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IN THE COMMON PLEAS COURT OF WAYNE COUNTY, OHIO
Timothy L. Kronenberger | : _ Case No. 09-DR-0222
Plaintiff
vs. : - Magistrate Robert B. Hines
Brittany L. Kronenberger : OBJECTIONS TO MAGISTRATE’S
DECISION OF JANUARY 24. 2011
Defendant
Now comes Plaintiff, Timothy L. Kronenberger, by and through his counsel. Patricia
A. Rodgers, and objects to the Magistrate’s Final Decision in the following respects:
1) Specifically, the Plaintiff avers the Magistrate erred in calculating child
support in not factoring in that Plaintiff has a child born to him and a parent other than
Defendant who lives with Father.
2) Specifically, the Plaintiff objects to the Magistrate's Decision. page 6. last
paragraph. wherein the Magistrate finds the Plaintiff makes $44,228 per year at Stahl when
the evidence. the exhibits. and the Magistrate’s child support calculation indicates that
Plaintiff makes $34,228 per year at Stahl. Plaintiff submits that this is simply a typographical
error on page 6 of the Magistrate’s Decision of January 24, 2011, which should be corrected.
A revised child support calculation is attached. No transcript is required as these issues
are not disputed.
Respectfully submitted,
Law (Office of Patricia A. Rodgers, LLC.
Mbives cA ez ee
Patricia A. Rodgers, #00163 0.
Attorney for Timothy L. Kronenberger
2206 Mechanicsburg Road. Suite 101
Wooster, Ohio 44691
330.264.3126‘ y
CERTIFICATE GF SERVICE
I hereby certify that a copy of the foregoing was mailed regular U.S. mail, postage
prepaid, to Rosanne Shriner, Attorney for Brittany Kronenberger, 146 East Liberty Street,
St
Suite 185, Wooster, Ohio 44691, this / day of February, 2011.
Law Office of Patricia A. Rodgers, L.L.C.
baer c @ LA,
” Patricia A. Rodgers J
Attorney for Timothy L. KronenbergerIN THE COURT ur COMMON PLEAS, WAYNE COUNTY, ots
Domestic Relations
CHILD SUPPORT COMPUTATION WORKSHEET
SOLE RESIDENTIAL PARENT OR SHARED PARENTING ORDER
Names of Parties: Date: Jan 28, 2011
Timothy Kronenberger Case No.:
Brittany Kronenberger Judge:
The following parent was designated as the
residential parent and legal custodian: _X__ Mother _. __ Father __Shared
No. of Minor Children 2
COLUMNI COLUMNII COLUMN III
FATHER. MOTHER COMBINED
1a. Annual gross income from employment or, 34,228 25,818
when determined appropriate by the court or
agency, average annual gross income from
employment over a reasonable period of years
(Exclude overtime, bonuses, self-employment
income, or commissions)
1b. Amount of overtime, bonuses and commissions 0 0
FATHER MOTHER
Year 3 (Three years ago) 0 0
Year 2 (Two years ago) 0 0
Year 1 (Last calendar year) 0 0
AVERAGE 0 0
(include in Col. I and/or Col. II the average of the three years or the year 1 amount, whichever is
less, if there exists a reasonable expectation that the total earnings from overtime and/or bonuses
during the current calendar year will meet or exceed the amount that is the lower of the average of
the three years or the year 1 amount. If, however, there exists a reasonable expectation that the
total earnings from overtime/bonuses during the calendar year will be less than the lower of the
average of the three years or the year 1 amount, include the amount reasonably expected to be
earned this year.)
2. For Self-Employment Income:
a. Gross receipts from business 0 0
b. Ordinary and necessary business expenses 0 0
¢. 5.6% of adjusted gross income or the actual
marginal difference between the actual rate paid
by the self-employed individual and the FICA rate 0 0
d. Adjusted gross income from self-employment —
(Subtract the sum of 2b and 2c from 2a) 0 0
3. Annual income from interest and dividends
(whether or not taxable) 0 0
4, Annual income from unemployment compensation 0 0
5. Annual income from workers’ compensation,
disability insurance benefits, or Social Security
Disability/Retirement benefits Q Q
6. Other annual income
a. Other Taxable Income 0 0
b. Cash Perks 0 0
c. Spousal support received 0 0
© 2010 Thomson Reuters. Ail rights reserved. Page 1 of 6Worksheet: Sole/Shared
Date: Jan 28, 2011 COLUMNI
Case No.: FATHER
+
COLUMN IT COLUMN HI
MOTHER COMBINED
7a. Total annual gross income 34,228
(add lines 1a, 1b, 2d & 3-6)
7b. Health insurance maximum (multiply line 7a 1,711
by 5%)
25,818
1,291
ADJUSTMENTS TO INCOME
8. Adjustment for minor children born to or
adopted by either parent and another parent
who are living with this parent; adjustment does
not apply to stepchildren (number of children
times federal income tax exemption less child
support received, not to exceed the federal tax 3,650
exemption)
9. Annual court-ordered support paid for other children 0
10. Annual court-ordered spousal support paid to
any spouse or former spouse 0
11, Amount of local Income taxes actually paid or 342
estimated to be paid
12. Mandatory work-related deductions such as union
dues, uniform fees, etc. (Not including taxes, Social
Security or retirement)
a. Mandatory Work Related/Other Deduction 0
b. Mandatory Work Related/Other Deduction | oO
13. Total gross income adjustments (add lines 8 3,992
through 12)
14a. Adjusted annual gross income (subtract line
13 from line 7a) 30,236
14b. Cash medical support maximum (If the amount
on line 7a, Col. I, is under 150% of the federal 1,512
poverty level for an individual, enter $0 on line
14b, Col. I. If the amount on line 7a, Col. I, is
150% or higher of the federal poverty level for
an individual, multiply the amount on line 14a,
Col. I, by 5% and enter this amount on line 14b,
Col. I. If the amount on line 7a, Col. II, is under
150% of the federal poverty level for an
individual, enter $0 on line 14b, Col. II. If the
amount on line 7a, Col. It, is 150% or higher of
the federal poverty level for an individual,
multiply the amount on line 14a, Col. II, by 5%
and enter this amount on line 14b, Col. II.)
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved.
