In Re Proposed Amendments to Administrative Order No. 10

Cite as 2022 Ark. 92
SUPREME COURT OF ARKANSAS
Opinion Delivered: April 14, 2022

IN RE PROPOSED AMENDMENTS TO
ADMINISTRATIVE ORDER NO. 10

PER CURIAM

The Supreme Court Committee on Child Support has proposed changes to Administrative

Order No. 10 and the Affidavit of Financial Means.

The Court extends its sincere gratitude to the members of the Child Support Committee

for their work. These proposals are being published for comment, and the period shall end May 12,

2022.

Comments should be submitted in writing to: Clerk of the Arkansas Supreme Court,

Attention: Child Support Committee, Justice Building, 625 Marshall Street, Little Rock, Arkansas

72201.

Administrative Order No. 10 – Child Support Guidelines

Section I. Authority and Scope

Pursuant to Act 948 of 1989, as amended, codified at Ark. Code Ann. § 9-12-312(a) and
the Family Support Act of 1988, Pub. L. No. 100-485 (1988), the Court adopted and published
Administrative Order Number 10, titled “Child Support Guidelines” (“Guidelines”). Pursuant to
Act 907 of 2019, codified at Ark. Code Ann. § 9-12-312(a)(4), the attached revised monthly
“Family Support Chart” (“Chart”) is based on an Income Shares Model. The attached Chart
therefore, supersedes any prior payor-income-based family support chart. (Section II.1 discusses
when this Administrative Order’s incorporation of the Income Shares Model affects existing child-
support orders.) This Administrative Order includes and incorporates by reference the “Forms”

Addendum: Sample Calculation, Sample Language for Child-Support Orders, Family Support
Chart, Child Support Worksheet (“Worksheet”), and the revised Affidavit of Financial Means.
 These Guidelines are based on the Income Shares Model, developed by the Child Support
Guidelines Project of the National Center for State Courts. The Income Shares Model is based on
the concept that children should receive the same proportion of parental income that they would
have received had the parents lived together and shared financial resources. The best available
economic data on child-rearing expenditures was used to develop the model. A more detailed
explanation of the Income Shares Model and the underlying economic evidence used to support it
is contained in Development of Guidelines for Child Support Orders, Report to the Federal Office of
Child Support Enforcement, September 1987 (National Center for State Courts, Denver,
Colorado). The September 2019 Review of the Arkansas Child Support Guidelines, an Analysis of
Economic Data, Development of Income Shares Charts, and Other Considerations, prepared by
Jane Venohr, Ph.D., is available at www.arcourts.gov/forms-and-publications/arkansas-child-
support-guidelines.

Under the revised Family Support Chart, each parent’s share is that parent’s prorated share of
the two parents’ combined income. The Chart reflects the average amount of money that families
in the United States spend on their children. Differences between Arkansas prices and prices across the
United States more generally have been accounted for using an index that the U.S. Bureau of Economic
Analysis (BEA) developed. The Chart also considers and accounts for:

• federal and state income taxes and FICA;
• average child-rearing expenditures using current measurements developed by Professor
David Betson using the Rothbarth methodology to separate the children’s share of
expenditures from total expenditures;
• out-of-pocket medical expenses of $250.00 per child per year.

The Chart excludes parental expenditures for work-related childcare, the child’s share of health
insurance premiums, and out-of-pocket medical expenses over $250.00 per child per year.

These Guidelines and the accompanying Worksheet assume that the parent to whom
support is owed (payee parent) is spending his or her calculated share directly on the child. For
the parent with the obligation to pay support (payor parent), the pro-rata charted amount establishes
the base level of child support to be given to the payee parent. The base amount may, however,
be adjusted to account for work-related childcare expenditures, the child’s share of the health
insurance premium, out-of-pocket medical expenses exceeding $250.00 per child per year, the self-
support reserve, or other factors a court determines to be in the best interest of a child or children.

Section II. Use of the Guidelines

There is a rebuttable presumption that the amount of child support calculated pursuant to
the most recent revision of the Family Support Chart and these Guidelines is the amount to be
awarded in any judicial proceeding for divorce, separation, paternity, guardianship, or child support.

In addition to an initial award for child support or the modification of an existing
obligation, these Guidelines should be used to assess the adequacy of agreements for child support
and to encourage parties to settle support-related disputes in a comprehensive manner.

These Guidelines provide calculated amounts of child support for a combined parental
gross income of up to $30,000.00 per month, or $360,000.00 per year. The child-support
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obligation for incomes above $30,000.00 per month shall be determined by using the highest
amount in these Guidelines. The court may then use its discretion in setting an amount above that
to meet the needs of the child and the parent’s ability to provide support.

These Guidelines assume that the payor parent has the minor child(ren) overnight in his or
her residence less than 141 overnights per calendar year.1

1. Modification of Existing Child-Support Obligation:

Pursuant to Act 904 of 2019, codified at Arkansas Code Annotated § 9-14-107(c)(2), “an
inconsistency between the existing child-support award and the amount of child support that results
from application of the Family Support Chart shall constitute a material change of circumstances
sufficient to petition the court for modification of child support according to the Family Support
Chart after appropriate deductions unless:

a. The inconsistency does not meet a reasonable quantitative standard
established by the State of Arkansas in accordance with subsection (a) of this
section;
b. The inconsistency is due to the fact that the amount of the current child
support award resulted from a rebuttal of the guideline amount and there has
not been a change of circumstances that resulted in the rebuttal of the
guidelines amount; or
c. The inconsistency is due solely to a promulgation to a revision of the Family
Support Chart.” 2

2. Deviation from the Chart:

All orders granting or modifying child support shall contain the court’s determination of the
payor’s income, payee’s income, recite the amount of support required under these Guidelines, and
state whether the court deviated from the presumptive child-support calculation set by the
Worksheet and these Guidelines. If an order deviates from the Guidelines amount, then the order
must explain the reason(s) for the deviation. When deciding whether the Worksheet-based amount
is unjust or inappropriate, the court must consider all the relevant factors, including what is in the
child’s or children’s best interest. A deviation from these Guidelines should be the exception rather
than the rule. If a court chooses to deviate from the Guidelines amount, th en it must make
written findings and explain the deviation. It shall be sufficient in a particular case to rebut the
presumption that the amount of child support calculated pursuant to the Worksheet is correct if the
court provides in the order a specific written finding that the Worksheet-based amount is unjust or
inappropriate. When determining whether to deviate from the Guidelines’ amount, a
court should consider the following:

a. Educational expenses for the child(ren) (i.e., those incurred for private or
parochial schools, or other schools where there are tuition or related
costs) and/or the provision or payment of special education needs or
expenses for the child(ren);

1
This Administrative Order presumes that a traditional visitation schedule will be less than
141 nights while a liberal visitation schedule is usually more than 141 nights.
2
The Section titled “Modification of Existing Child-Support Order” recites verbatim
Arkansas Code Annotated 9-14-107(c)(2).
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 b. The procurement and/or maintenance of life insurance, dental insurance,
and/or other insurance for the children’s benefit (for health insurance
premiums, see Section II.2 infra);
c. Extraordinary travel expenses for court-ordered visitation;
d. Significant available income of the child(ren);
e. The creation or maintenance of a trust fund for the children;
f. The support given by a parent for minor children in the absence of a court
order;
g. Extraordinary time spent with the payor parent;
h. Additional e x p e n s e s i n c u r r e d b e c a u s e o f natural or adopted
children living in the home, including stepchildren if the court finds
there is a court-ordered responsibility to a stepchild;
i. The provision for payment of work-related childcare, extraordinary
medical expenses for the child in excess of $250.00 per year per child,
and/or health insurance premiums. Ordinarily, these expenses will be
divided pro rata between the parents and added to the base child support
of the payor parent on the Worksheet. In that scenario, it shall not
support a deviation. However, if the court chooses not to add them in
the total child-support obligation, they could support a deviation; and
j. Any other factors that warrant a deviation.

3. Self-Support Reserve, Minimum Order, and Deviation from the Minimum Order:

In cases where the payor parent’s monthly gross income is less than $900.00, the Chart
applies a self-support reserve (SSR). The SSR considers the basic subsistence needs of the payor
parent and is based on the Federal Poverty Guidelines multiplied by Arkansas’s price parity.
Arkansas’s price parity is the index used to adjust the Chart to reflect Arkansas prices. If the payor
parent’s child-support amount pursuant to the chart is based solely on the payor parent’s gross
income and corresponding number of children falls within the shaded area of the Chart, then the
basic child-support obligation and the payor parent’s total child-support obligation are computed
using only the payor parent’s income. In these cases, health insurance premiums, extraordinary
medical expenses, and childcare expenses shall not be used to calculate the total child-support
obligation. However, payment of these costs by either parent may be used as a reason to deviate
from these Guidelines.

