONAL INCOME AND SOURCES:
         _________________________________________________________
         _________________________________________________________

         RETURN THIS SHEET ALONG WITH COPIES OF THE THREE PREVIOUS
         FEDERAL AND STATE TAX RETURNS.

_______________________________________________________________________
   2000 IOWA SUPPORT MASTER   COPYRIGHT 2000 ALFT & WILSON PUBLISHING
<Page Break>


              2000 CHILD SUPPORT GUIDELINES WORKSHEET - PAGE 4

                             CUSTODIAL INFORMATION

         NAME: __________________________________________________

         INFORMATION ABOUT ALL CHILDREN
                                           BORN DURING     TO WHOM DOES
         NAME              DOB             MARRIAGE OR     THIS CHILD
                                           RELATIONSHIP?   BELONG?
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________
         _______________   ____/____/____     Y   N       ______________


         LIST ANY INFORMATION NOT COVERED THAT YOU FEEL MAY BE
         IMPORTANT WHEN CONSIDERING THE AMOUNT OF CHILD SUPPORT:

         _________________________________________________________

         _________________________________________________________

         _________________________________________________________

         _________________________________________________________


_______________________________________________________________________
   2000 IOWA SUPPORT MASTER   COPYRIGHT 2000 ALFT & WILSON PUBLISHING