258
Page 2 of 6y yy
Worksheet: Sole/Shared
Date: Jan 28, 2011 COLUMNI COLUMNII COLUMN III
Case No.: FATHER MOTHER COMBINED
15. Combined annual income that is basis for child 55,796
support order (Add line 14a, Col. I and Col. II)
16. Percentage of parent's income to total income:
a. Father (divide line 14a, Col. 1, by line 15, Col. ITI) 54.19%
b. Mother (divide line 14a, Col. IL, by line 15, Col. III) 45.81%
17a. Basic combined child support obligation
(From schedule on income up to $150,000 -
Amounts between schedule values are calculated) 10,928
17b. Support on Income over $150,000 a
Income for which support is to be applied 0
Percent to be used on income over $150,000 0.00%
17c. Total child support obligation 10,928
18. Annual support obligation per parent
a. Father-Multiply line 17c, Col. III by line 16a 5,922
b. Mother-Multiply line 17c, Col. HI by line 16b 5,006
19. Annual child care expenses for the children
who are the subject of this order that are
work-, employment training-, or education-
related, as approved by the court or agency
(deduct tax credit from annual cost, whether
or not claimed)
a. Less federal child care tax credit
b. Less OH child care tax credit
c. Net child care costs
elao
eloloa
20a. Marginal, out-of-pocket costs, necessary to 888
provide for health insurance for the children
who are the subject of this order (contributing
cost of private family health insurance, minus
ile contributing cost of private single neaith
insurance, divided by the total number of depend-
ents covered by the plan, including the children
subject of the support order, times the number
of children subject of the support order)
20b. Cash medical support obligation (enter the 1,512 0
amount on line 14b or the amount of annual
health care expenditures estimated by the United
States Department of Agriculture and described in
section 3119.30 of the Revised Cade, whichever
amount is lower)
21, ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS PROVIDED:
Father (Only if obligor or shared parenting)
a. Additions: Line 16a times the sum of 0
amounts shown on line 19c, Col. II and
line 20a, Col, IT
c, Subtractions: Line 16b times sum of 407
amounts shown on line 19c, Col. I and
line 20a, Col. I
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters, All rights reserved. Page 3 of 65 qv
Worksheet: Sole/Shared
Date: Jan 28, 2011 COLUMNI COLUMN IY COLUMN III
Case No.: FATHER MOTHER COMBINED
Mother (Only if obligor or shared parenting)
b. Additions: Line 16b times the sum of amounts 407
shown on line 19c, Col. I and line 20a, Col. 1)
d. Subtractions: Line 16a times sum of 0
amounts shown on line 19c, Col. IT and
line 20a, Col, IT
22, OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE
IS PROVIDED:
a. Father: Line 18a plus or minus the 5,515
difference between line 21a minus line 21c
b. Mother: Line 18b plus or minus the 5,413
difference between line 21b minus line 21d
23. ACTUAL ANNUAL OBLIGATION WHEN HEALTH INSURANCE IS PROVIDED:
a. Line 22 for the obligor parent 5,515 0
b. Any non-means-tested benefits, including
Social Security and Veterans’ benefits,
pald to and received by a child or a
person on behalf of the child due to death,
disability, or retirement of the parent 0 0
¢. Actual annual obligation (subtract line 23b 5,515 0
from 23a)
24. ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS NOT PROVIDED:
Father (Only if obligor or shared parenting)
a, Additions: Line 16a times the sum of 0
amounts shown on line 19c, Col. II and
line 20b, Col. IIb
c. Subtractions: Line 16b times sum of 693
amounts shown on line 19c, Col. I and
line 20b, Col. I
Mother (Only if obligor or shared parenting)
b. Additions: Line 16b times the sum of amounts 693
shown on line 19c, Col. I and line 20b, Col. I)
d. Subtractions: Line 16a times sum of 0
amounts shown on line 19c, Col. II and
line 20b, Col, IT
25. OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT WHEN INSURANCE
IS NOT PROVIDED:
a. Father: Line 18a plus or minus the 5,229
difference between line 244 minus line 24¢
b. Mother: Line 18b plus or minus the 5,699
difference between line 24b minus line 24d
JFS 07768 (Rev. 8/2008} © 2010 Thomson Reuters, All rights reserved. Page 4 of 6“Worksheet: Sole/Shared y
Date: Jan 28, 2011 COLUMNI COLUMNIT COLUMN III
Case No.: FATHER MOTHER COMBINED
26. ACTUAL ANNUAL OBLIGATION WHEN INSURANCE IS NOT PROVIDED:
a. Line 25 for the obligor parent $5,229 $0
b, Any non-means-tested benefits, including
Social Security and Veterans’ benefits,
paid to and received by a child or a
person on behalf of the child due to death,
disability, or retirement of the parent $0 $0
c, Actual annual obligation (subtract line 26b $5,229 $0
from 26a)
27a. Deviation from sole residential parent support amount shown on
line 23c or 26c if amount would be unjust or inappropriate: (See section
3119.23 of the Revised Code.) (Specific facts and monetary values
must be stated.) 0 0
Reason:
27b. Deviation amount - shared parenting 0 0
(health ins. provided)
0 0
27c, Deviation amount - shared parenting
(health ins. not provided)
(See sections 3119.23 and 3119.24 of the Revised Code.) (Specific facts
including amount of time children spend with each parent, ability of
each parent to maintain adequate housing for children, and each
parent's expenses for children must be stated to justify deviation.)
Reason:
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters, All rights reserved. Page 5 of 64
WHEN HEALTH = WiiEN HEALTH
INSURANCE INSURANCE IS
IS PROVIDED NOT PROVIDED
28.FINAL CHILD SUPPORT FIGURE: 5,515 5,229
(This amount reflects final annual child support
obligation; in Col. I, enter line 23c plus or minus any
amounts indicated in line 27a or 27b;
in Col. II, enter line 26c plus or minus any amounts
indicated in line 27a or 27b)
29. FOR DECREE: Child support per month
(divide obligor's annual share, line 28, by 12) plus
any processing charge. 459.58 435.75
Including 2% processing charge 468.77 444,46
30, FINAL CASH MEDICAL SUPPORT FIGURE:
(this amount reflects the final, annua! cash
medical support to be paid by the obligor when
neither parent provides health insurance cover-
age for the child; enter obligor's cash medical 1,512
support amount from line 20b)
Father Is Obligor
31. FOR DECREE:
Cash medical support per month 126.00
(divide line 30 by 12)
Including 2% processing charge 128.52
Comments:
PREPARED BY:
COUNSEL: _ Patricia A. Rodgers PRO SE:
Representing Father
CSEA: OTHER:
WORKSHEET HAS BEEN REVIEWED AND AGREED TO:
MOTHER DATE
FATHER DATE
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. Page 6 of 6y, 4 4
IN THE COMMON PLEAS COURT OF WAYNE COUNTY, OHIO
Timothy L. Kronenberger : : Case No. 09-DR-0222
Plaintiff
vs. : Magistrate Robert B. Hines
Brittany L. Kronenberger : MOTION FOR RECONSIDERATION/
CLARIFICATION
Defendant
Now comes Plaintiff. Timothy L. Kronenberger, by and through his counsel, Patricia