When the payor parent’s monthly gross income is less than $900.00, a presumptive
minimum award of $125.00 per month must issue unless a party can rebut the presumptive amount
by a preponderance of the evidence. Some factors that a court may consider when deciding whether
a party has rebutted the minimum order amount include but are not limited to the following:

a. There is a large adjustment due to parenting time;
b. The payor is incarcerated (see Section II.4 below);
c. The payor is institutionalized due to a mental illness or other impairment;
d. The payor has a verified physical disability that precludes work;
e. The payor’s only income is Supplemental Security Income (SSI);
f. The payor’s ability or inability to work; or
g. Any other deviation factor listed above in Subsection II.2 or any income
imputation factor listed below in Section III.7.

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 4 . Inc a rc e ra te d Individua ls

Pursuant to Act 904 of 2019, codified at Arkansas Code Annotated § 9-12-312(a), § 9-14-
106(a), and § 9-14-107(a), the incarceration of a parent shall be treated as involuntary
unemployment for the purpose of establishing or modifying an award of child support.
“Incarceration” means a conviction that results in a sentence of confinement to a local jail, state or
federal correctional facility, or state psychiatric hospital for at least 180 days and excludes credit for
time served before sentencing.

Section III. Gross Income

1. Definitions:

“Income” means the actual gross income of the parent, if employed to full capacity, or
potential income if unemployed or underemployed as allowed under Section III.7. Gross income
is used to avoid disputes over issues of deductibility that would arise if a net income was used.

These Guidelines presume that the parent with the legal obligation to pay support will file
federal taxes as a single individual and have only one state exemption. Adjustments have been made
in the Chart for federal and state income taxes, FICA, and average child-rearing expenditures (for
example, out-of-pocket medical expenses of $250.00 per child per year).

The monthly child-support amount shall be converted to coincide with the payor’s receipt
of salary, wages, or other income. For purposes of computing gross monthly income, a month is
4.334 weeks. Bi-weekly means a party is paid once every two weeks, or 26 times during a calendar
year. Semi-monthly means a person is paid twice a month, or 24 times per calendar year.

“Child Support Gross Income” means gross income—minus amounts for preexisting child-
support obligations paid to another who is not a party to the proceedings and on behalf of a child
who is not the subject of the action of the court. Child support arrearage payments shall not be
considered in determining a payor’s gross income.

“Combined Gross Income” means the combined gross income of both parties.

2. Gross Income Inclusions:

“Income” is “intentionally broad and designed to encompass the widest range of sources
consistent with the State’s policy to interpret ‘income’ broadly for the benefit of the child.” Evans
v. Tillery, 361 Ark. 63, 204 S.W.3d 547 (2005); Ford v. Ford, 347 Ark. 485, 65 S.W.3d 432 (2002);
McWhorter v. McWhorter, 346 Ark. 475, 58 S.W.3d 840 (2001); Davis v. Office of Child Support
Enforcement, 341 Ark. 349, 20 S.W. 3d 273 (2000).

Gross income includes, but is not limited to, the following:
i. Wages, overtime pay, commissions, regularly-received bonuses, or other monies
from all employers or as a result of any employment (as usually reported in the
Medicare, wages, and tips section of the parent’s W-2).
ii. Earnings generated from a business, partnership, contract, self-employment or
other similar arrangement, or from rentals.
(a) Income (or losses) from a corporation should be carefully examined to
determine the extent to which they were historically passed on to the parent
or used merely as a tax strategy.
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iii. Distributed profits or payments from profit-sharing, a pension or retirement, an
insurance contract, an annuity, trust fund, deferred compensation, retirement
account, social security disability payments, social security retirement payments,
unemployment compensation, supplemental unemployment benefits, disability
insurance or benefits, or worker’s compensation.
(a) Consider insurance or other similar payments received as compensation for lost
earnings, but do not include payments that compensate for actual medical bills
or for property loss or damage.
(b) If a parent receives payments from an IRA, defined contribution, or deferred
compensation plan, income does not include contributions to that account that
were previously considered as the parent’s income used to calculate an earlier
child-support obligation for a child in this case. To the extent that the funds
received are equivalent to the amount of the funds contributed by the parent
while paying child support, that amount should be excluded from the
computation of gross income.
(c)(1) When a monthly auxiliary Social Security payment is paid directly to a payee
parent on behalf of a child(ren), that payment shall be treated as child support paid
by the payor when:
i) The monthly auxiliary benefit is paid from the payor’s social security
account; and
ii) The payor and the payee are parties to the same child support case and the
monthly auxiliary payment will benefit those same child(ren).
(2) If the monthly auxiliary benefit paid to the payee parent exceeds the amount
of child support the court has ordered to be paid, then the excess benefit shall
be treated as a gift that should not be credited against future child support or
past due child support unless otherwise ordered by the court. If the monthly
auxiliary payment does not satisfy the monthly child support for which the
payor is responsible, then the payor is responsible for the difference unless the
court finds that a deviation is warranted as set forth in Section II, Paragraph 2
herein.
(3) In the event that the auxiliary benefit is paid directly to the payor parent,
then the payor parent shall use those funds to pay his or her child support
obligation to the payee parent.
iv. Military specialty pay, allowance for quarters and rations, housing, veterans’
administration benefits, G.I. benefits (other than education allotment), or drill pay.
(a) If the servicemember receives housing pay and supports another home (i.e.,
second residence), housing pay is not considered income to the individual.
v. Tips, gratuities, royalties, interest, dividends, fees, or gambling or lottery winnings.
vi. Capital gains to the extent that they result from recurring transactions.
vii. The standard (basic needs) portion of adoption subsidies for children in the case
under consideration (do not consider the medical needs and intensive rate portion
of the subsidy, nor the family support subsidy as income).
viii. Any money or income due or owed by another individual, source of income,
government, or other legal entity.
ix. Income also includes the market value of perquisites (perks) received as goods,
services, or other noncash benefit for which the parent did not pay, if they reduce
personal expenses, and have significant value or are received regularly.
(a) Common forms of perquisites (perks) or goods and services received in-kind
include, but are not limited to, the following: housing, meals, or room and
board, personal use of a company business vehicle or mileage reimbursement,
including use between home and primary worksite, and other goods or
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 services.
(b) Perquisites (perks) do not include money paid by an employer for benefits like
tuition reimbursement, educational cost reimbursement, uniforms, and health
savings account (HSA) contributions.
x. The court may consider assets available to generate income for child support. For
example, the court may determine the reasonable earning potential of any asset at
its market value and assess against it the current Treasury bill interest rate or some
other similar appropriate method of computing income.

To further this State’s policy of interpreting “income” broadly for the benefit of children, a
support order may include as its basis a percentage of a bonus to be paid in the future. The child
support attributable to a bonus amount (or another one-time source of money) shall be in addition
to the periodic child-support obligation. This child-support obligation shall terminate when the
underlying child-support obligation terminates. Variable income such as commissions, bonuses,
overtime pay, military bonuses, and dividends shall be averaged by the court over a reasonable
period of time consistent with the circumstances of the case and added to a parent's fixed salary or
wages to determine gross income. When income is received on an irregular, nonrecurring, or one-
time basis, the court may, but is not required to, average or prorate the income over a reasonable
specified period of time or require the parent to pay as a one-time support amount a percentage of
his or her nonrecurring income.

One-time sources of money like an inheritance, gambling or lottery winning, or liquidating
a Certificate of Deposit, for example, is income for these Guidelines purposes (as detailed in the
previous paragraph). If the receipt of an asset is not sold or otherwise disposed of, however, then it
has not “realized a gain” and therefore is not income under these Guidelines.

3. Income from Self-employment, Business Owners, Executives, and Others

a. Difficulty in determining income for self-employed individuals, business owners,
and others occurs for several reasons including:
i. These individuals often have types of income and expenses not frequently
encountered when determining income for most people.
ii. Taxation rules, business records, and forms associated with business
ownership and self-employment differ from those that apply to individuals employed by
others. Common business documents reflect policies unrelated to an obligation to support
one’s child.
iii. Due to the control that business owners or executives exercise over the form
and manner of their compensation, a parent, or a parent with the cooperation of a business
owner or executive, may arrange compensation to reduce the amount visible to others
looking for common forms of income.

b. To determine monies that a parent has available for support, it may be necessary to
examine business tax returns, balance sheets, accounting or banking records, and other business
documents to identify additional monies a parent has available for support that were not included
as personal income. At a minimum, a self-employed parent shall provide their two most recent years
of state and federal tax returns. The parent should provide three years of tax returns when there is
a reduced, deferred, or elective income situation. Unless otherwise prohibited by law, the court
may award expert witness fees when necessary to determine self-employed parent’s income.

c. For income from self-employment, proprietorship of a business, or ownership or a
partnership or closely held corporation, gross income is defined as gross receipts minus ordinary and
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necessary expenses required for self-employment or business operation, including an employer’s
share of FICA. However, the court should exclude from those expenses amounts allowed by the
Internal Revenue Service for accelerated depreciation of investment tax credits for purposes of these
Guidelines and add those amounts back in to determine gross income. In general, the court should
carefully review income and expenses from a parent’s self-employment or operation of a business
to determine actual levels of gross income available to the parent. The court’s duty is to accurately
determine a child-support obligation in every case. This amount may differ from the determination
of business income for tax purposes.

