Initial Orders (Form A [J101E]) & Variation Orders (Form B [J107])Ten-Step Maintenance Model • Form G [J214] ConsentResponsibility
Monthly Expenses & Contribution Calculator
For Initial Orders, Variations, and Mediated Settlements: itemizes 62 household & child expense categories with pro-rata parental sharing and official Department of Justice J-forms.
Confidential Matter Storage:
Parent A (Mom) Child Costs
R 0,00
2 children • R 0,00 adult shareParent B (Dad) Child Costs
R 0,00
2 children • R 0,00 adult sharePro-Rata Ratio (A : B)
35.0% : 65.0%
Combined: R 100 000,00Net Maintenance Result
R 0,00
No payment requiredCourt & Case Reference
Application Type:
Children in Household(s) (2Total — Names & Dates of Birth)
Calculated Contribution Determination
No balancing payment is required
This calculation applies the standard South African pro-rata maintenance apportionment formula across both households, accounting for direct expenses incurred by each parent and their comparative monthly income.
Jane Doe (Parent A) Household & MeansStep 3 Input
John Doe (Parent B) Household & MeansStep 4 Input
Children Included in Maintenance AssessmentSelect which children are mutual to both parents in this matter. Non-mutual children will be excluded from the pro-rata balancing calculation.
Active Scope: All Children (2 in home)All children in home included
Parenting Schedule & Contact Days Proration
Prorates non-resident parent variable costs when the child only spends part of the month with them (e.g. alternate weekends).
Ten-Step Pro-Rata Balancing Calculation
Synchronized with Schedules A & B| Step | Description | Calculation / Basis | Result |
|---|---|---|---|
| 1 | Children's expenses at Parent A (Mom) | From Parent A schedule (Total Children) | R 0,00 |
| 2 | Children's expenses at Parent B (Dad) | From Parent B schedule (Total Children) | R 0,00 |
| 3 | Parent A monthly income / means | Input | R 35 000,00 |
| 4 | Parent B monthly income / means | Input | R 65 000,00 |
| 5 | Combined parental income | Step 3 + Step 4 | R 100 000,00 |
| 6 | Parent A proportion | Step 3 ÷ Step 5 | 35.00% |
| 7 | Parent B proportion | Step 4 ÷ Step 5 | 65.00% |
| 8 | Parent B share of costs at Parent A | Step 1 × Step 7 | R 0,00 |
| 9 | Parent A share of costs at Parent B | Step 2 × Step 6 | R 0,00 |
| 10 | Net balancing calculation | Step 8 - Step 9 | R 0,00 |
| Adj | Direct-payment adjustment (+ increases B→A; - decreases B→A) | Adjustment (e.g. medical aid / school fees paid directly) | |
| Final | No balancing payment is required | R 0,00 | |
J101 E
REPUBLIC OF SOUTH AFRICA
APPLICATION FOR MAINTENANCE ORDER
COMPLAINT IN TERMS OF SECTION 6(1) (a) OF THE MAINTENANCE ACT, 1998 (ACT No. 99 OF 1998)
* Delete whichever is not applicable.
Reference No.
[This information should, as far as possible, be given in order to investigate the complaint. If space is insufficient information should be supplied on an attached annexure.]
I, (full name)Jane Doe (Parent A)(called "the complainant")
born onddmmyy
age
ID number
living at
tel. no (.........)
working at
tel. no (.........)
nearest police station
hereby *declare under oath/truly affirm as follows:
1. (Full name)John Doe (Parent B)(called "the defendant ")
born onddmmyy
age
ID number
living at
tel. no (.........)
working at
tel. no (.........)
nearest police station
is legally liable to maintain *me and/or the following child(ren) mentioned in 4. below, who is/are under my care.
Form A [J101 E] — Page 1 of 6Prepared by: Responsibility & Aloe Mediation
J101 E
2.*The defendant is legally liable to maintain me because:Reciprocal parental duty of support in terms of common law, Section 15 of the Maintenance Act 99 of 1998, and Section 18(2)(d) of the Children's Act 38 of 2005.
*The child(ren) mentioned in 4. below is/are under my care becausePrimary residence and day-to-day care reside with Jane Doe (Parent A).
3.The defendant has not supported *myself/the said child(ren) since (date) 2026-10-20 and has made *no contribution towards maintenance/the following contribution towards maintenance:
As per attached bank statements and 10-Step Pro-Rata Contribution Schedule.
4.I request that the Defendant be ordered to make the following contribution(s) towards maintenance: A *weekly/monthly contribution of –
R0,00 in respect of myself (complainant), and / or
| Amount | Name of Child | Born | |
|---|---|---|---|
| R | in respect of | Child 1 | ddmmyyyy |
| R | in respect of | Child 2 | ddmmyyyy |
| R | in respect of | ddmmyyyy | |
| R | in respect of | ddmmyyyy | |
| R | in respect of | ddmmyyyy | |
| R | in respect of | ddmmyyyy | |
The first payment should be made on the 1st day of the month and after that on or before the 1st / 7th day of each succeeding *week/month. All payments should be made to Jane Doe (Parent A) in favour of Jane Doe (Parent A);
and/or
other contributions [for example medical and dental costs, school fees, fees to tertiary institutions, school wear, expenses for sport and/or cultural activities, birth expenses and maintenance for child(ren) from birth]: Pro-rata 65,00% (John Doe (Parent B)) / 35,00% (Jane Doe (Parent A)) split of unbudgeted medical, dental, orthodontic, and educational expenses.