A. Rodgers, and files this Motion for Reconsideration/Clarification of final decision.
1. Specifically, Plaintiff requests the Magistrate recalculate child support
reflecting that Father has another child born to a parent other than a party to this case and
whom lives with him, which fact is not disputed. A revised worksheet is attached.
2. Specifically, the Plaintiff requests the Magistrate correct the typographical
error in the Magistrate’s Decision in the final paragraph on page 6 wherein it is stated
Plaintiff's annual income is $44,228 when clearly the child support worksheet and the
exhibits indicate the Plaintiffs income is $34.228.
Respectfully submitted,
Law Office of Patricia A. Rodgers, L.L.C.
q
9
vO fe
Patricia A. Rodgers, #0616320
Attorney for Timothy L. Kronenberger
2206 Mechanicsburg Road, Suite 101
Wooster, Ohio 44691
330.264.3126y y
CERTIFICATE OF SERVICE
I hereby certify that a copy of the foregoing was mailed regular U.S. mail, postage
prepaid, to Rosanne Shriner, Attomey for Brittany Kronenberger, 146 East Liberty Street,
Suite 185, Wooster, Ohio 44691, this / day of February, 2011.
Law Office of Patricia A. Rodgers, L.L.C.
ha kicern Cas
Patricia A. Rodgers
Attorney for Timothy L. KronenbergerIN THE cours ¥e COMMON PLEAS, WAYNE counry, Mo
Domestic Relations
CHILD SUPPORT COMPUTATION WORKSHEET
SOLE RESIDENTIAL PARENT OR SHARED PARENTING ORDER
Names of Parties: Date: Jan 28, 2011
Timothy Kronenberger Case No.:
Brittany Kronenberger Judge:
The following parent was designated as the
residential parent and legal custodian: X Mother __ Father Shared
No. of Minor Children 2
COLUMNI COLUMNII COLUMN ITI
FATHER MOTHER COMBINED
ta. Annual gross income from employment or, 34,228 25,818
when determined appropriate by the court or
agency, average annual gross income from
employment over a reasonable period of years
(Exclude overtime, bonuses, self-employment
income, or commissions)
1b. Amount of overtime, bonuses and commissions 0 0
FATHER MOTHER
Year 3 (Three years ago) 0 0
Year 2 (Two years ago) 0 0
Year 1 (Last calendar year) 0 0
AVERAGE o 0
(Include in Col. I and/or Col. II the average of the three years or the year 1 amount, whichever is
less, if there exists a reasonable expectation that the total earnings from overtime and/or bonuses
during the current calendar year will meet or exceed the amount that Is the lower of the average of
the three years or the year 1 amount. If, however, there exists a reasonable expectation that the
total earnings from overtime/bonuses during the calendar year will be less than the lower of the
average of the three years or the year 1 amount, include the amount reasonably expected to be
earned this year.)
2. For Self-Employment Income:
a, Gross receipts from business 0 0
b. Ordinary and necessary business expenses 0 0
c. 5,6% of adjusted gross income or the actual
marginal difference between the actual rate paid
by the self-employed individual and the FICA rate 0 0
d. Adjusted gross income from self-employment
(Subtract the sum of 2b and 2c from 2a) 0 0
3. Annual income from interest and dividends
(whether or not taxable) 0 0
4. Annual income from unemployment compensation 0 0
5. Annual income from workers’ compensation,
disability insurance benefits, or Social Security
Disability/Retirement benefits 0 0
6, Other annual income
a. Other Taxable Income 0 0
b. Cash Perks 0 0
¢. Spousal support received 0 0
JES 07782 (Rev. 8/2038) © 2010 Thomson Reuters. All rights reserved, Page 1 of 6y
.Worksheet: Sole/Shared
Date: Jan 78, 2011 COLUMNI COLUMNIZ COLUMN UI
Case No.: FATHER MOTHER COMBINED
7a. Total annual gross income 34,228 25,818
(add lines 1a, 1b, 2d & 3-6)
7b. Health insurance maximum (multiply fine 7a 1,711 1,291
by 5%)
ADJUSTMENTS TO INCOME
8. Adjustment for minor children born to or
adopted by either parent and another parent
who are living with this parent; adjustment does
not apply to stepchildren (number of children
times federal income tax exemption less child
support received, not to exceed the federal tax 3,650 0
exemption)
9. Annual court-ordered support paid for other children 0 0
10. Annual court-ordered spousal support paid to
any spouse or former spouse 0 0
11. Amount of local income taxes actually paid or 342 258
estimated to be paid
12. Mandatory work-related deductions such as union
dues, uniform fees, etc. (Not including taxes, Social
Security or retirement)
a. Mandatory Work Related/Other Deduction 0 0
b. Mandatory Work Related/Other Deduction oo 0 o-
13. Total gross income adjustments (add lines 8 3,992 258
through 12)
14a. Adjusted annual gross income (subtract line
13 from line 7a) 30,236 25,560
14b. Cash medical support maximum (If the amount
on line 7a, Col. 1, is under 150% of the federal 1,512 1,278
poverty {evel for an individual, enter $0 on line
14b, Col. I. If the amount on fine 7a, Col. I, is
150% or higher of the federal poverty level for
an individual, multiply the amount on line 14a,
Col. I, by 5% and enter this amount on line 14b,
Col. I. If the amount on line 7a, Col. II, is under
150% of the federal poverty level for an
individual, enter $0 on line 14b, Col. II. If the
amount on line 7a, Col. {1, is 150% or higher of
the federa! poverty level for an individual,
multiply the amount on line 14a, Col. II, by 5%
and enter this amount on line 14b, Col. II.)