d. Whether organized informally, or as a corporation, a partnership, a sole
proprietorship, or other arrangement or entity, these considerations apply to all forms of self-
employment and business ownership, as well as to business executives and others who may receive
similar forms of compensation.

e. For purposes of this subsection, income includes amounts that were not otherwise
included as income elsewhere in this chapter. Special attention shall be given to the following forms
of compensation:
i. Distributed profits, profit sharing, officers’ fees and other compensation,
management or consulting fees, commissions, and bonuses.
ii. In-kind income or perquisites (perks), gifts, free admission to entertainment,
or personal use of business property. The value of these items must be based on a fair-market
price, that is, the price a person not affiliated with the business would pay. In-kind payments
received by a parent from self-employment or the operation of a business is income if
the payments are significant and reduce personal living expenses.

f. Redirected income, or amounts treated by the business or company as if the
redirected amounts were something other than the parent’s income. Amounts include, but are not
limited to, the following:
i. Personal loans. Presume personal loans from a business are in fact redirected
income, unless all the following are true: (1) the parent signed a contract or promissory note
outlining the terms of the loan, (2) the business maintains records showing the loan owed as
a receivable, (3) the parent makes installment payments and the present loan is paid current,
and (4) the interest earned and repayment rate appear to be a reasonable business practice.
Unless the presumption is overcome by a preponderance of the evidence, then a parent’s
income includes the difference between the amount the parent repays and a repayment
amount for a similar commercially available unsecured personal loan.
ii. Payments made to friends or relatives of the parent. If the business cannot
demonstrate that the payments are equivalent to a fair market value payment for the work or
services the friend or relative performs, then include any amount that exceeds the fair-market
value as the parent’s income.

g. Reduced or deferred income. Because a parent’s compensation can be rearranged to hide
income, determine whether unnecessary reductions in salaries, fees, or distributed profits have
occurred by comparing amounts and rates to historical patterns.
i. Unless the business can demonstrate legitimate reasons for a
substantial reduction in the percentage of distributed profits, use a three-year average
to determine the amount to include as a parent’s income.
ii. Unless a business can demonstrate legitimate reasons for reductions
(as a percentage of gross business income) in salaries, bonuses, management fees, or
other amounts paid to a parent, use a three-year average to determine the amount
to include as a parent’s income.
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 h. Business income subject to elective treatment. Income that is subject to elective status (for
example, retained income) may be considered as income after the court considers the circumstances
and history of the elective treatment, which includes but is not limited to the status prior to the
implementation of the support order. If a change in the status was made after the original election,
then a court can either choose to include the income in child-support calculations or not include it
in the calculations.

i. Deductions for Tax Purposes. For a variety of historical and policy reasons, the
government allows considerable deductions for business-related expenses before taxes are calculated.
Those same considerations are not always relevant to monies a parent should have available for child
support. Therefore, some deductions should be added back into a parent’s income for purposes of
determining child support. The deductions include, but are not limited to, the following:
i. Rent paid by the business to the parent, if it is not counted as income
on that parent’s personal tax return.
ii. Real estate depreciation shall always be added back into a parent’s
income when calculating support.
iii. Depreciation figured at a straight-line (not accelerated) rate on a
parent’s (not a corporation’s or partnership’s) tangible personal property, other than for
personal vehicles or home offices, shall be deducted from income. Any parent who uses
accelerated depreciation for tangible personal property may deduct the value of the
straight-line depreciation amount for property other than personal vehicles or home
offices, if the parent proves what the straight-line amounts would have been.
iv. Home office expenses, including rent, hazard insurance, utilities,
repairs, and maintenance.
v. Entertainment expenses spent by the parent. Legitimate expenses
for customers’ entertainment may be treated as deductions.
vi. Travel expense reimbursements, except where such expenses are
inherent in the nature of the business or occupation (for example, a traveling salesperson),
and do not exceed the standard rates allowed by the State of Arkansas for employee travel.
vii. Personal automobile repair and maintenance expenses.

4. Gross Income Exclusions:

Gross income does not include benefits received from means-tested public assistance
programs, such as Temporary Assistance to Needy Families (TANF), Supplemental Security
Income (SSI) received for self or any child; Food Stamps and General Assistance; income
derived by other household members; child support, adoption subsidy payments, and foster
care board payments received for other children not involved in the case.

5. Spousal Support:

If a parent paying spousal support also pays child support to the same person, then the
amount of alimony a former payee spouse may be receiving shall be reduced from the payor’s gross
income and added to the payee’s gross income for purposes of determining income under the child-
support calculation.

6. Other Child Support Paid:

Any previous or existing court orders requiring the payment of current child support
shall receive priority over any subsequent child-support obligation. A subsequent support
9
obligation shall not constitute the sole basis for a material change of circumstances sufficient to
support a petition to the court for modification of a prior child-support order.

Current child support paid for the benefit of children other than those considered in
this computation, to the extent such payment or payments are required by a previous court
order, shall be deducted from gross income. Child support arrearage payments shall not be
considered in determining a payor’s gross income.

7. Income Verification:

The Affidavit of Financial Means and Worksheet shall be used in all family-support matters.
Each party shall exchange the Affidavit of Financial Means and Worksheet at least three days before
a hearing to establish or modify a support order. The Worksheet shall be filed in the court file and
attached to the order that includes the child-support award. The Affidavit of Financial Means shall
not be filed in the court file.

A court may rely on suitable documentation of current earnings, preferably for at least one
month. Suitable documentation includes, but is not limited to, pay stubs, employer statements or
verifications, and receipts and expenses if the parent is self-employed.

Verification of current earnings, whether they are reflected on the Affidavit of Financial
Means or not, can be supported with copies of the most recent federal and state tax returns that a
parent has filed.

Income can also be verified through the Department of Workforce Services or through the
Department of Finance and Administration.

8. Income Imputation Considerations:

If imputation of income is ordered, the court must take into consideration the specific
circumstances of both parents, to the extent known, including such factors as the parents’ assets,
residence, employment and earnings history, job skills, educational attainment, literacy, age, health,
criminal record and other employment barriers, and record of seeking work, as well as the local job
market, the availability of employers willing to hire the parent, prevailing earnings level in the local
community, and other relevant background factors in the case.

There is a rebuttable presumption that the payor and the payee can work full-time or
earn full-time income, and the court may calculate child support based on a determination of
potential income that would otherwise ordinarily be available to the parties.

The court may consider a disability or the presence of young children or disabled
children who must be cared for by the parent as being a reason why a parent is unable to work.

Although Temporary Assistance to Needy Families (TANF) and other means-tested
public assistance benefits are not included in gross income, income may be imputed to these
recipients.

In addition to determining potential earnings, the court may impute income to any non-
income producing assets of either parent, if significant, other than a primary residence or personal
property. Examples of such assets are vacation homes (if not maintained as rental property) and idle

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land. The current rate determined by the court is the rate at which income may be imputed to such
nonperforming assets.

Section IV. Health Insurance, Extraordinary Medical Expenses, and Childcare Costs

Three additional child-rearing expenses—health insurance premiums, extraordinary
medical expenses, and childcare expenses—shall be added to the Worksheet and must be
considered by the court when determining the total child-support obligation. If either or both
parents carry health insurance for the child(ren), incur extraordinary medical expenses for the
child(ren), or pay for childcare expenses for one or more children who receive support, the cost of
these expenses shall be added to the Worksheet. The court may in turn add one or more of these
expenses to the basic child-support obligation as detailed below.

1. Health insurance:

The court shall consider provisions for the children’s health care needs through health
insurance coverage. Health insurance coverage is considered reasonable if the cost of dependent
coverage does not exceed 5% of the gross income of the parent who is to provide coverage. The
court may require coverage by one or both parents who can obtain the most comprehensive
coverage through an employer or otherwise, and at the most reasonable cost.

If the employer provides some coverage, then only the amount the employee pays shall be
used in the calculation of support. This amount may be determined by the difference between self-
only coverage and family coverage, or the cost of medical insurance for the child. If the amounts
for self-only and family coverage cannot be verified, then the total cost of the premium may be
divided by the total number of persons covered by the policy and then multiplied by the number
of children in the support order. If the party providing coverage does not incur an additional cost
to add the child(ren), then no amount shall be added to the child-support obligation for insurance.

2. Extraordinary Medical Expenses:

Extraordinary medical expenses may be added to the basic child-support obligation and may
include uninsured expenses for a single illness or condition. It may include but is not limited to
reasonable and necessary costs for orthodontia, dental treatment, asthma treatment, physical therapy,
uninsured chronic health problems, and professional counseling or psychiatric therapy for diagnosed
mental disorders (including any reasonable treatment or diagnostic testing needed to diagnose
whether there is a recognized mental disorder or disability in the first place).

3. Childcare Costs:

The childcare costs that a parent incurs due to employment or the search for employment
is the third add-on to the Worksheet, and they may be considered in the total child-support
obligation. Childcare costs must be reasonable, not to exceed the level required to provide quality
care for child(ren) from a licensed provider.