5.Particulars of my assets and *monthly/weekly income and expenditures (supported by documentary proof, where possible) are as follows:
Form A [J101 E]2Prepared by: Responsibility & Aloe Mediation
J101 E
| ASSETS | INCOME | ||||
|---|---|---|---|---|---|
| Fixed property | R | Gross salary | R 35 000,00 | ||
| Investments | R | Minus: Deductions | Tax | R | |
| Medical Aid | R | ||||
| Savings | R | Pension | R | ||
| Other: | R | ||||
| Shares | R | R | |||
| R | |||||
| Motor vehicles | R | Total nett salary | R 35 000,00 | ||
| Other: | R | Other income (state source of income) | R | ||
| R | R | ||||
| R | R | ||||
| Total income | R 35 000,00 | ||||
| Expenditure | Self | Child(ren) | Total | |||
|---|---|---|---|---|---|---|
| 1 | Lodging (bond repayment/levy /rent/ board) | 0,00 | ||||
| 2 | Groceries/food/personal care (including hair care/cosmetics etc.) | 0,00 | ||||
| 3 | Household expenditure | Water and electricity / gas / paraffin | 0,00 | |||
| Rates and taxes | 0,00 | |||||
| Laundry/Dry-cleaning | 0,00 | |||||
| Lunches | 0,00 | |||||
| Telephone | 0,00 | |||||
| Domestic worker | 0,00 | |||||
| Garden services | 0,00 | |||||
| Insurance (short term) | 0,00 | |||||
| 4 | Clothing | Clothes and shoes | 0,00 | |||
| School uniforms | 0,00 | |||||
| Sports clothes | 0,00 | |||||
| 5 | Transport | Bus / taxi / lift club | 0,00 | |||
| Car | Installments & Insurance | 0,00 | ||||
| Maintenance | 0,00 | |||||
| Fuel | 0,00 | |||||
| Licences | 0,00 | |||||
| Parking | 0,00 | |||||
Form A [J101 E]3Prepared by: Responsibility & Aloe Mediation
J101 E
| Expenditure | Self | Child(ren) | Total | ||
|---|---|---|---|---|---|
| 6 | Educational expenditure | School fees | 0,00 | ||
| Crèche / day care / after school care | 0,00 | ||||
| Insurance (study policy) | 0,00 | ||||
| Books / Stationery | 0,00 | ||||
| Outings / Extramural | 0,00 | ||||
| Sports | 0,00 | ||||
| Other school expenditure | 0,00 | ||||
| 7 | Medical expenditure | Doctor/dentist/etc. | 0,00 | ||
| Medication | 0,00 | ||||
| Hospital | 0,00 | ||||
| Other medical expenditure | 0,00 | ||||
| 8 | Insurance | Life | 0,00 | ||
| Annuity | 0,00 | ||||
| House owners/House holders | 0,00 | ||||
| 9 | Pocket money/ Allowances | 0,00 | |||
| 10 | Holidays, entertainment & recreation (incl M-Net) | 0,00 | |||
| 11 | Maintenance, replacement and repairs of items | House | 0,00 | ||
| Household appliances | 0,00 | ||||
| Kitchenware | 0,00 | ||||
| Linen, towels, etc. | 0,00 | ||||
| *Bicycles/bikes/scooters | 0,00 | ||||
| Other items | 0,00 | ||||
| 12 | Personal loans | 0,00 | |||
| 13 | Security alarm system | 0,00 | |||
| 14 | Membership fees | 0,00 | |||
| 15 | Religious contributions/ Charities | 0,00 | |||
| 16 | Gifts | 0,00 | |||
| 17 | TV licence | 0,00 | |||
| 18 | Reading material | Books / Newspapers / Periodicals | 0,00 | ||
| 19 | Lease / credit agreement payments | Furniture | 0,00 | ||
| Appliances | 0,00 | ||||
| Other | 0,00 | ||||
| 20 | Pets | Food | 0,00 | ||
| Veterinary surgeon ("vet") | 0,00 | ||||
| Licence | 0,00 | ||||
Form A [J101 E]4Prepared by: Responsibility & Aloe Mediation
J101 E
| Expenditure | Self | Child(ren) | Total | ||
|---|---|---|---|---|---|
| 21 | Other (not specified above) | 0,00 | |||
| 0,00 | |||||
| 0,00 | |||||
| 0,00 | |||||
| 0,00 | |||||
| Total expenditure | 0,00 | 0,00 | 0,00 | ||
Dated at this day of year
............................................................