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. Page 2 of 6y %
Worksheet: Sole/Shared
Date: Jan 28, 2011 COLUMNI COLUMNII COLUMN III
Case No.: FATHER MOTHER COMBINED
15. Combined annual income that Is basis for child 55,796
support order (Add line 14a, Col. I and Col. 1)
16. Percentage of parent's income to total income:
a. Father (divide line 14a, Col. I, by line 15, Col. TII) 54.19%
b. Mother (divide line 14a, Col. II, by line 15, Col. IIT) 45.81%
17a. Basic combined child support obligation
(From schedule on income up to $150,000 -
Amounts between schedule values are calculated) 10,928
17b. Support on Income over $150,000 0
Income for which support is to be applied 0
Percent to be used on income over $150,000 0.00%
17c. Total child support obligation 10,928
18. Annual support obligation per parent
a, Father-Multiply line 17c, Col. III by line 16a 5,922
b. Mother-Multiply line 17c, Col. ITI by line 16b 5,006
19. Annual child care expenses for the children
who are the subject of this order that are
work-, employment training-, or education-
related, as approved by the court or agency
(deduct tax credit from annual cost, whether
or not claimed)
a. Less federal child care tax credit
b, Less OH child care tax credit
c. Net child care costs
cloo
alaloo
20a. Marginal, out-of-pocket costs, necessary to 888
provide for health insurance for the children
who are the subject of this order (contributing
cost of rivate family health insurance, minus
ting cost of private single heaith
insurance, divided by the total number of depend-
ents covered by the plan, including the children
subject of the support order, times the number
of children subject of the support order)
20b. Cash medica! support obligation (enter the 1,512 0
amount on line 14b or the amount of annual
health care expenditures estimated by the United
States Department of Agriculture and described in
section 3119.30 of the Revised Code, whichever
amount is lower)
21. ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS PROVIDED:
Father (Only if obligor or shared parenting)
a. Additions: Line 16a times the sum of 0
amounts shown on line 19c, Col. II and
line 20a, Col. IT
c. Subtractions: Line 16b times sum of 407
amounts shown on line 19c, Col. I and
line 20a, Col. I
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. Page 3 of 6sy
.Worksheet: Sole/Shared
Date: Jan 28, 2011 COLUMNI COLUMNII COLUMN III
Case No.: FATHER MOTHER COMBINED
Mother (Only If obligor or shared parenting)
b. Additions: Line 16b times the sum of amounts 407
shown on line 19¢, Col. I and line 20a, Col. I)
d. Subtractions: Line 16a times sum of 0
amounts shown on line 19c, Col. II and
line 20a, Col. IT
22. OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE
IS PROVIDED:
a. Father: Line 18a plus or minus the 5,515
difference between line 21a minus line 2ic
b. Mother: Line 18b plus or minus the 5,413
difference between line 21b minus line 21d
23. ACTUAL ANNUAL OBLIGATION WHEN HEALTH INSURANCE IS PROVIDED:
a. Line 22 for the obligor parent 5,515 0
b. Any non-means-tested benefits, including
Social Security and Veterans’ benefits,
paid to and received by a child or a
person on behalf of the child due to death,
disability, or retirement of the parent QO 0
c. Actual annual obligation (subtract line 23b 5,515 0
from 23a)
24, ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS NOT PROVIDED:
Father (Only if obligor or shared parenting)
a. Additions: Line 16a times the sum of 0
amounts shown on line 19c, Col, II and
line 20b, Col. IIb
c. Subtractions: Line 16b times sum of 693
amounts shown on line 19c, Col. I and
line 20b, Col. I
Mother (Only if obligor or shared parenting)
b. Additions: Line 16b times the sum of amounts 693
shown on line 19¢, Col. I and line 20b, Col. I)
d. Subtractions: Line 16a times sum of 0
amounts shown on line 19c¢, Col, II and
line 20b, Col. IT
25. OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT WHEN INSURANCE
IS NOT PROVIDED:
a. Father: Line 18a plus or minus the 5,229
difference between line 24a minus line 24¢
b. Mother: Line 18b plus or minus the 5,699
difference between line 24b minus line 24d
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved, Page 4 of 6sy
_ Worksheet: Sole/Shared
Date: Jan 28, 2011
COLUMNI COLUMNII COLUMN III
Case No.: FATHER MOTHER COMBINED
26, ACTUAL ANNUAL OBLIGATION WHEN INSURANCE IS NOT PROVIDED:
a. Line 25 for the obligor parent $5,229 $0
b, Any non-means-tested benefits, including
Social Security and Veterans' benefits,
paid to and received by a child or a
person on behalf of the child due to death,
disability, or retirement of the parent $0 $0
c. Actual annual obligation (subtract line 26b $5,229 $0
from 26a)
27a, Deviation from sole residential parent support amount shown on
line 23c or 26c if amount would be unjust or inappropriate: (See section
3119.23 of the Revised Code.) (Specific facts and monetary values
must be stated.) 0 0
Reason:
27b. Deviation amount - shared parenting 0 0
(health ins. provided)
27c. Deviation amount - shared parenting 0 0
(health ins. not provided)
(See sections 3119.23 and 3119.24 of the Revised Code.) (Specific facts
including amount of time children spend with each parent, ability of
each parent to maintain adequate housing for children, and each
parent's expenses for children must be stated to justify deviation.)