Section V. Computation of Child Support

1. Calculation and Use of Worksheet:

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 Except as provided in Section II, paragraph 3, Self-Support Reserve, the gross income
of both parents shall first be determined and combined. Each parent’s share of the combined
total gross income is then determined based on their percentage of the combined income.
Next, the basic child-support obligation is determined by looking at the Chart for the parties’
combined income and the number of children they have. A presumptive child-support
obligation is then determined by adding the allowed additional monthly child-rearing expenses
(including health insurance premiums, extraordinary medical expenses, and childcare
expenses). Each parent’s share of additional child-rearing expenses is determined by multiplying
the percentage of income they have available for support, which was determined in step 1. The
total child-support obligation for each parent is determined by adding each parent’s share of
the child-support obligation with their share of allowed additional child-rearing expenses.
Lastly, the payor receives a credit for the additional child-rearing expenses that the payor is
paying out of pocket, resulting in their presumed child-support order. See the “Forms”
Addendum for a sample child-support calculation.

The payor parent shall owe his or her presumed child-support obligation as a money
judgment of child support to payee parent.

All orders granting or modifying child support shall contain the court’s determination of
both parents’ gross income and shall specify who is the payor parent and who is the payee parent.
Any order shall also state the amount of health insurance premiums, extraordinary medical expenses,
and childcare expenses allowed in determining the total child-support obligation. See the “Forms”
Addendum for sample language that may be used.

2. Shared Custody Adjustment:

In cases where the parties share approximately an equal amount of time, the parties
shall complete the Worksheet and Affidavit of Financial Means. The court shall then set
the child support obligation by offsetting the smaller obligation against the larger obligation
on the Worksheet. The parent with the larger obligation shall pay to the other parent the
difference between the two obligations. If the court determines that the Worksheet-based offset
amount is inappropriate, the court may deviate after having considered the deviation factors set
forth in Section II, Paragraph 2 above, including what is in the child’s or children’s best interest.

In cases where the parties share less than an equal amount of time but each parent has
responsibility of the child(ren) for at least 141 overnights per calendar year, the parties shall
complete the Worksheet and Affidavit of Financial Means. The court may then consider
the time spent by the child(ren) with the payor parent as a basis for adjusting the child-
support amount from the amount determined on the Worksheet.3 In particular, in
deciding whether to apply an additional credit, the court should consider the presence
and amount of disparity between the income of the parties, giving more weight to those
disparities in the parties’ income of less than 20% and considering which parent is
responsible for the majority of the non-duplicated fixed expenditures, such as routine
clothing costs, costs for extracurricular activities, school supplies, and any other similar
non-duplicated fixed expenditures. This discretionary adjustment is based on the number
of overnights, or overnight equivalents, that a parent spends with a child pursuant to a
court order. For purposes of this section, overnight equivalents are calculated using a

3
The Guidelines intend for the court to deviate (in an amount to be determined) on a
case-by-case basis when the payor parent has more than 141 overnights with a child(ren).

12
method other than overnights if the parent has significant time periods on separate days
when the child is in the parent’s physical custody, under the direct care of the parent, but
does not stay overnight.

3. Split Custody:

When each of the parents have sole custody of one or more of the children, a support
obligation for each parent shall be determined based on the number of children in the other
household and offsetting the smaller obligation against the larger obligation. The parent
with the larger obligation shall pay to the other parent the difference between the two
obligations. To accomplish this calculation, a Worksheet must be completed for each
custody arrangement. There must be separate worksheets for the child(ren) who do not live
primarily with the other(s).

4. Third-party Custody:

When one or more children are not in the care of either biological parent, a child-
support order can issue against each parent. The support amount is calculated by using the
Worksheet and computing the obligation of each parent by multiplying each parent’s share of
income by the total child-support obligation. Both parties shall owe his or her total child-support
obligation as a money judgment of child support to the third-party caretaker or guardian. If only
one parent is available, that parent’s sole income shall be used to determine the total gross income
and one hundred percent of the basic child-support obligation shall be given to that parent. If the
third-party caretaker or guardian incurs costs for health insurance premiums, extraordinary medical
expenses, and childcare expenses, those expenses may be apportioned pro rata between the parents,
or apportioned by the court if only one parent is available, as a deviation from these Guidelines.

SECTION VI. Miscellaneous Provisions

1. Allocation of Dependents for Tax Purposes:

Allocation of dependents for tax purposes belongs to the payee parent pursuant to the
Internal Revenue Code. However, if allowed by state or federal law, the court shall have the
discretion to grant dependency allocation, or any part of it, to the payor parent if the benefit of the
allocation to the payor parent substantially outweighs the benefit to the payee parent.

2. Administrative Costs:

The amount paid to the Clerk of the Court or to the Arkansas Clearinghouse for
administrative costs pursuant to Ark. Code Ann. § 9-12-312(e)(1)(A), § 9-10-109(b)(1)(A) and §
9-14-804(b) shall not be included as support.

3. Provisions for payment

All child-support orders shall fix the beginning date of the child-support obligation and the
interval (weekly, bi-weekly, semimonthly, or monthly) on which payments shall be made.

Child-support obligations shall be rounded down to the nearest whole dollar. All other
computations relating to the determination of a payor’s child-support obligation shall use
mathematical rules for rounding. If the number you are rounding is followed by 5, 6, 7, 8, or 9,
round the number up. For example: 37.5 will be rounded to 38. If the number you are rounding is
13
followed by 0, 1, 2, 3, or 4, round the number down. For example, 37.4 will be rounded to 37.
Each parent’s share of the basic child-support obligation on Line 5 of the Worksheet should be
rounded to two decimal places.

All child-support orders shall include a provision for immediate implementation of income
withholding or withholding from a financial institution, absent a finding of good cause not to
require immediate income withholding or withholding from a financial institution. All withholding
forms shall be filed in the court file and have a security level where it can only be viewed by the
parties and attorneys of record. Circuit clerks shall only release the withholding order to parties,
their employers, and attorneys of record.

Payment shall be made through the Arkansas Clearinghouse pursuant to Ark. Code Ann. §
9-14-805.

4. Sharing of income information

Parents shall provide proof of income for a previous calendar year whenever requested in
writing by certified mail by the other parent, but not more than one (1) time a year.

14
 FORMS ADDENDUM

Sample Calculation

Step 1: The gross income of both parents is determined and combined. Payor parent
earns $2,000 and (payee parent earns $1,000, for a $3,000 combined gross income. Each
parents’ share of income is then determined based on their percentage of the combined income.
Payor earns 66.66% of the income, and payee earns 33.33% of the income.

Step 2: The basic child-support obligation is determined by looking at the Chart for the
$3,000 combined income and is $469 for the parties’ one child. Each parent’s share of the basic
child-support obligation is then determined: 66.66% of $469 is $312.67 (payor parent), and
33.33% of $469 is $156.33 (payee parent).

Step 3: A presumptive child-support obligation is then determined by adding the
allowed additional monthly child-rearing expenses including health insurance premiums,
extraordinary medical expenses, and childcare expenses. In this case, the court allows $100 that
payor parent is paying for the child’s health insurance premium and $200 that payee parent is
paying for childcare expenses, for a total of $300 for additional child-rearing expenses. Each
parent’s share of additional child-rearing expenses is determining by multiplying the percentage
of income they have available for support (see step 1) by the total expenses: 66.66% of $300 is
$200 (payor parent), and 33.33% of $300 is $100 (payee parent).

Step 4: The total child-support obligation for each parent is determined by adding each
parent’s share of the child-support obligation with their share of allowed additional child-
rearing expenses. Payor parent ($312.67 plus $200) has a total child-support obligation of
$512.67, and payee parent ($156.33 plus $100) has a total child-support obligation of $256.33.

Step 5: The payor receives a credit for the additional child-rearing expenses that he is
paying out of pocket. In this example, payor is paying $100 for the child’s health insurance
premium, so we deduct $100 from payor’s total child-support obligation of $512.67. Payor has
a presumed child-support order of $412.67, which shall be rounded down to $412.

Sample language for a court order based on the calculation provided above:

The court has determined that Plaintiff (payor) earns a gross income of $2,000 per
month and Defendant (payee) earns a gross income of $1,000 per month. Therefore, the
parents’ combined gross income is $3,000 with a basic child-support obligation of $469 for
their one child per the Chart. The court also finds that Plaintiff (payor) is paying for the
child’s health insurance premium in the amount of $100 per month and that Defendant (payee)
is paying $200 for childcare expenses, for a total of $300 for additional child-rearing expenses.
Plaintiff (payor) is responsible for 66% of the total obligation ($312.67 share of basic obligation
plus $200 for expenses) and has a total child-support obligation of $512.67. Defendant (payee)
is responsible for 33% of the total obligation ($156.33 share of basic obligation plus $100 for
expenses) and has a total child-support obligation of $256.33. Plaintiff, as the payor, shall
receive a $100 credit for the additional child-rearing expenses that he is paying out of pocket.
Plaintiff shall pay $412 per month to Defendant beginning on March 1, 2020, and he shall
continue to cover the child’s health insurance premium.

