Cost-of-Living Adjustment Form

Cost-of-Living Adjustment Form

1
STATE OF MINNESOTA
County _______________________
Court ________________________
Judicial District ___________
Case # _______

2
In Re the Marriage of:
_______________________, Petitioner
and
_______________________, Respondent

STEP 1. Current child support or spousal maintenance order amount. _____________

STEP 2. The most recent CPI-U. _____________
Month used _____________ Year used _____________

STEP 3. The CPI-U for two years ago (or since the last change). _____________
Month used _____________ Year used _____________

STEP 4. Subtract the number in Step 3 from the number in Step 2.
Write answer here. _____________

STEP 5. Divide the number you got in Step 4 by the number on the line in Step 3.
Write answer here. _____________

STEP 6. Multiply the number in Step 5 by the number in Step 1.
Write answer here. _____________

STEP 7. Add the number in Step 6 to the number in Step 1.
This is the new child support payment.
Write answer here. _____________

NOTICE: Beginning _________________________ the new ___________ (weekly, monthly, etc.) child support/spousal maintenance amount you must pay is $ __________ .