Reason:
Page 5 of 6
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved.1
WHEN HEALTH = WHEN HEALTH
INSURANCE INSURANCE IS
IS PROVIDED NOT PROVIDED
28.FINAL CHILD SUPPOR’ i 5,515 5,229
(This amount reflects final annual child support
obligation; in Col. I, enter fine 23c plus or minus any
amounts indicated in line 27a or 27b;
in Col. II, enter line 26c plus or minus any amounts
indicated in line 27a or 27b)
29. FORDECREE: Child support per month
(divide obligor's annual share, line 28, by 12) plus
any processing charge. 459.58 435.75
Including 2% processing charge 468.77 494.46
30. FINAL CASH MEDICAL SUPPORT FIGURE:
(this amount reflects the final, annual cash
medical support to be paid by the obligor when
neither parent provides health insurance cover-
age for the child; enter obligor's cash medical 1,512
support amount from line 20b)
Father is Obligor
31, FOR DECREE:
Cash medical support per month 126.00
(divide line 30 by 12)
Including 2% preces
ng charge 128.52
Comments:
PREPARED BY;
COUNSEL: _ Patricia A. Rodgers PRO SE:
Representing Father
CSEA: OTHER:
WORKSHEET HAS BEEN REVIEWED AND AGREED TO:
MOTHER DATE
FATHER DATE
JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. Page 6 of 6
Preview
y / y IN THE COMMON PLEAS COURT OF WAYNE COUNTY, OHIO Timothy L. Kronenberger | : _ Case No. 09-DR-0222 Plaintiff vs. : - Magistrate Robert B. Hines Brittany L. Kronenberger : OBJECTIONS TO MAGISTRATE’S DECISION OF JANUARY 24. 2011 Defendant Now comes Plaintiff, Timothy L. Kronenberger, by and through his counsel. Patricia A. Rodgers, and objects to the Magistrate’s Final Decision in the following respects: 1) Specifically, the Plaintiff avers the Magistrate erred in calculating child support in not factoring in that Plaintiff has a child born to him and a parent other than Defendant who lives with Father. 2) Specifically, the Plaintiff objects to the Magistrate's Decision. page 6. last paragraph. wherein the Magistrate finds the Plaintiff makes $44,228 per year at Stahl when the evidence. the exhibits. and the Magistrate’s child support calculation indicates that Plaintiff makes $34,228 per year at Stahl. Plaintiff submits that this is simply a typographical error on page 6 of the Magistrate’s Decision of January 24, 2011, which should be corrected. A revised child support calculation is attached. No transcript is required as these issues are not disputed. Respectfully submitted, Law (Office of Patricia A. Rodgers, LLC. Mbives cA ez ee Patricia A. Rodgers, #00163 0. Attorney for Timothy L. Kronenberger 2206 Mechanicsburg Road. Suite 101 Wooster, Ohio 44691 330.264.3126‘ y CERTIFICATE GF SERVICE I hereby certify that a copy of the foregoing was mailed regular U.S. mail, postage prepaid, to Rosanne Shriner, Attorney for Brittany Kronenberger, 146 East Liberty Street, St Suite 185, Wooster, Ohio 44691, this / day of February, 2011. Law Office of Patricia A. Rodgers, L.L.C. baer c @ LA, ” Patricia A. Rodgers J Attorney for Timothy L. KronenbergerIN THE COURT ur COMMON PLEAS, WAYNE COUNTY, ots Domestic Relations CHILD SUPPORT COMPUTATION WORKSHEET SOLE RESIDENTIAL PARENT OR SHARED PARENTING ORDER Names of Parties: Date: Jan 28, 2011 Timothy Kronenberger Case No.: Brittany Kronenberger Judge: The following parent was designated as the residential parent and legal custodian: _X__ Mother _. __ Father __Shared No. of Minor Children 2 COLUMNI COLUMNII COLUMN III FATHER. MOTHER COMBINED 1a. Annual gross income from employment or, 34,228 25,818 when determined appropriate by the court or agency, average annual gross income from employment over a reasonable period of years (Exclude overtime, bonuses, self-employment income, or commissions) 1b. Amount of overtime, bonuses and commissions 0 0 FATHER MOTHER Year 3 (Three years ago) 0 0 Year 2 (Two years ago) 0 0 Year 1 (Last calendar year) 0 0 AVERAGE 0 0 (include in Col. I and/or Col. II the average of the three years or the year 1 amount, whichever is less, if there exists a reasonable expectation that the total earnings from overtime and/or bonuses during the current calendar year will meet or exceed the amount that is the lower of the average of the three years or the year 1 amount. If, however, there exists a reasonable expectation that the total earnings from overtime/bonuses during the calendar year will be less than the lower of the average of the three years or the year 1 amount, include the amount reasonably expected to be earned this year.) 2. For Self-Employment Income: a. Gross receipts from business 0 0 b. Ordinary and necessary business expenses 0 0 ¢. 5.6% of adjusted gross income or the actual marginal difference between the actual rate paid by the self-employed individual and the FICA rate 0 0 d. Adjusted gross income from self-employment — (Subtract the sum of 2b and 2c from 2a) 0 0 3. Annual income from interest and dividends (whether or not taxable) 0 0 4, Annual income from unemployment compensation 0 0 5. Annual income from workers’ compensation, disability insurance benefits, or Social Security Disability/Retirement benefits Q Q 6. Other annual income a. Other Taxable Income 0 0 b. Cash Perks 0 0 c. Spousal support received 0 0 © 2010 Thomson Reuters. Ail rights reserved. Page 1 of 6Worksheet: Sole/Shared Date: Jan 28, 2011 COLUMNI Case No.: FATHER + COLUMN IT COLUMN HI MOTHER COMBINED 7a. Total annual gross income 34,228 (add lines 1a, 1b, 2d & 3-6) 7b. Health insurance maximum (multiply line 7a 1,711 by 5%) 25,818 1,291 ADJUSTMENTS TO INCOME 8. Adjustment for minor children born to or adopted by either parent and another parent who are living with this parent; adjustment does not apply to stepchildren (number of children times federal income tax exemption less child support received, not to exceed the federal tax 3,650 exemption) 9. Annual court-ordered support paid for other children 0 10. Annual court-ordered spousal support paid to any spouse or former spouse 0 11, Amount of local Income taxes actually paid or 342 estimated to be paid 12. Mandatory work-related deductions such as union dues, uniform fees, etc. (Not including taxes, Social Security or retirement) a. Mandatory Work Related/Other Deduction 0 b. Mandatory Work Related/Other Deduction | oO 13. Total gross income adjustments (add lines 8 3,992 through 12) 14a. Adjusted annual gross income (subtract line 13 from line 7a) 30,236 14b. Cash medical support maximum (If the amount on line 7a, Col. I, is under 150% of the federal 1,512 poverty level for an individual, enter $0 on line 14b, Col. I. If the amount on line 7a, Col. I, is 150% or higher of the federal poverty level for an individual, multiply the amount on line 14a, Col. I, by 5% and enter this amount on line 14b, Col. I. If the amount on line 7a, Col. II, is under 150% of the federal poverty level for an individual, enter $0 on line 14b, Col. II. If the amount on line 7a, Col. It, is 150% or higher of the federal poverty level for an individual, multiply the amount on line 14a, Col. II, by 5% and enter this amount on line 14b, Col. II.) JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. 