15
Child Support Worksheet
Number of children for whom support is sought__
Plaintiff is payee/payor (circle one) and Defendant is payee/payor (circle one)
Payee Payor Combined
PART I: Monthly Income
Line 1: Child support guidelines income
Line 1a: Permissible deduction from income
Line 1b: Another Permissible deduction from income
Line 2: Income available for support (Line 1 minus Line 1a
minus Line 1b)
Line 3: Each parent’s share of income available for support
(Each parent’s line 2 divided by combined line 2)
PART II: Basic Obligation
Line 4: Basic child-support obligation from monthly chart.
Line 5: Each parent’s share of the basic child-support obligation
(each parent’s line 3 multiplied by combined Line 4)
PART III: Additional Monthly Child-Rearing Expenses
Line 6: Cost of the child’s health insurance
Line 7: Cost of the child’s extraordinary medical expenses
Line 8: Cost of work-related child care expenses
Line 9: Total additional child-rearing expenses (sum of line 6, 7
& 8)
Line 10: Each parent’s share of additional child-rearing expenses
(each parent’s line 3 multiplied by combined Line 9)
PART IV: Monthly Child-Support Order
Line 11: Total child-support obligation
(each parent’s line 5 plus line 10)
Line 12: Credit for additional child-rearing expenses (obligor’s
line 9 only)
Line 13: Presumed child-support order (Line 11 minus line 12
for obligor only)

16
 Family Support Chart of Basic Child Support Obligations
(Self-Support Reserve = $900/month, Minimum Order = $125 per month)
Combined
Gross
Monthly One Two Three Four Five Six
4
Income Child Children Children Children Children Children

1-1050 125 125 125 125 125 125
1100 140 142 144 146 148 150
1150 175 178 180 183 185 188
1200 203 213 216 219 222 225
1250 211 249 252 256 259 263
1300 218 284 288 292 296 300
1350 226 320 324 329 333 338
1400 234 343 360 365 370 375
1450 241 354 396 402 407 413
1500 249 365 432 438 444 450
1550 256 376 454 475 481 488
1600 264 387 468 511 518 525
1650 271 398 481 537 555 563
1700 279 409 494 552 592 600
1750 286 420 507 567 623 638
1800 293 431 520 581 639 675
1850 301 442 534 596 656 713
1900 308 453 547 611 672 730
1950 316 463 560 626 688 748
2000 323 474 573 640 704 765
2050 330 485 586 654 720 783
2100 338 496 599 669 736 800
2150 345 506 612 683 752 817
2200 352 517 625 698 768 834
2250 360 528 638 712 784 852
2300 367 538 651 727 799 869
2350 374 549 664 741 815 886
2400 381 560 677 756 831 904
2450 389 571 689 770 847 921
2500 396 581 702 785 863 938
2550 403 592 715 799 879 955
2600 411 603 728 814 895 973
2650 418 613 741 828 911 990