Signature of Complainant
Attached Annexure: Two-Household 10-Step Pro-Rata Maintenance Schedule
Complainant (Jane Doe (Parent A)) Net Income (35,00%): R 35 000,00Defendant (John Doe (Parent B)) Net Income (65,00%): R 65 000,00
Net Monthly Cash Contribution Determined:R 0,00 (No balancing payment is required)
Form A [J101 E]5Prepared by: Responsibility & Aloe Mediation
J101 E
* Delete whichever is not applicable
FOR OFFICIAL USE ONLY
Oath/Affirmation
1.I certify that before administering the *oath/affirmation I asked the complainant the following questions and wrote down *his/her answers in *his/her presence:
(a) Do you know and understand the contents of the declaration?Answer ..................................................
(b) Do you have any objection to taking the prescribed oath?Answer ..................................................
(c) Do you consider the prescribed oath binding on your conscience?Answer ..................................................
2.I certify that the complainant acknowledged that *he/she knows and understands the contents of this declaration. The complainant uttered the following words *“I swear that the contents of this declaration are true, so help me God”/“I truly affirm that the contents of this declaration are true”. The *signature/mark of the complainant was affixed to the declaration in my presence.
............................................................................
Justice of the Peace/Commissioner of Oaths
Full name and surname (block letters)
Designation (rank)Ex Officio Republic of South Africa
Business address (street address must be stated)
Dated at ................................................ this ......................... day of ...................................... year ....................
Form A [J101 E]6Prepared by: Responsibility & Aloe Mediation
Court Schedule Print View:
Official Form to Print:
Annexure — Maintenance Needs & Pro-Rata Contribution Assessment
Initial Orders (Form A [J101E]), Variation Orders (Form B [J107]) & Consent Orders (Form G [J214]) • Ten-Step Pro-Rata Contribution Model under the Maintenance Act 99 of 1998
Court & Case Number: —
Case Reference: —
Applicant (Parent A / Mom): Jane Doe (Parent A)
Respondent (Parent B / Dad): John Doe (Parent B)
Assessment Scope: All Children (2 in home)
Household apportionment: 2 children, 1 adult at Mom's home.
Assessment Date: 2026-10-20
Certified Mediator / CMM: —
Final Assessment & Suggested Contribution
No balancing payment is required
Summary of 10-Step Contribution Calculation
| 1. Children's Calculated Expenses at Parent A (Mom) | R 0,00 |
| 2. Children's Calculated Expenses at Parent B (Dad) | R 0,00 |
| 3. Parent A Monthly Income / Means | R 35 000,00 |
| 4. Parent B Monthly Income / Means | R 65 000,00 |
| 5. Combined Parental Means | R 100 000,00 |
| 6. Parent A Pro-Rata Share (%) | 35.00% |
| 7. Parent B Pro-Rata Share (%) | 65.00% |
| 8. Parent B Share of Costs at Parent A | R 0,00 |
| 9. Parent A Share of Costs at Parent B | R 0,00 |
| 10. Net Balancing Contribution | R 0,00 |
| Final Enforceable Contribution Owed | R 0,00 |
Comparative Schedule of Children's Expenditure (Mom's vs Dad's Household)62 Standardized Legal Categories
| Category & Expense Item | Mom's Place Total | Children at Mom's | Dad's Place Total | Children at Dad's | Combined Children Need |
|---|---|---|---|---|---|
| Lodging | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Groceries | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Household expenditure | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Clothing | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Public transport | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Private transport | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Educational expenses | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Medical expenditure | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Personal insurance | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Household insurance | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Pocket money / allowances | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Holidays, entertainment and recreation | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Maintenance, repair and replacement of household items | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Personal loans | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Security | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Membership fees | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Religious contributions / charities | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Gifts | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Television and subscriptions | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Reading material | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Household lease / credit repayments | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Other credit repayments | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Pets | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| Other (please specify) | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
| TOTALS | R 0,00 | R 0,00 | R 0,00 | R 0,00 | R 0,00 |
Schedule of Household Income & Expenditure: Jane Doe (Parent A)2 Children • 1 Adult • Income: R 35 000,00
| Expense Item | Total Expense | Allocation Method | Children % | Child Cost Total | Adult Share | Basis / Note |
|---|---|---|---|---|---|---|
| SCHEDULE TOTALS | R 0,00 | R 0,00 | R 0,00 | |||
Schedule of Household Income & Expenditure: John Doe (Parent B)2 Children • 1 Adult • Income: R 65 000,00
| Expense Item | Total Expense | Allocation Method | Children % | Child Cost Total | Adult Share | Basis / Note |
|---|---|---|---|---|---|---|
| SCHEDULE TOTALS | R 0,00 | R 0,00 | R 0,00 | |||
Prepared / Certified By:
Responsibility & Aloe Mediation
Prepared by: Responsibility & Aloe Mediation • Certified Maintenance Mediator (CMM)
Date Certified:
2026-10-20
Court-Ready Annexure Schedule
Prepared by: Responsibility & Aloe Mediation • © 2026 Social Justice Foundation NPO. Training and operational aid; verify current law, orders and court requirements.