258 Page 2 of 6y yy Worksheet: Sole/Shared Date: Jan 28, 2011 COLUMNI COLUMNII COLUMN III Case No.: FATHER MOTHER COMBINED 15. Combined annual income that is basis for child 55,796 support order (Add line 14a, Col. I and Col. II) 16. Percentage of parent's income to total income: a. Father (divide line 14a, Col. 1, by line 15, Col. ITI) 54.19% b. Mother (divide line 14a, Col. IL, by line 15, Col. III) 45.81% 17a. Basic combined child support obligation (From schedule on income up to $150,000 - Amounts between schedule values are calculated) 10,928 17b. Support on Income over $150,000 a Income for which support is to be applied 0 Percent to be used on income over $150,000 0.00% 17c. Total child support obligation 10,928 18. Annual support obligation per parent a. Father-Multiply line 17c, Col. III by line 16a 5,922 b. Mother-Multiply line 17c, Col. HI by line 16b 5,006 19. Annual child care expenses for the children who are the subject of this order that are work-, employment training-, or education- related, as approved by the court or agency (deduct tax credit from annual cost, whether or not claimed) a. Less federal child care tax credit b. Less OH child care tax credit c. Net child care costs elao eloloa 20a. Marginal, out-of-pocket costs, necessary to 888 provide for health insurance for the children who are the subject of this order (contributing cost of private family health insurance, minus ile contributing cost of private single neaith insurance, divided by the total number of depend- ents covered by the plan, including the children subject of the support order, times the number of children subject of the support order) 20b. Cash medical support obligation (enter the 1,512 0 amount on line 14b or the amount of annual health care expenditures estimated by the United States Department of Agriculture and described in section 3119.30 of the Revised Cade, whichever amount is lower) 21, ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS PROVIDED: Father (Only if obligor or shared parenting) a. Additions: Line 16a times the sum of 0 amounts shown on line 19c, Col. II and line 20a, Col, IT c, Subtractions: Line 16b times sum of 407 amounts shown on line 19c, Col. I and line 20a, Col. I JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters, All rights reserved. Page 3 of 65 qv Worksheet: Sole/Shared Date: Jan 28, 2011 COLUMNI COLUMN IY COLUMN III Case No.: FATHER MOTHER COMBINED Mother (Only if obligor or shared parenting) b. Additions: Line 16b times the sum of amounts 407 shown on line 19c, Col. I and line 20a, Col. 1) d. Subtractions: Line 16a times sum of 0 amounts shown on line 19c, Col. IT and line 20a, Col, IT 22, OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS PROVIDED: a. Father: Line 18a plus or minus the 5,515 difference between line 21a minus line 21c b. Mother: Line 18b plus or minus the 5,413 difference between line 21b minus line 21d 23. ACTUAL ANNUAL OBLIGATION WHEN HEALTH INSURANCE IS PROVIDED: a. Line 22 for the obligor parent 5,515 0 b. Any non-means-tested benefits, including Social Security and Veterans’ benefits, pald to and received by a child or a person on behalf of the child due to death, disability, or retirement of the parent 0 0 ¢. Actual annual obligation (subtract line 23b 5,515 0 from 23a) 24. ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS NOT PROVIDED: Father (Only if obligor or shared parenting) a, Additions: Line 16a times the sum of 0 amounts shown on line 19c, Col. II and line 20b, Col. IIb c. Subtractions: Line 16b times sum of 693 amounts shown on line 19c, Col. I and line 20b, Col. I Mother (Only if obligor or shared parenting) b. Additions: Line 16b times the sum of amounts 693 shown on line 19c, Col. I and line 20b, Col. I) d. Subtractions: Line 16a times sum of 0 amounts shown on line 19c, Col. II and line 20b, Col, IT 25. OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT WHEN INSURANCE IS NOT PROVIDED: a. Father: Line 18a plus or minus the 5,229 difference between line 244 minus line 24¢ b. Mother: Line 18b plus or minus the 5,699 difference between line 24b minus line 24d JFS 07768 (Rev. 8/2008} © 2010 Thomson Reuters, All rights reserved. Page 4 of 6“Worksheet: Sole/Shared y Date: Jan 28, 2011 COLUMNI COLUMNIT COLUMN III Case No.: FATHER MOTHER COMBINED 26. ACTUAL ANNUAL OBLIGATION WHEN INSURANCE IS NOT PROVIDED: a. Line 25 for the obligor parent $5,229 $0 b, Any non-means-tested benefits, including Social Security and Veterans’ benefits, paid to and received by a child or a person on behalf of the child due to death, disability, or retirement of the parent $0 $0 c, Actual annual obligation (subtract line 26b $5,229 $0 from 26a) 27a. Deviation from sole residential parent support amount shown on line 23c or 26c if amount would be unjust or inappropriate: (See section 3119.23 of the Revised Code.) (Specific facts and monetary values must be stated.) 0 0 Reason: 27b. Deviation amount - shared parenting 0 0 (health ins. provided) 0 0 27c, Deviation amount - shared parenting (health ins. not provided) (See sections 3119.23 and 3119.24 of the Revised Code.) (Specific facts including amount of time children spend with each parent, ability of each parent to maintain adequate housing for children, and each parent's expenses for children must be stated to justify deviation.) Reason: JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters, All rights reserved. Page 5 of 64 WHEN HEALTH = WiiEN HEALTH INSURANCE INSURANCE IS IS PROVIDED NOT PROVIDED 28.FINAL CHILD SUPPORT FIGURE: 5,515 5,229 (This amount reflects final annual child support obligation; in Col. I, enter line 23c plus or minus any amounts indicated in line 27a or 27b; in Col. II, enter line 26c plus or minus any amounts indicated in line 27a or 27b) 29. FOR DECREE: Child support per month (divide obligor's annual share, line 28, by 12) plus any processing charge. 