4
The Combined Gross Monthly Income does not apply in cases where the child support
amount is in the blue shaded area.

17
2700 425 624 754 842 927 1007
2750 433 635 767 857 943 1025
2800 440 646 780 871 958 1042
2850 447 656 793 886 974 1059
2900 454 667 806 900 990 1076
2950 462 678 819 915 1006 1094
3000 469 688 832 929 1022 1111
3050 476 699 845 944 1038 1128
3100 484 710 858 958 1054 1146
3150 491 720 871 972 1070 1163
3200 498 731 883 987 1085 1180
3250 505 742 896 1001 1101 1197
3300 512 752 909 1015 1117 1214
3350 520 763 922 1029 1132 1231
3400 527 773 934 1044 1148 1248
3450 534 784 947 1058 1164 1265
3500 541 794 960 1072 1180 1282
3550 548 805 973 1087 1195 1299
3600 556 816 986 1101 1211 1316
3650 563 826 998 1115 1227 1333
3700 570 837 1011 1129 1242 1350
3750 577 847 1024 1144 1258 1367
3800 584 858 1037 1158 1274 1385
3850 592 868 1049 1172 1289 1402
3900 599 879 1062 1186 1305 1419
3950 606 890 1075 1201 1321 1436
4000 612 899 1086 1213 1335 1451
4050 619 908 1097 1226 1348 1465
4100 625 917 1108 1238 1362 1480
4150 631 926 1119 1250 1375 1495
4200 637 935 1130 1263 1389 1510
4250 644 945 1141 1275 1402 1524
4300 650 954 1152 1287 1416 1539
4350 656 963 1163 1300 1429 1554
4400 662 972 1174 1312 1443 1569
4450 668 981 1185 1324 1457 1583
4500 675 990 1197 1337 1470 1598
4550 681 999 1208 1349 1484 1613
4600 687 1008 1219 1361 1497 1628
4650 693 1018 1230 1373 1511 1642
4700 699 1027 1241 1386 1524 1657
4750 706 1036 1252 1398 1538 1672
4800 712 1045 1263 1410 1552 1686
4850 718 1054 1274 1423 1565 1701
4900 724 1063 1285 1435 1579 1716
4950 731 1072 1296 1447 1592 1731
18
5000 737 1081 1307 1460 1606 1745
5050 743 1091 1318 1472 1619 1760
5100 749 1100 1329 1484 1633 1775
5150 755 1109 1340 1497 1646 1790
5200 762 1118 1351 1509 1660 1804
5250 768 1127 1362 1521 1674 1819
5300 774 1136 1373 1534 1687 1834
5350 780 1145 1384 1546 1701 1849
5400 785 1152 1392 1555 1710 1859
5450 788 1154 1394 1557 1712 1861
5500 790 1156 1395 1559 1715 1864
5550 793 1159 1397 1561 1717 1866
5600 795 1161 1399 1563 1719 1869
5650 798 1163 1401 1565 1721 1871
5700 800 1165 1403 1567 1724 1873
5750 802 1167 1405 1569 1726 1876
5800 805 1170 1406 1571 1728 1878
5850 807 1172 1408 1573 1730 1881
5900 810 1174 1410 1575 1733 1883
5950 812 1176 1412 1577 1735 1886
6000 815 1178 1414 1579 1737 1888
6050 817 1181 1416 1582 1740 1891
6100 821 1185 1421 1587 1746 1897
6150 824 1189 1425 1592 1751 1904
6200 827 1193 1430 1598 1757 1910
6250 830 1197 1435 1603 1763 1916
6300 834 1201 1440 1608 1769 1923
6350 837 1205 1444 1613 1775 1929
6400 840 1209 1449 1619 1781 1936
6450 843 1214 1454 1624 1787 1942
6500 847 1218 1459 1629 1792 1948
6550 850 1222 1464 1635 1798 1955
6600 853 1226 1468 1640 1804 1961
6650 856 1230 1473 1645 1810 1967
6700 860 1234 1478 1651 1816 1974
6750 865 1240 1485 1659 1825 1984
6800 870 1247 1494 1669 1835 1995
6850 875 1254 1502 1678 1846 2006
6900 880 1261 1510 1687 1856 2017
6950 886 1268 1519 1696 1866 2028
7000 891 1274 1527 1705 1876 2039
7050 896 1281 1535 1715 1886 2050
7100 901 1288 1543 1724 1896 2061
7150 907 1295 1552 1733 1907 2072
7200 912 1302 1560 1742 1917 2083
7250 917 1308 1568 1752 1927 2095
19
7300 923 1315 1576 1761 1937 2106
7350 928 1322 1585 1770 1947 2117
7400 932 1328 1592 1778 1956 2126
7450 936 1334 1598 1785 1964 2135
7500 939 1340 1605 1793 1972 2143
7550 943 1345 1611 1800 1980 2152
7600 947 1351 1618 1807 1988 2161
7650 950 1357 1624 1814 1996 2169
7700 954 1362 1631 1821 2004 2178
7750 957 1368 1637 1828 2011 2186
7800 961 1373 1643 1835 2019 2195
7850 964 1379 1649 1842 2027 2203
7900 968 1384 1656 1849 2034 2211
7950 971 1390 1662 1856 2042 2220
8000 975 1395 1668 1863 2050 2228
8050 978 1401 1674 1870 2057 2236
8100 980 1402 1676 1872 2060 2239
8150 982 1404 1678 1875 2062 2242
8200 984 1406 1681 1877 2065 2245
8250 986 1408 1683 1880 2068 2248
8300 988 1410 1685 1882 2070 2250
8350 989 1411 1687 1885 2073 2253
8400 991 1413 1689 1887 2076 2256
8450 993 1415 1691 1889 2078 2259
8500 995 1417 1694 1892 2081 2262
8550 997 1419 1696 1894 2084 2265
8600 999 1420 1698 1897 2086 2268
8650 1001 1422 1700 1899 2089 2271
8700 1002 1424 1702 1902 2092 2274
8750 1005 1427 1705 1905 2095 2278
8800 1008 1430 1709 1909 2100 2283
8850 1011 1434 1714 1914 2106 2289
8900 1014 1438 1718 1919 2111 2294
8950 1017 1442 1722 1923 2116 2300
9000 1020 1445 1726 1928 2121 2305
9050 1023 1449 1730 1933 2126 2311
9100 1027 1453 1735 1937 2131 2317
9150 1030 1457 1739 1942 2136 2322
9200 1033 1461 1743 1947 2141 2328
9250 1036 1464 1747 1951 2147 2333
9300 1039 1468 1751 1956 2152 2339
9350 1042 1472 1755 1961 2157 2344
9400 1045 1476 1760 1965 2162 2350
9450 1048 1478 1763 1970 2167 2355
9500 1050 1480 1767 1974 2171 2360
9550 1053 1483 1770 1977 2175 2364
20
 9600 1055 1485 1774 1981 2180 2369
9650 1057 1487 1777 1985 2184 2374
9700 1060 1489 1781 1989 2188 2379
9750 1062 1491 1784 1993 2193 2383
9800 1064 1493 1788 1997 2197 2388
9850 1067 1495 1791 2001 2201 2393
9900 1069 1497 1795 2005 2206 2397
9950 1071 1499 1799 2009 2210 2402
10000 1074 1501 1802 2013 2214 2407
10050 1076 1504 1806 2017 2219 2412
10100 1078 1506 1809 2021 2223 2416
10150 1081 1508 1813 2025 2227 2421
10200 1083 1510 1816 2029 2232 2426
10250 1085 1512 1820 2033 2236 2430
10300 1088 1514 1823 2037 2240 2435
10350 1090 1516 1827 2040 2245 2440
10400 1092 1518 1830 2044 2249 2444
10450 1095 1521 1834 2049 2253 2449
10500 1098 1526 1839 2054 2260 2456
10550 1102 1531 1844 2060 2266 2463
10600 1106 1536 1850 2066 2273 2471
10650 1109 1542 1855 2072 2279 2478
10700 1113 1547 1860 2078 2286 2485
10750 1116 1552 1866 2084 2292 2492
10800 1120 1557 1871 2090 2299 2499
10850 1123 1562 1876 2096 2305 2506
10900 1127 1568 1881 2101 2312 2513
10950 1130 1573 1887 2107 2318 2520
11000 1134 1578 1892 2113 2324 2527
11050 1137 1583 1897 2119 2331 2534
11100 1141 1589 1903 2125 2338 2541
11150 1145 1595 1908 2132 2345 2549
11200 1149 1600 1914 2138 2352 2557
11250 1153 1606 1920 2145 2359 2564
11300 1156 1612 1926 2151 2366 2572
11350 1160 1618 1931 2157 2373 2580
11400 1164 1623 1937 2164 2380 2587
11450 1168 1629 1943 2170 2387 2595
11500 1172 1635 1949 2177 2395 2603
11550 1176 1641 1955 2183 2402 2611
11600 1180 1646 1960 2190 2409 2618
11650 1184 1652 1966 2196 2416 2626
11700 1187 1658 1972 2203 2423 2634
11750 1191 1664 1978 2209 2430 2642
11800 1195 1668 1984 2216 2437 2649
11850 1198 1672 1990 2222 2445 2657
21
11900 1202 1677 1996 2229 2452 2665
11950 1206 1681 2002 2236 2459 2673
12000 1209 1686 2008 2242 2467 2681
12050 1213 1690 2013 2249 2474 2689
12100 1216 1695 2019 2256 2481 2697
12150 1220 1699 2025 2262 2489 2705
12200 1223 1703 2031 2269 2496 2713
12250 1227 1708 2037 2276 2503 2721
12300 1231 1712 2043 2282 2511 2729
12350 1234 1717 2049 2289 2518 2737
12400 1238 1721 2055 2296 2525 2745
12450 1241 1725 2061 2302 2532 2753
12500 1245 1730 2067 2309 2540 2761
12550 1248 1734 2073 2316 2547 2769
12600 1252 1739 2079 2322 2554 2777
12650 1256 1743 2085 2329 2562 2785
12700 1259 1748 2091 2335 2569 2792
12750 1263 1752 2097 2342 2576 2800
12800 1266 1756 2103 2349 2584 2808
12850 1270 1761 2109 2355 2591 2816
12900 1273 1765 2115 2362 2598 2824
12950 1277 1770 2121 2369 2606 2832
13000 1280 1774 2127 2375 2613 2840
13050 1284 1779 2132 2382 2620 2848
13100 1288 1783 2138 2389 2627 2856
13150 1291 1787 2144 2395 2635 2864
13200 1295 1792 2150 2402 2642 2872
13250 1298 1796 2156 2409 2649 2880
13300 1302 1801 2162 2415 2657 2888
13350 1305 1805 2168 2422 2664 2896
13400 1309 1809 2174 2428 2671 2904
13450 1313 1814 2180 2435 2679 2912
13500 1316 1818 2186 2442 2686 2920
13550 1320 1823 2192 2448 2693 2928
13600 1323 1827 2198 2455 2701 2936
13650 1326 1831 2202 2460 2706 2942
13700 1329 1834 2206 2465 2711 2947
13750 1331 1838 2211 2469 2716 2952
13800 1334 1841 2215 2474 2721 2958
13850 1337 1844 2219 2478 2726 2963
13900 1339 1848 2223 2483 2731 2969
13950 1342 1851 2227 2487 2736 2974
14000 1345 1854 2231 2492 2741 2979
14050 1347 1858 2235 2496 2746 2985
14100 1350 1861 2238 2500 2750 2990
14150 1352 1864 2242 2504 2755 2994
22
14200 1354 1867 2245 2508 2759 2999
14250 1357 1870 2249 2512 2763 3004
14300 1359 1873 2253 2516 2768 3008
14350 1361 1876 2256 2520 2772 3013
14400 1363 1879 2260 2524 2776 3018
14450 1366 1882 2263 2528 2781 3023
14500 1368 1885 2267 2532 2785 3027
14550 1370 1888 2270 2536 2790 3032
14600 1373 1891 2274 2540 2794 3037
14650 1375 1894 2277 2544 2798 3042
14700 1377 1897 2281 2548 2803 3046
14750 1380 1900 2284 2552 2807 3051
14800 1382 1903 2288 2556 2811 3056
14850 1384 1906 2292 2560 2816 3061
14900 1387 1909 2295 2564 2820 3065
14950 1389 1911 2299 2568 2824 3070
15000 1391 1914 2302 2572 2829 3075
15050 1394 1917 2306 2576 2833 3080
15100 1396 1920 2309 2580 2838 3084
15150 1398 1923 2313 2584 2842 3089
15200 1401 1926 2316 2587 2846 3094
15250 1403 1929 2320 2591 2851 3099
15300 1405 1932 2324 2595 2855 3103
15350 1408 1935 2327 2599 2859 3108
15400 1410 1938 2331 2603 2864 3113
15450 1412 1941 2334 2607 2868 3118
15500 1414 1944 2338 2611 2872 3122
15550 1417 1947 2341 2615 2877 3127
15600 1419 1950 2345 2619 2881 3132
15650 1421 1953 2348 2623 2886 3137
15700 1424 1956 2352 2627 2890 3141
15750 1426 1959 2356 2631 2894 3146
15800 1428 1962 2359 2635 2899 3151
15850 1431 1965 2363 2639 2903 3156
15900 1433 1968 2366 2643 2907 3160
15950 1435 1971 2370 2647 2912 3165
16000 1438 1974 2373 2651 2916 3170
16050 1440 1977 2377 2655 2920 3174
16100 1442 1980 2380 2659 2925 3179
16150 1445 1983 2384 2663 2929 3184
16200 1447 1986 2387 2667 2934 3189
16250 1449 1989 2391 2671 2938 3193
16300 1452 1992 2395 2675 2942 3198
16350 1454 1995 2398 2679 2947 3203
16400 1456 1998 2402 2683 2951 3208
16450 1459 2001 2405 2686 2955 3212
23