459.58 435.75 Including 2% processing charge 468.77 444,46 30, FINAL CASH MEDICAL SUPPORT FIGURE: (this amount reflects the final, annua! cash medical support to be paid by the obligor when neither parent provides health insurance cover- age for the child; enter obligor's cash medical 1,512 support amount from line 20b) Father Is Obligor 31. FOR DECREE: Cash medical support per month 126.00 (divide line 30 by 12) Including 2% processing charge 128.52 Comments: PREPARED BY: COUNSEL: _ Patricia A. Rodgers PRO SE: Representing Father CSEA: OTHER: WORKSHEET HAS BEEN REVIEWED AND AGREED TO: MOTHER DATE FATHER DATE JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. Page 6 of 6y, 4 4 IN THE COMMON PLEAS COURT OF WAYNE COUNTY, OHIO Timothy L. Kronenberger : : Case No. 09-DR-0222 Plaintiff vs. : Magistrate Robert B. Hines Brittany L. Kronenberger : MOTION FOR RECONSIDERATION/ CLARIFICATION Defendant Now comes Plaintiff. Timothy L. Kronenberger, by and through his counsel, Patricia A. Rodgers, and files this Motion for Reconsideration/Clarification of final decision. 1. Specifically, Plaintiff requests the Magistrate recalculate child support reflecting that Father has another child born to a parent other than a party to this case and whom lives with him, which fact is not disputed. A revised worksheet is attached. 2. Specifically, the Plaintiff requests the Magistrate correct the typographical error in the Magistrate’s Decision in the final paragraph on page 6 wherein it is stated Plaintiff's annual income is $44,228 when clearly the child support worksheet and the exhibits indicate the Plaintiffs income is $34.228. Respectfully submitted, Law Office of Patricia A. Rodgers, L.L.C. q 9 vO fe Patricia A. Rodgers, #0616320 Attorney for Timothy L. Kronenberger 2206 Mechanicsburg Road, Suite 101 Wooster, Ohio 44691 330.264.3126y y CERTIFICATE OF SERVICE I hereby certify that a copy of the foregoing was mailed regular U.S. mail, postage prepaid, to Rosanne Shriner, Attomey for Brittany Kronenberger, 146 East Liberty Street, Suite 185, Wooster, Ohio 44691, this / day of February, 2011. Law Office of Patricia A. Rodgers, L.L.C. ha kicern Cas Patricia A. Rodgers Attorney for Timothy L. KronenbergerIN THE cours ¥e COMMON PLEAS, WAYNE counry, Mo Domestic Relations CHILD SUPPORT COMPUTATION WORKSHEET SOLE RESIDENTIAL PARENT OR SHARED PARENTING ORDER Names of Parties: Date: Jan 28, 2011 Timothy Kronenberger Case No.: Brittany Kronenberger Judge: The following parent was designated as the residential parent and legal custodian: X Mother __ Father Shared No. of Minor Children 2 COLUMNI COLUMNII COLUMN ITI FATHER MOTHER COMBINED ta. Annual gross income from employment or, 34,228 25,818 when determined appropriate by the court or agency, average annual gross income from employment over a reasonable period of years (Exclude overtime, bonuses, self-employment income, or commissions) 1b. Amount of overtime, bonuses and commissions 0 0 FATHER MOTHER Year 3 (Three years ago) 0 0 Year 2 (Two years ago) 0 0 Year 1 (Last calendar year) 0 0 AVERAGE o 0 (Include in Col. I and/or Col. II the average of the three years or the year 1 amount, whichever is less, if there exists a reasonable expectation that the total earnings from overtime and/or bonuses during the current calendar year will meet or exceed the amount that Is the lower of the average of the three years or the year 1 amount. If, however, there exists a reasonable expectation that the total earnings from overtime/bonuses during the calendar year will be less than the lower of the average of the three years or the year 1 amount, include the amount reasonably expected to be earned this year.) 2. For Self-Employment Income: a, Gross receipts from business 0 0 b. Ordinary and necessary business expenses 0 0 c. 5,6% of adjusted gross income or the actual marginal difference between the actual rate paid by the self-employed individual and the FICA rate 0 0 d. Adjusted gross income from self-employment (Subtract the sum of 2b and 2c from 2a) 0 0 3. Annual income from interest and dividends (whether or not taxable) 0 0 4. Annual income from unemployment compensation 0 0 5. Annual income from workers’ compensation, disability insurance benefits, or Social Security Disability/Retirement benefits 0 0 6, Other annual income a. Other Taxable Income 0 0 b. Cash Perks 0 0 ¢. Spousal support received 0 0 JES 07782 (Rev. 8/2038) © 2010 Thomson Reuters. All rights reserved, Page 1 of 6y .Worksheet: Sole/Shared Date: Jan 78, 2011 COLUMNI COLUMNIZ COLUMN UI Case No.: FATHER MOTHER COMBINED 7a. Total annual gross income 34,228 25,818 (add lines 1a, 1b, 2d & 3-6) 7b. Health insurance maximum (multiply fine 7a 1,711 1,291 by 5%) ADJUSTMENTS TO INCOME 8. Adjustment for minor children born to or adopted by either parent and another parent who are living with this parent; adjustment does not apply to stepchildren (number of children times federal income tax exemption less child support received, not to exceed the federal tax 3,650 0 exemption) 9. Annual court-ordered support paid for other children 0 0 10. Annual court-ordered spousal support paid to any spouse or former spouse 0 0 11. Amount of local income taxes actually paid or 342 258 estimated to be paid 12. Mandatory work-related deductions such as union dues, uniform fees, etc. (Not including taxes, Social Security or retirement) a. Mandatory Work Related/Other Deduction 0 0 b. Mandatory Work Related/Other Deduction oo 0 o- 13. Total gross income adjustments (add lines 8 3,992 258 through 12) 14a. Adjusted annual gross income (subtract line 13 from line 7a) 30,236 25,560 14b. Cash medical support maximum (If the amount on line 7a, Col. 1, is under 150% of the federal 1,512 1,278 poverty {evel for an individual, enter $0 on line 14b, Col. I. If the amount on fine 7a, Col. I, is 150% or higher of the federal poverty level for an individual, multiply the amount on line 14a, Col. I, by 5% and enter this amount on line 14b, Col. I. If the amount on line 7a, Col. II, is under 150% of the federal poverty level for an individual, enter $0 on line 14b, Col. II. If the amount on line 7a, Col. {1, is 150% or higher of the federa! poverty level for an individual, multiply the amount on line 14a, Col. II, by 5% and enter this amount on line 14b, Col. II.) JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. Page 2 of 6y % Worksheet: Sole/Shared