16500 1462 2004 2408 2690 2959 3216
16550 1464 2007 2412 2694 2963 3221
16600 1467 2009 2415 2697 2967 3225
16650 1470 2012 2418 2701 2971 3230
16700 1472 2015 2421 2705 2975 3234
16750 1475 2018 2425 2708 2979 3239
16800 1478 2021 2428 2712 2983 3243
16850 1480 2024 2431 2716 2987 3247
16900 1483 2027 2435 2720 2992 3252
16950 1486 2030 2438 2723 2996 3256
17000 1488 2033 2441 2727 3000 3261
17050 1491 2036 2445 2731 3004 3265
17100 1494 2038 2448 2734 3008 3269
17150 1496 2041 2451 2738 3012 3274
17200 1499 2044 2455 2742 3016 3278
17250 1501 2047 2457 2745 3019 3282
17300 1504 2050 2461 2748 3023 3286
17350 1506 2052 2464 2752 3027 3291
17400 1509 2055 2467 2756 3031 3295
17450 1512 2058 2470 2759 3035 3299
17500 1514 2061 2474 2763 3039 3304
17550 1517 2064 2477 2767 3043 3308
17600 1520 2067 2480 2770 3047 3312
17650 1522 2070 2483 2774 3051 3317
17700 1525 2072 2487 2778 3055 3321
17750 1527 2075 2490 2781 3059 3325
17800 1530 2078 2493 2784 3063 3329
17850 1532 2081 2496 2788 3067 3333
17900 1535 2083 2499 2791 3070 3338
17950 1537 2086 2502 2795 3074 3342
18000 1540 2089 2505 2798 3078 3346
18050 1542 2091 2508 2802 3082 3350
18100 1545 2094 2511 2805 3086 3354
18150 1547 2097 2514 2809 3090 3358
18200 1550 2100 2518 2812 3093 3362
18250 1552 2102 2521 2816 3097 3367
18300 1555 2105 2524 2819 3101 3371
18350 1557 2108 2527 2822 3105 3375
18400 1560 2110 2530 2826 3109 3379
18450 1562 2113 2533 2829 3112 3383
18500 1565 2116 2536 2833 3116 3387
18550 1567 2119 2539 2836 3120 3391
18600 1570 2121 2542 2840 3124 3396
18650 1572 2124 2545 2843 3128 3400
18700 1575 2127 2549 2847 3131 3404
18750 1577 2129 2552 2850 3135 3408
24
18800 1580 2132 2555 2854 3139 3412
18850 1582 2135 2558 2857 3143 3416
18900 1585 2138 2561 2861 3147 3420
18950 1587 2140 2564 2864 3150 3424
19000 1590 2143 2567 2867 3154 3429
19050 1592 2146 2570 2871 3158 3433
19100 1595 2148 2573 2874 3162 3437
19150 1597 2151 2576 2878 3166 3441
19200 1599 2154 2579 2881 3169 3445
19250 1602 2157 2583 2885 3173 3449
19300 1604 2159 2586 2888 3177 3453
19350 1607 2162 2589 2892 3181 3458
19400 1609 2165 2592 2895 3185 3462
19450 1612 2167 2595 2899 3188 3466
19500 1614 2170 2598 2902 3192 3470
19550 1617 2173 2601 2905 3196 3474
19600 1619 2176 2604 2909 3200 3478
19650 1622 2178 2607 2912 3204 3482
19700 1624 2181 2610 2916 3207 3486
19750 1627 2184 2614 2919 3211 3491
19800 1629 2186 2617 2923 3215 3495
19850 1632 2189 2620 2926 3219 3499
19900 1634 2192 2623 2930 3223 3503
19950 1637 2195 2626 2933 3226 3507
20000 1639 2197 2629 2937 3230 3511
20050 1642 2200 2632 2940 3234 3515
20100 1644 2203 2635 2944 3238 3520
20150 1647 2206 2638 2947 3242 3524
20200 1649 2208 2641 2950 3245 3528
20250 1652 2211 2644 2954 3249 3532
20300 1654 2214 2648 2957 3253 3536
20350 1657 2216 2651 2961 3257 3540
20400 1659 2219 2654 2964 3261 3544
20450 1662 2222 2657 2968 3264 3548
20500 1664 2225 2660 2971 3268 3553
20550 1667 2227 2663 2975 3272 3557
20600 1669 2230 2666 2978 3276 3561
20650 1672 2233 2669 2982 3280 3565
20700 1674 2235 2672 2985 3284 3569
20750 1677 2238 2675 2988 3287 3573
20800 1679 2241 2679 2992 3291 3577
20850 1681 2243 2681 2995 3295 3581
20900 1683 2246 2684 2998 3298 3585
20950 1684 2248 2687 3001 3301 3588
21000 1686 2251 2689 3004 3304 3592
21050 1687 2253 2692 3007 3308 3595
25
21100 1689 2255 2695 3010 3311 3599
21150 1691 2258 2697 3013 3314 3602
21200 1692 2260 2700 3016 3317 3606
21250 1694 2262 2702 3019 3321 3609
21300 1695 2265 2705 3022 3324 3613
21350 1697 2267 2708 3025 3327 3616
21400 1698 2269 2710 3027 3330 3620
21450 1700 2272 2713 3030 3333 3623
21500 1701 2274 2716 3033 3337 3627
21550 1703 2277 2718 3036 3340 3630
21600 1704 2279 2721 3039 3343 3634
21650 1706 2281 2723 3042 3346 3637
21700 1707 2284 2726 3045 3350 3641
21750 1709 2286 2729 3048 3353 3644
21800 1710 2288 2731 3051 3356 3648
21850 1712 2291 2734 3054 3359 3652
21900 1713 2293 2737 3057 3362 3655
21950 1715 2295 2739 3060 3366 3659
22000 1716 2298 2742 3063 3369 3662
22050 1718 2300 2744 3066 3372 3666
22100 1719 2303 2747 3069 3375 3669
22150 1721 2305 2750 3071 3379 3673
22200 1722 2307 2752 3074 3382 3676
22250 1724 2310 2755 3077 3385 3680
22300 1726 2312 2758 3080 3388 3683
22350 1727 2314 2760 3083 3392 3687
22400 1729 2317 2763 3086 3395 3690
22450 1730 2319 2766 3089 3398 3694
22500 1732 2321 2768 3092 3401 3697
22550 1733 2324 2771 3095 3404 3701
22600 1735 2326 2773 3098 3408 3704
22650 1736 2328 2776 3101 3411 3708
22700 1738 2331 2779 3104 3414 3711
22750 1739 2333 2781 3107 3417 3715
22800 1741 2336 2784 3110 3421 3718
22850 1742 2338 2787 3113 3424 3722
22900 1744 2340 2789 3115 3427 3725
22950 1745 2343 2792 3118 3430 3729
23000 1747 2345 2794 3121 3433 3732
23050 1748 2347 2797 3124 3437 3736
23100 1750 2350 2800 3127 3440 3739
23150 1751 2352 2802 3130 3443 3743
23200 1753 2354 2805 3133 3446 3746
23250 1754 2357 2808 3136 3450 3750
23300 1756 2359 2810 3139 3453 3753
23350 1758 2362 2813 3142 3456 3757
26
23400 1759 2364 2815 3145 3459 3760
23450 1761 2366 2818 3148 3462 3764
23500 1762 2369 2821 3151 3466 3767
23550 1764 2371 2823 3154 3469 3771
23600 1765 2373 2826 3157 3472 3774
23650 1767 2376 2829 3159 3475 3778
23700 1768 2378 2831 3162 3479 3781
23750 1770 2380 2834 3165 3482 3785
23800 1771 2383 2836 3168 3485 3788
23850 1773 2385 2839 3171 3488 3792
23900 1774 2388 2842 3174 3492 3795
23950 1776 2390 2844 3177 3495 3799
24000 1777 2392 2847 3180 3498 3802
24050 1779 2395 2850 3183 3501 3806
24100 1780 2397 2852 3186 3504 3809
24150 1782 2399 2855 3189 3508 3813
24200 1783 2402 2857 3192 3511 3816
24250 1785 2404 2860 3195 3514 3820
24300 1786 2406 2863 3198 3517 3823
24350 1788 2409 2865 3201 3521 3827
24400 1789 2411 2868 3203 3524 3830
24450 1791 2414 2871 3206 3527 3834
24500 1793 2416 2873 3209 3530 3837
24550 1794 2418 2876 3212 3533 3841
24600 1796 2421 2878 3215 3537 3844
24650 1797 2423 2881 3218 3540 3848
24700 1799 2425 2884 3221 3543 3851
24750 1800 2428 2886 3224 3546 3855
24800 1802 2430 2889 3227 3550 3858
24850 1803 2432 2892 3230 3553 3862
24900 1805 2435 2894 3233 3556 3865
24950 1806 2437 2897 3236 3559 3869
25000 1808 2440 2899 3239 3563 3872
25050 1809 2442 2902 3242 3566 3876
25100 1811 2444 2905 3245 3569 3879
25150 1812 2447 2907 3247 3572 3883
25200 1814 2449 2910 3250 3575 3886
25250 1815 2451 2913 3253 3579 3890
25300 1817 2454 2915 3256 3582 3893
25350 1818 2456 2918 3259 3585 3897
25400 1820 2458 2920 3262 3588 3901
25450 1821 2461 2923 3265 3592 3904
25500 1823 2463 2926 3268 3595 3908
25550 1825 2466 2928 3271 3598 3911
25600 1826 2468 2931 3274 3601 3915
25650 1828 2470 2934 3277 3604 3918
27
25700 1829 2473 2936 3280 3608 3922
25750 1831 2475 2939 3283 3611 3925
25800 1832 2477 2941 3286 3614 3929
25850 1834 2480 2944 3289 3617 3932
25900 1835 2482 2947 3291 3621 3936
25950 1837 2484 2949 3294 3624 3939
26000 1838 2487 2952 3297 3627 3943
26050 1840 2489 2955 3300 3630 3946
26100 1841 2492 2957 3303 3633 3950
26150 1843 2494 2960 3306 3637 3953
26200 1844 2496 2962 3309 3640 3957
26250 1846 2499 2965 3312 3643 3960
26300 1847 2501 2968 3315 3646 3964
26350 1849 2503 2970 3318 3650 3967
26400 1850 2506 2973 3321 3653 3971
26450 1852 2508 2976 3324 3656 3974
26500 1853 2510 2978 3327 3659 3978
26550 1855 2513 2981 3330 3663 3981
26600 1856 2515 2983 3333 3666 3985
26650 1858 2518 2986 3335 3669 3988
26700 1860 2520 2989 3338 3672 3992
26750 1861 2522 2991 3341 3675 3995
26800 1863 2525 2994 3344 3679 3999
26850 1864 2527 2997 3347 3682 4002
26900 1866 2529 2999 3350 3685 4006
26950 1867 2532 3002 3353 3688 4009
27000 1869 2534 3004 3356 3692 4013
27050 1870 2536 3007 3359 3695 4016
27100 1872 2539 3010 3362 3698 4020
27150 1873 2541 3012 3365 3701 4023
27200 1875 2544 3015 3368 3704 4027
27250 1876 2546 3018 3371 3708 4030
27300 1878 2548 3020 3374 3711 4034
27350 1879 2551 3023 3377 3714 4037
27400 1881 2553 3025 3379 3717 4041
27450 1882 2555 3028 3382 3721 4044
27500 1884 2558 3031 3385 3724 4048
27550 1885 2560 3033 3388 3727 4051
27600 1887 2562 3036 3391 3730 4055
27650 1888 2565 3039 3394 3734 4058
27700 1890 2567 3041 3397 3737 4062
27750 1892 2570 3044 3400 3740 4065
27800 1893 2572 3046 3403 3743 4069
27850 1895 2574 3049 3406 3746 4072
27900 1896 2577 3052 3409 3750 4076
27950 1898 2579 3054 3412 3753 4079
28
28000 1899 2581 3057 3415 3756 4083
28050 1901 2584 3060 3418 3759 4086
28100 1902 2586 3062 3420 3763 4090
28150 1904 2588 3065 3423 3766 4093
28200 1905 2591 3067 3426 3769 4097
28250 1907 2593 3070 3429 3772 4100
28300 1908 2596 3073 3432 3775 4104
28350 1910 2598 3075 3435 3779 4107
28400 1911 2600 3078 3438 3782 4111
28450 1913 2603 3081 3441 3785 4114
28500 1914 2605 3083 3444 3788 4118
28550 1916 2607 3086 3447 3792 4121
28600 1917 2610 3088 3450 3795 4125
28650 1919 2612 3091 3453 3798 4128
28700 1920 2614 3094 3456 3801 4132
28750 1922 2617 3096 3459 3804 4135
28800 1924 2619 3099 3462 3808 4139
28850 1925 2622 3102 3464 3811 4142
28900 1927 2624 3104 3467 3814 4146
28950 1928 2626 3107 3470 3817 4150
29000 1930 2629 3109 3473 3821 4153
29050 1931 2631 3112 3476 3824 4157
29100 1933 2633 3115 3479 3827 4160
29150 1934 2636 3117 3482 3830 4164
29200 1936 2638 3120 3485 3834 4167
29250 1937 2640 3123 3488 3837 4171
29300 1939 2643 3125 3491 3840 4174
29350 1940 2644 3127 3493 3842 4177
29400 1941 2646 3129 3495 3844 4179
29450 1942 2647 3130 3496 3846 4181
29500 1943 2648 3131 3498 3848 4183
29550 1943 2649 3133 3499 3850 4185
29600 1944 2650 3134 3501 3851 4186
29650 1945 2652 3135 3502 3853 4188
29700 1946 2653 3137 3504 3855 4190
29750 1947 2654 3138 3505 3857 4192
29800 1948 2655 3140 3507 3859 4194
29850 1949 2656 3141 3508 3860 4196
29900 1950 2658 3142 3510 3862 4198
29950 1951 2659 3144 3512 3864 4200
30000 1952 2660 3145 3513 3866 4202

29
 IN THE CIRCUIT COURT OF COUNTY, ARKANSAS

(Domestic Relations Division) _____Division

Plaintiff

v. Case No. _____DR__________________

Defendant

AFFIDAVIT OF FINANCIAL MEANS

Name:_________________________, being duly sworn, says under penalty of perjury, that
he/she has prepared or approved this financial statement, and that the following information and
attachments (including income verification as required by page 6) are complete, true, and
correct.

__________________ _____________________________
Date Signature

Subscribed and sworn to before me on this day of 20 .
Notary Public
My commission expires:

MY INCOME
1. How often are you paid?

____ weekly
____ bi-weekly (every two weeks—26 times a year)
____ monthly
____ bi-monthly (twice a month–24 times a year)
____ other –Explain (attach an exhibit if necessary):

2. Gross Pay:
$__________________________

Page 1 of 6 ______ ______
Initials Initials

30
 INCOME

Income: Amount: Source Frequency
3
Gross wages from employment,
3.1
contract labor, etc.
3.2 Bonuses or incentive pay not
reflected on page 2:
3.3 Other court-ordered income
such as alimony/child support
paid to you:
3.4 Payments from a settlement or
annuity:
3.5 Regular gifts from relatives or
friends:
3.6 Investment income such as rent
payments to you:
3.7 Stock dividends or bond
payments:
3.8 Regular payments to you or on
your behalf from a Trust:
3.9 Other:

3.10 TOTAL
MONTHLY INCOME: $

OTHER AVAILABLE FUNDS
4 ASSET AMOUNT SOURCE
Cash on hand, and in bank
4.1 accounts:
4.2 Trust fund assets held on your
behalf:
4.3 Stocks, bonds, mutual funds:

4.4 Other (i.e., 401-K, retirement,
etc.):
4.5 TOTAL:
$

Page 2 of 6 ______ ______
Initials Initials

31
 MY CURRENT MONTHLY EXPENSES *

5.
Expense: Amount: Expense: Amount:
Health Insurance- for Health Insurance-
a.
child only $ n. excludes amount in $
“a”
Extraordinary medical Non-covered medical
b.
expenses for child in this $ o. for self or child not $
case involved in this case
Childcare for child in Childcare for child not
c.
this case $ p. involved in this case $
Rent/house payment Car payment
d.
$ q. $
Media Services, e.g., Car Insurance
e.
Cable/Satellite, Internet $ r. $
Telephone Car fuel and
f.
$ s. maintenance $
Gas, water, trash, & Lawn care
g. electricity $ t. $

h. Union dues $ u. Charitable giving $

i. Pension plan $ v. Household Expenses $

j. 401(k) payments $ w. Dry cleaning $

k. Garnishments $ x. Life Insurance: $

l. Alcohol and Tobacco $ y. Other: $
Products

m. Food $ z. TOTAL $

* Place a check mark by all expenses which you are not currently paying.

Page 3 of 6 ______ ______
Initials Initials

32
 MINOR CHILDREN

6. Number of children:

a. Number of minor children I have with opposing party: #

b. Number of other minor children I have: #

c. Names of minor children involved in this case: AGE

1.

2.

3.

4.

CREDITORS & DEBTS
7. Debts in the names of BOTH PARTIES are:

Creditor: Total amount owed: Monthly payment:

a. $ $

b. $ $

c. $ $

d. $ $

e. $ $

f. $ $

Totals: $ $

Page 4 of 6 _______ ______
Initials Initials

33
8. Debts only in my name:

Creditor: Total amount owed: Monthly payment:

a. $ $

b. $ $

c. $ $

d. $ $

e. $ $

Totals: $ $

9. Debts only in the name of the other party:

Creditor: Total amount owed: Monthly payment:

a. $ $

b. $ $

c. $ $

d. $ $

e. $ $

Totals: $ $

10. SUMMARY OF ABOVE DEBT TABLES:

Summary of Debts: Total Owed: Total Monthly Payments:
Joint Debts:
a.
$ $
My Debts:
b.
$ $
Other Party’s Debts:
c.
$ $

Page 5 of 6 _______ ______
Initials Initials
34
 ACKNOWLEDGEMENT OF RESPONSIBILITIES AND CONSEQUENCES
I, _________________________, understand that I must comply with the following. I
acknowledge and agree to each provision by initialing each paragraph below.

_____Both parties must complete and exchange this six-page affidavit at least three days before a
court hearing where financial matters are at issue. The affidavit must be provided to opposing
counsel, if a party is represented, or directly to a self-represented litigant.

_____Both parties must supply the original notarized affidavit to the court.

_____ If I am employed, I must attach copies of my last three paystubs to this affidavit.

_____ If I am self-employed, I must attach copies of my last two federal and state tax returns,
including all schedules, to this affidavit.

_____ Before each court hearing where financial matters are at issue, I will review this document
and provide updated information to the other party and to the court.

_____ I understand that the cost of dependent health insurance coverage is the difference between
self-only and self with dependents or family coverage or the cost of adding the child(ren) to existing
coverage.

_____ I understand that failing to comply with these provisions, or deliberately attempting to
mislead the court or the opposing party, may result in my being held in contempt of court, being
fined, being ordered to pay attorney’s fees, and/or being sentenced up to 6 months in jail, and that
serious violations can result in prosecution for felony perjury—punishable by 3 to 10 years in prison.

______________________ ________________________________
Date Signature

I certify that I have reviewed this affidavit with my client and advised him or her of the importance
of providing true, correct, complete answers and the required exhibits.

_______________________ ________________________________
Date Attorney

Page 6 of 6 ______ ______
Initials Initials
Form Revised 04/2022
35