Date: Jan 28, 2011 COLUMNI COLUMNII COLUMN III Case No.: FATHER MOTHER COMBINED 15. Combined annual income that Is basis for child 55,796 support order (Add line 14a, Col. I and Col. 1) 16. Percentage of parent's income to total income: a. Father (divide line 14a, Col. I, by line 15, Col. TII) 54.19% b. Mother (divide line 14a, Col. II, by line 15, Col. IIT) 45.81% 17a. Basic combined child support obligation (From schedule on income up to $150,000 - Amounts between schedule values are calculated) 10,928 17b. Support on Income over $150,000 0 Income for which support is to be applied 0 Percent to be used on income over $150,000 0.00% 17c. Total child support obligation 10,928 18. Annual support obligation per parent a, Father-Multiply line 17c, Col. III by line 16a 5,922 b. Mother-Multiply line 17c, Col. ITI by line 16b 5,006 19. Annual child care expenses for the children who are the subject of this order that are work-, employment training-, or education- related, as approved by the court or agency (deduct tax credit from annual cost, whether or not claimed) a. Less federal child care tax credit b, Less OH child care tax credit c. Net child care costs cloo alaloo 20a. Marginal, out-of-pocket costs, necessary to 888 provide for health insurance for the children who are the subject of this order (contributing cost of rivate family health insurance, minus ting cost of private single heaith insurance, divided by the total number of depend- ents covered by the plan, including the children subject of the support order, times the number of children subject of the support order) 20b. Cash medica! support obligation (enter the 1,512 0 amount on line 14b or the amount of annual health care expenditures estimated by the United States Department of Agriculture and described in section 3119.30 of the Revised Code, whichever amount is lower) 21. ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS PROVIDED: Father (Only if obligor or shared parenting) a. Additions: Line 16a times the sum of 0 amounts shown on line 19c, Col. II and line 20a, Col. IT c. Subtractions: Line 16b times sum of 407 amounts shown on line 19c, Col. I and line 20a, Col. I JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. Page 3 of 6sy .Worksheet: Sole/Shared Date: Jan 28, 2011 COLUMNI COLUMNII COLUMN III Case No.: FATHER MOTHER COMBINED Mother (Only If obligor or shared parenting) b. Additions: Line 16b times the sum of amounts 407 shown on line 19¢, Col. I and line 20a, Col. I) d. Subtractions: Line 16a times sum of 0 amounts shown on line 19c, Col. II and line 20a, Col. IT 22. OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS PROVIDED: a. Father: Line 18a plus or minus the 5,515 difference between line 21a minus line 2ic b. Mother: Line 18b plus or minus the 5,413 difference between line 21b minus line 21d 23. ACTUAL ANNUAL OBLIGATION WHEN HEALTH INSURANCE IS PROVIDED: a. Line 22 for the obligor parent 5,515 0 b. Any non-means-tested benefits, including Social Security and Veterans’ benefits, paid to and received by a child or a person on behalf of the child due to death, disability, or retirement of the parent QO 0 c. Actual annual obligation (subtract line 23b 5,515 0 from 23a) 24, ADJUSTMENTS TO CHILD SUPPORT WHEN HEALTH INSURANCE IS NOT PROVIDED: Father (Only if obligor or shared parenting) a. Additions: Line 16a times the sum of 0 amounts shown on line 19c, Col, II and line 20b, Col. IIb c. Subtractions: Line 16b times sum of 693 amounts shown on line 19c, Col. I and line 20b, Col. I Mother (Only if obligor or shared parenting) b. Additions: Line 16b times the sum of amounts 693 shown on line 19¢, Col. I and line 20b, Col. I) d. Subtractions: Line 16a times sum of 0 amounts shown on line 19c¢, Col, II and line 20b, Col. IT 25. OBLIGATION AFTER ADJUSTMENTS TO CHILD SUPPORT WHEN INSURANCE IS NOT PROVIDED: a. Father: Line 18a plus or minus the 5,229 difference between line 24a minus line 24¢ b. Mother: Line 18b plus or minus the 5,699 difference between line 24b minus line 24d JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved, Page 4 of 6sy _ Worksheet: Sole/Shared Date: Jan 28, 2011 COLUMNI COLUMNII COLUMN III Case No.: FATHER MOTHER COMBINED 26, ACTUAL ANNUAL OBLIGATION WHEN INSURANCE IS NOT PROVIDED: a. Line 25 for the obligor parent $5,229 $0 b, Any non-means-tested benefits, including Social Security and Veterans' benefits, paid to and received by a child or a person on behalf of the child due to death, disability, or retirement of the parent $0 $0 c. Actual annual obligation (subtract line 26b $5,229 $0 from 26a) 27a, Deviation from sole residential parent support amount shown on line 23c or 26c if amount would be unjust or inappropriate: (See section 3119.23 of the Revised Code.) (Specific facts and monetary values must be stated.) 0 0 Reason: 27b. Deviation amount - shared parenting 0 0 (health ins. provided) 27c. Deviation amount - shared parenting 0 0 (health ins. not provided) (See sections 3119.23 and 3119.24 of the Revised Code.) (Specific facts including amount of time children spend with each parent, ability of each parent to maintain adequate housing for children, and each parent's expenses for children must be stated to justify deviation.) Reason: Page 5 of 6 JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved.1 WHEN HEALTH = WHEN HEALTH INSURANCE INSURANCE IS IS PROVIDED NOT PROVIDED 28.FINAL CHILD SUPPOR’ i 5,515 5,229 (This amount reflects final annual child support obligation; in Col. I, enter fine 23c plus or minus any amounts indicated in line 27a or 27b; in Col. II, enter line 26c plus or minus any amounts indicated in line 27a or 27b) 29. FORDECREE: Child support per month (divide obligor's annual share, line 28, by 12) plus any processing charge. 459.58 435.75 Including 2% processing charge 468.77 494.46 30. FINAL CASH MEDICAL SUPPORT FIGURE: (this amount reflects the final, annual cash medical support to be paid by the obligor when neither parent provides health insurance cover- age for the child; enter obligor's cash medical 1,512 support amount from line 20b) Father is Obligor 31, FOR DECREE: Cash medical support per month 126.00 (divide line 30 by 12) Including 2% preces ng charge 128.52 Comments: PREPARED BY; COUNSEL: _ Patricia A. Rodgers PRO SE: Representing Father CSEA: OTHER: WORKSHEET HAS BEEN REVIEWED AND AGREED TO: MOTHER DATE FATHER DATE JFS 07768 (Rev. 8/2008) © 2010 Thomson Reuters. All rights reserved. Page 6 of 6